Mycobacterium kansasii Septic Arthritis: French Retrospective Study of 5 Years and Review
| Autor: | L. Raskine, D. Colaitis, Louis Bernard, F. Bricaire, Elisabeth Bouvet, V. Lalande, Groupe d'Etude sur l'Ostéite, Olivier Lortholary, Christian Perronne, Véronique Vincent, F. Bani Sadr, C. Vettier, D. Mechali |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Male Microbiology (medical) medicine.medical_specialty Adolescent Mycobacterium Infections Nontuberculous Arthritis HIV Infections Microbial Sensitivity Tests Risk Factors Internal medicine Psoriasis Synovial Fluid Arthropathy Epidemiology Humans Medicine Risk factor Aged Retrospective Studies Aged 80 and over Mycobacterium kansasii Arthritis Infectious biology business.industry Retrospective cohort study Middle Aged medicine.disease biology.organism_classification Kidney Transplantation Anti-Bacterial Agents Surgery Treatment Outcome Infectious Diseases Female Joints Septic arthritis France business |
| Zdroj: | Clinical Infectious Diseases. 29:1455-1460 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1086/313519 |
| Popis: | Septic arthritis due to Mycobacterium kansasii is rare; only 40 cases have been published. A French national inquiry revealed the occurrence of 10 new cases between 1992 and 1997 (8 men and 2 women: mean age, 37 years; range, 25-54 years). Seven had an underlying condition: AIDS (n = 4), chronic skin psoriasis and AIDS (n = 2), or a renal transplant (n = 1). Trauma to the joint, use of intra-articular corticosteroid(s) I month to 2 years after the event, and chronic skin psoriasis were risk factors. The mean interval between appearance of the first symptoms of arthritis and the diagnosis was 5 months. Monarthritis was localized to the knee (n = 4), wrist (n = 3), finger (n = 1), elbow (n = 1), or ankle (n = 1). The main diagnostic procedure was culture of a synovial biopsy specimen. In all cases, debridement was associated with antimycobacterial treatment. Three patients died of AIDS during treatment, and another is still undergoing treatment; the other 6 patients were cured. M. kansasii infection should be considered in all cases of indolent arthritis with any of the following risk factors: local trauma, local or systemic corticosteroid therapy, chronic skin psoriasis, and immunodepression, especially that due to human immunodeficiency virus infection. |
| Databáze: | OpenAIRE |
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