Vertebral osteomyelitis caused by Mycobacterium avium–intracellulare in a patient with AIDS

Erard, P; Robert-Grandpierre, François; Kaeser, P

doi:10.1111/j.1469-0691.1999.tb00422.x

Clinical Microbiology and Infection

1999

DOI: 10.1111/j.1469-0691.1999.tb00422.x

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Vertebral osteomyelitis caused by Mycobacterium avium–intracellulare in a patient with AIDS

P Erard¹,

François Robert-Grandpierre

P Kaeser

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Cited by 7 publications

(1 citation statement)

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“…Vertebral osteomyelitis (VO) caused by NTM is a very rare disease. A MedLine review of the literature between 1965 and December 2003 revealed only 31 case reports and one nosocomial outbreak [4][5][6][7][8][9][10][11][12][13][14]. The NTM species identified most frequently was M. avium complex (n = 13); this was followed by Mycobacterium xenopi (n = 7), Mycobacterium fortuitum (n = 5), and Mycobacterium abscessus (n = 3); there were also single cases involving Mycobacterium kansasii, Mycobacterium simiae and one unidentified non-tuberculous mycobacterium.…”

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confidence: 99%

Vertebral osteomyelitis caused by non-tuberculous mycobacteria

Petitjean¹,

Fluckiger²,

Schären

et al. 2004

Clinical Microbiology and Infection

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Vertebral osteomyelitis caused by non-tuberculous mycobacteria is a rare disease, with only 31 cases and one nosocomial outbreak reported in the literature (MedLine review between 1965 and December 2003). The clinical features are often indistinguishable from those of pyogenic osteomyelitis. Early diagnosis of such infections is a major challenge because of the slow growth of these microorganisms. No consensus guidelines for the treatment of these infections exist. Prolonged anti-mycobacterial therapy in combination with surgical debridement is recommended.

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mentioning

confidence: 99%

Vertebral osteomyelitis caused by non-tuberculous mycobacteria

Petitjean¹,

Fluckiger²,

Schären

et al. 2004

Clinical Microbiology and Infection

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Mycobacterium avium Complex Osteomyelitis in Persons With Human Immunodeficiency Virus: Case Series and Literature Review

Wood

Buitrago

Patel³

et al. 2015

Open Forum Infectious Diseases

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In persons with advanced immunosuppression, Mycobacterium avium complex (MAC) typically causes disseminated disease with systemic symptoms. We report 2 cases in which MAC caused localized osteomyelitis in human immunodeficiency virus (HIV)-infected individuals on antiretroviral therapy with rising CD4 counts. We summarize 17 additional cases of HIV-associated MAC osteomyelitis from the literature and compare CD4 count at presentation for vertebral cases versus nonvertebral cases, which reveals a significantly higher CD4 at presentation for vertebral cases (median 251 cells/µL vs 50 cells/µL; P = .043; Mann–Whitney U test). The literature review demonstrates that the majority of cases of MAC osteomyelitis, especially vertebral, occurs in individuals with CD4 counts that have increased to above 100 cells/µL on antiretroviral therapy. Among HIV-infected individuals with osteomyelitis, MAC should be considered a possible etiology, particularly in the setting of immune reconstitution.

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Localized Mycobacterium avium Complex Infection of Vertebral and Paravertebral Structures in an HIV Patient on Highly Active Antiretroviral Therapy

Corrales–Medina¹,

Symes²,

Valdivia-Arenas³

et al. 2006

Southern Medical Journal

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Vertebral osteomyelitis caused by Mycobacterium avium–intracellulare in a patient with AIDS

Cited by 7 publications

References 6 publications

Vertebral osteomyelitis caused by non-tuberculous mycobacteria

Vertebral osteomyelitis caused by non-tuberculous mycobacteria

Mycobacterium avium Complex Osteomyelitis in Persons With Human Immunodeficiency Virus: Case Series and Literature Review

Localized Mycobacterium avium Complex Infection of Vertebral and Paravertebral Structures in an HIV Patient on Highly Active Antiretroviral Therapy

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