Non-tuberculous mycobacterial infections of the hand

Balagué, Nicolas; Uçkay, İlker; Vostrel, Philippe; Hinrikson, Hanspeter; Aaken, I Van; Beaulieu, Jean-Yves

doi:10.1016/j.main.2014.12.004

Cited by 52 publications

(100 citation statements)

References 24 publications

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“…Chau et al 6) and Sanal et al 7) also investigated tenosynovitis caused by non-tuberculous mycobacteriosis, but they did not clearly define the duration of oral anti-bacterial therapy. Balangue et al 17) systematically reviewed approximately 241 cases of non-tuberculous mycobacteriosis of the hand. They concluded that oral anti-bacterial therapy should be administered for at least 6 months, and that there are no benefits in continuing longer than 12 months.…”

Section: Discussionmentioning

confidence: 99%

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Yamamoto

Tada

Suganuma

et al. 2017

J Hand Surg Asian-Pac Vol

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Background: Chronic tenosynovitis of the wrist and hand is commonly seen by orthopedists, especially hand surgeons. However, cases with rice body formation are comparatively rare. Thus, we retrospectively reviewed the cases of chronic tenosynovitis in our department and evaluated the necessity of antibiotic therapy in the early post-surgical stage. Methods: We analyzed the medical and surgical records of patients who had undergone surgery for chronic tenosynovitis with rice body formation in our department from 1997 to 2015. We evaluated the causes of chronic tenosynovitis, culture findings, pathological findings, and post-operative treatment courses. Results: Nineteen patients with 23 involved hands underwent surgery for chronic tenosynovitis, and 9 patients had rice body formation. The most common cause of chronic tenosynovitis was non-tuberculous mycobacteriosis, and other causes were fungal infection and infection of unknown origin. Recurrence was observed in 2 cases of mycobacteriosis and 1 case of fungal infection; 1 case of mycobacteriosis also had a re-recurrence. Conclusions: In the diagnosis of chronic tenosynovitis with rice body formation, it is necessary to consider not only non-tuberculous mycobacteriosis, but also fungal infection as its origin. However, it is difficult to define the cause of synovitis, but in cases in which these infections are suspected, anti-bacterial therapy in the early post-surgical period could be effective.

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Section: Discussionmentioning

confidence: 99%

Non-tuberculous Mycobacterium or Fungus Induced Chronic Tenosynovitis with Rice Body of the Hand

Yamamoto

Tada

Suganuma

et al. 2017

J Hand Surg Asian-Pac Vol

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“…Based on current knowledge, surgical debridement in combination with an adequate antibiotic regimen seems to be the best treatment . A recent review concluded that, in NTM hand infections, surgery is necessary and that information about choice and duration of antimicrobial therapy is scarce . Macrolides are the cornerstone of treatment for most slow‐growing NTM infections, but because macrolide monotherapy quickly leads to resistance and treatment failure, it is necessary to treat infections with combinations of antimicrobial drugs .…”

Section: Discussionmentioning

confidence: 99%

“…surgery is necessary and that information about choice and duration of antimicrobial therapy is scarce. 21 Macrolides are the cornerstone of treatment for most slow-growing NTM infections, but because macrolide monotherapy quickly leads to resistance and treatment failure, it is necessary to treat infections with combinations of antimicrobial drugs. 22,23 The currently recommended antibiotic regimen for pulmonary M. malmoense infection is rifampicin and ethambutol in combination with a macrolide or quinolone for a duration of at least 12 months.…”

Section: Discussionmentioning

confidence: 99%

Tenosynovitis caused by Mycobacterium malmoense in two kidney transplant recipients and review of the literature

Grootveld

Scherer

Peters

et al. 2017

Transplant Infectious Dis

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We report two unrelated cases of tenosynovitis caused by Mycobacterium malmoense in kidney transplant recipients. Both patients received immunosuppression and were referred to our tertiary hospital because of persisting complaints lasting >6 months not responding to corticosteroids or surgery. The mycobacterial cultures were positive for the slow-growing M. malmoense after several weeks of incubation. The patient in Case 1 was treated with a combination of surgical debridement and antibiotics, whereas the patient in Case 2 was only treated surgically. Both cases illustrate the doctor's delay in diagnosing mycobacterial infections, and remind us that nontuberculous mycobacterial infections should be part of the differential diagnosis of tenosynovitis, especially in immunocompromised patients.

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“…In immunocompromised patients, Mycobacterium marinum and other atypical mycobacterial infections can occur in patients with exposure to fish or aquatic environments [129]. These can also occur in immunocompetent individuals [129].…”

Section: Sitementioning

confidence: 99%

“…These can also occur in immunocompetent individuals [129]. Also, penetrating trauma, including local corticosteroid therapy, may cause septic arthritis in atypical joints [130].…”

Section: Sitementioning

confidence: 99%