Infection of Tendon Sheaths, Bursae, Joints, and Soft Tissues by Acid-Fast Bacilli Other than Tubercle Bacilli

Kelly, Patrick J.; Weed, Lyle A.; Lipscomb, Paul R.; Drube, C. G.

doi:10.2106/00004623-196345020-00011

Cited by 68 publications

(26 citation statements)

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“…Although cases of synovial infection by Myco. kansasii have been reported, the present case represents only the third with polyarticular involvement (Kelly et al, 1963;Klinenberg et al, 1965). The commonest site of synovial tissue infection has been reported to be tendon sheaths of the hand and wrist, with the joints involved less frequently.…”

Section: Discussionmentioning

confidence: 51%

Polyarthritis due to Mycobacterium kansasii in a patient with rheumatoid arthritis.

DeMerieux¹,

Keystone²,

Hutcheon³

et al. 1980

Annals of the Rheumatic Diseases

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Section: Discussionmentioning

confidence: 51%

Polyarthritis due to Mycobacterium kansasii in a patient with rheumatoid arthritis.

DeMerieux¹,

Keystone²,

Hutcheon³

et al. 1980

Annals of the Rheumatic Diseases

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“…Stewart [7] in 1933 and Kelly et al [8] in 1963 reported cases oftuberculous pre› patellar bursitis without involvement of knee joint following injury. Direct inoculation of infection into infected bursae has been postu› lated in these cases [3] though haemato› genous dissemination from a small unde› tected primary focus cannot be ruled out.…”

Section: Discussionmentioning

confidence: 99%

Synovial Tuberculosis — Two Unusual Cases

Srinath

Mukherjee

1995

Medical Journal Armed Forces India

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“…Kelly et af reported infections involving the flexor tendon sheaths of two patients following injury and in a third patient following a surgical procedure (5). These 3 patients with monoarticular atypical tubgrculous arthritis :had received intraafiicdac injections.…”

Section: Discussionmentioning

confidence: 99%

“…,Joints previously altered by intrinsic disease or trauma may be predisposed to subsequent infection. Two of Kelly's patients with atypical tuberculous arthritis with no history of trauma had evidence of rheumatoid arthritis (5). Similarly, Klinenberg's patient was thought to have chronic rheumatoid arthritis and a history of trauma was equivocal (7).…”

Section: Discussionmentioning

confidence: 99%

Destructive polyarthritis secondary to mycobacterium kansasii

Girard

Bagby

Walsh

1973

Arthritis & Rheumatism

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A 42-year-old patient is reported in whom Mycobacterium kansasii pulmonary infection preceded the development of arthritis secondary to hematogenous spread. Contributing factors included systemic lupus erythematosus and corticosteroid therapy. Further, we present evidence that in M . kansasii infections, pulmonary lesions may precede extrapulmonary disease; hematogenous spread of infection likely represents the route through which joint disease evolves; previous damage to the joint whether from intrinsic disease as in rheumatoid arthritis, or extrinsic disease as in trauma, may be necessary for the development of infectious arthritis; and lastly, dissemination often represents opportunistic infection in patients who are immunologically compromised.Disease due to Mycobacterium kansasii has a predilection for middle-aged to elderly Caucasian men and is usually confined to the lungs. Although M. kansasii is believed to be less invasive than M. tuberculosis, it has caused meningitis as well as bone and joint, genitourinary, peritoneal, and disseminated disease. The latter has occurred most commonly in hosts who are immunologically compromised (1 -4).There is no evidence that M . kansasii infections are communicable or that their incidence is increased in alcoholic, diabetic, or socioeconomically depressed patients. T h e signs, symptoms, and roentgenographic and pathologic We report a case of a 42-year-old patient with systemic lupus erythematosus and pulmonary M. kansasii infection who developed destructive polyarthritis presumably secondary to hematogenous spread. CASE REPORT First HospitalizationA 42-year-old man entered the Portland Veterans Administration Hospital in October 1961 with hemoptysis of 6 months duration, anorexia, nightly fever (102" to 104"F), polyarthralgias involving multiple,joints of the hands, and a 25-pound weight loss of 2 months duration. Two weeks before admission he noted tenderness, swelling, and redness of the proximal interphalangeal joints of the right hand and, subsequently, of both elbows, shoulders, knees, ankles, and several toes.The patient was thin but not acutely ill. The proximal interphalangeal and metacarpophalangeal joints of both hands were erythematous, tender, and swollen. A "butterfly" malar rash was present.Hematocrit was 39%. reticulocyte count 2.5% white blood cell count 4,400 cells/cu mm with a normal differential count. The urinary sediment contained 20 to 30 red blood cells, 3 to 5 white blood cell casts, and an occasional

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Infection of Tendon Sheaths, Bursae, Joints, and Soft Tissues by Acid-Fast Bacilli Other than Tubercle Bacilli

Cited by 68 publications

References 0 publications

Polyarthritis due to Mycobacterium kansasii in a patient with rheumatoid arthritis.

Polyarthritis due to Mycobacterium kansasii in a patient with rheumatoid arthritis.

Synovial Tuberculosis — Two Unusual Cases

Destructive polyarthritis secondary to mycobacterium kansasii

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