Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host
We report a case of a healthy 56-year-old male who presented with chronic swelling and erythema in his right hand. He had a prior chemical exposure several years ago and subsequent exposure to freshwater, fish tank, and soil. Laboratory data showed a slightly elevated CRP. An MRI was consistent with...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/3297531 |
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| _version_ | 1832556478546837504 |
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| author | Michael S. Wang Michael Berry Alissa Lehto-Hoffman Linh Vi Nina Ramessar |
| author_facet | Michael S. Wang Michael Berry Alissa Lehto-Hoffman Linh Vi Nina Ramessar |
| author_sort | Michael S. Wang |
| collection | DOAJ |
| description | We report a case of a healthy 56-year-old male who presented with chronic swelling and erythema in his right hand. He had a prior chemical exposure several years ago and subsequent exposure to freshwater, fish tank, and soil. Laboratory data showed a slightly elevated CRP. An MRI was consistent with suggestive of flexor tenosynovitis. He underwent surgical debridement and was diagnosed with Mycobacterium kansasii. He was treated with clarithromycin, rifampin, and isoniazid, but subsequent susceptibility testing revealed resistance to isoniazid. Isoniazid was switched to ethambutol, but further susceptibility testing also suggested resistance to ethambutol. Antimicrobial therapy was stopped at 6 months due to clinical recovery, and the patient is currently doing well as of 6 months postdiscontinuation of therapy. |
| format | Article |
| id | doaj-art-808e0664bde74311b15ae557438daade |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-808e0664bde74311b15ae557438daade2025-02-03T05:45:14ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/32975313297531Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent HostMichael S. Wang0Michael Berry1Alissa Lehto-Hoffman2Linh Vi3Nina Ramessar4Department of Medicine, Lakeland Health, St. Joseph, MI, USADepartment of Surgery, Lakeland Health, St. Joseph, MI, USAInfection Prevention, Lakeland Health, St. Joseph, MI, USADepartment of Pathology, Lakeland Health, St. Joseph, MI, USADepartment of Medicine, Lakeland Health, St. Joseph, MI, USAWe report a case of a healthy 56-year-old male who presented with chronic swelling and erythema in his right hand. He had a prior chemical exposure several years ago and subsequent exposure to freshwater, fish tank, and soil. Laboratory data showed a slightly elevated CRP. An MRI was consistent with suggestive of flexor tenosynovitis. He underwent surgical debridement and was diagnosed with Mycobacterium kansasii. He was treated with clarithromycin, rifampin, and isoniazid, but subsequent susceptibility testing revealed resistance to isoniazid. Isoniazid was switched to ethambutol, but further susceptibility testing also suggested resistance to ethambutol. Antimicrobial therapy was stopped at 6 months due to clinical recovery, and the patient is currently doing well as of 6 months postdiscontinuation of therapy.http://dx.doi.org/10.1155/2018/3297531 |
| spellingShingle | Michael S. Wang Michael Berry Alissa Lehto-Hoffman Linh Vi Nina Ramessar Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host Case Reports in Infectious Diseases |
| title | Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host |
| title_full | Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host |
| title_fullStr | Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host |
| title_full_unstemmed | Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host |
| title_short | Chronic Tenosynovitis due to Mycobacteria kansasii in an Immunocompetent Host |
| title_sort | chronic tenosynovitis due to mycobacteria kansasii in an immunocompetent host |
| url | http://dx.doi.org/10.1155/2018/3297531 |
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