Mycobacterium kansasii Arthritis of the Foot in a Patient with Systemic Lupus Erythematosus.

Abstract

Mycobacterium kansasii, an atypical Mycobacterium, may cause serious illness in humans. Wedescribe a M. kansasii infection of the foot joint, which was diagnosed in a 46-year-old womanwith systemic lupus erythematosus. The diagnosis was based on a positive culture from degenerative tissue and histological diagnosis of a synovium. Wereviewed the literature regarding M. kansasii infection of the joint, bone, and periarticular structures focusing on the complication of rheumatic diseases.

Mycobacterium kansasii tenosynovitis in a rheumatoid arthritis patient with long‐term therapeutic immunosuppression

“…Most of these reports describe Mycobacterium marinum infections (2–4). In the last 7 years, there have been only a few reports of M kansasii infections in patients with chronic inflammatory rheumatic diseases (5–11). Nakamura et al (8) collected references on 11 patients from the literature since 1963.…”

“…In the last 7 years, there have been only a few reports of M kansasii infections in patients with chronic inflammatory rheumatic diseases (5–11). Nakamura et al (8) collected references on 11 patients from the literature since 1963. Bernard et al (9) described a French retrospective study of 26 patients from their own clinic and the literature who had M kansasii septic arthritis and no underlying disease.…”

Infektionen bei Patienten mit systemischem Lupus erythematodes – eine Übersicht

“…Nicht tuberkulçse Mykobakterien [21,34,39,50,59,75,76,88,106,107] Vor allem in den entwickelten Ländern ist in zunehmendem Maße mit Infektionen durch diese Erreger zu rechnen. Organinfektionen [42,44,72,115,116] Pneumokokken, Staphylokokken, Streptokokken, Enterokokken…”

“…Histologische Untersuchungen haben vor allem eine Bedeutung für die Diagnostik von Infektionen durch atypische Mykobakterien[21,34,39,50,59,75,76,88,106,107]. Als charakteristisch für diese Infektionen gilt der Nachweis epitheloider Granulome (z. T. auch mit Langhans-Riesenzellen).…”

A Case of Ankle Osteomyelitis Caused by <i>Mycobacterium abscessus</i>

“…Osteomyelitis caused by NTM is rare, but it has been reported in the sternum, spine, humerus, femur, tibia, and bones of the feet. Cases of skin and soft tissue infection caused by Mycobacterium abscesses were most often reported; however, cases of osteomyelitis have been reported very rarely [2]. Osteomyelitis caused by NTM shows clinical features similar to those of tuberculous mycobacteria infections, including nonspecific symptoms, subacute progression, and delayed diagnosis due to difficult growth of the organism in culture [3].…”