Perandones C E, Roncoroni A J, Frega N S, Bianchini H M, Hübscher O
Department of Medicine, Centro de Educacion Médica e Investigaciones Clínicas (CEMIC), Buenos Aires, Argentina.
J Rheumatol. 1991 May;18(5):777-8.
We describe an 18-year-old man with a renal transplant who developed septic metacarpophalangeal arthritis due to Mycobacterium gastri. He had several episodes of crystal induced synovitis, and treatment with intraarticular steroids was complicated 3 months later by iatrogenic septic arthritis. Appropriate treatment based on in vitro drug susceptibility was successful. This seems to be the first case of articular infection and the third report of human infection caused by this atypical mycobacteria.
我们描述了一名18岁的肾移植男性患者,他因胃分枝杆菌感染而患上化脓性掌指关节炎。他曾有几次晶体诱导的滑膜炎发作,3个月后关节内注射类固醇治疗引发了医源性化脓性关节炎。基于体外药敏试验的适当治疗取得了成功。这似乎是该非典型分枝杆菌引起的首例关节感染病例,也是人类感染的第三例报告。