| Arthritis due to Mycobacterium xenopi: a retrospective study of 7 cases in France. | |
| | |
MedLine Citation:
|
PMID: 16983609 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Mycobacterium xenopi is a nontuberculous mycobacterium responsible for opportunistic and nosocomial infections, chiefly of the lung; few cases of bone and joint infection have been reported. From July 1989 through May 1993, an outbreak of 58 cases of nosocomial discitis due to M. xenopi infection following percutaneous nucleotomy occurred in a French hospital. Peripheral M. xenopi arthritis seems exceedingly rare. We conducted a study to assess the epidemiological and clinical patterns of M. xenopi arthritis. METHODS: We retrospectively reviewed cases of M. xenopi arthritis reported from May 1993 through October 2004. RESULTS: We identified 7 cases, all of which occurred after invasive surgical procedures were performed on the affected joint, suggesting a nosocomial pattern of infection. Two patients may have been contaminated at the hospital where the M. xenopi discitis outbreak occurred. No source was identified in the other 5 patients. Despite the probable nosocomial nature of the infections, the diagnosis was delayed (mean time until diagnosis, 50 months). Repeated collection of deep tissue specimens for bacteriological analysis seemed crucial to the diagnosis. The treatment relied on combination antimicrobial therapy and surgery. Among 11 cases of M. xenopi osteoarticular infection reported in the literature from 1975 to 2005, (arthritis in 9 cases and osteitis in 2), none were nosocomial. CONCLUSION: A high index of suspicion should be maintained to ensure the diagnosis of M. xenopi arthritis before chronic monoarthritis and before the development of irreversible joint damage. |
| | |
Authors:
|
Carine Salliot; Nicole Desplaces; Philippe Boisrenoult; Anne Claude Koeger; Philippe Beaufils; Véronique Vincent; Patrick Mamoudy; Jean-Marc Ziza |
Related Documents
:
|
20972869 - Isolated intra-articular pseudorheumatoid nodule of the knee. 12359609 - Group b streptococcus endogenous endophthalmitis : case reports and review of the liter... 499259 - Rheumatoid arthritis during the first year of life. a case report and review of the lit... 23213579 - Generalized lichen nitidus in identical twins. 19078029 - Marked eosinophilia in the pleural fluid associated with pleural rheumatoid nodules. 23438539 - Idiopathic subglottic stenosis: a familial predisposition. 11790389 - Familial hemifacial spasm: report of cases and review of literature. 8370149 - Distal arthrogryposis with autosomal dominant inheritance and reduced penetrance in fem... 11149969 - Chordoid glioma: a novel tumor of the third ventricle. |
Publication Detail:
|
Type: Journal Article Date: 2006-09-01 |
Journal Detail:
|
Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 43 ISSN: 1537-6591 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2006 Oct |
Date Detail:
|
Created Date: 2006-09-19 Completed Date: 2007-01-18 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: United States |
Other Details:
|
Languages: eng Pagination: 987-93 Citation Subset: IM |
Affiliation:
|
Department of Internal Medicine and Rheumatology, Diaconesses-Croix-Saint-Simon Hospital, Paris, 75020, France. carinesalliot@wanadoo.fr |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Ankle Joint / microbiology Arthritis, Infectious / microbiology* Arthroplasty, Replacement, Knee / adverse effects Arthroscopy / adverse effects* Cross Infection / microbiology* Diskectomy, Percutaneous / adverse effects* Female France Humans Knee Joint / microbiology Male Middle Aged Mycobacterium Infections, Atypical / microbiology*, therapy Mycobacterium xenopi* Retrospective Studies Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Risk factors for recurrent melioidosis in northeast Thailand.
Next Document: Placental enlargement in women with primary maternal cytomegalovirus infection is associated with fe...