Garcia Daniel C, Sandoval-Sus Jose, Razzaq Kanwal, Young Lary
Internal Medicine Department, University of Miami, Jackson Memorial Hospital, Miami, Florida, USA.
BMJ Case Rep. 2013 Aug 7;2013:bcr2013009597. doi: 10.1136/bcr-2013-009597.
Mycobacterium infection caused by non-tuberculous mycobacterial (NTBM) organisms is becoming more common. Although NTBM osteomyelitis is unusual, it can occur in otherwise healthy individuals, but it is also associated with immunocompromised states, such as steroidal therapy and AIDS, and may be observed following trauma. Mycobacterium avium is reported to be the most common causative agent, and Mycobacterium abscessus has only been described in two cases. We report the case of a 44-year-old man with history of hepatitis C diagnosed with osteomyelitis of the thoracic spine caused by M abscessus. We present a literature review of NTBM osteomyelitis and a discussion of its diagnosis and treatment.
由非结核分枝杆菌（NTBM）引起的分枝杆菌感染正变得越来越普遍。尽管NTBM骨髓炎并不常见，但它可发生在其他方面健康的个体中，不过也与免疫功能低下状态相关，如使用类固醇治疗和艾滋病，并且在创伤后也可能出现。据报道，鸟分枝杆菌是最常见的病原体，而脓肿分枝杆菌仅在两例病例中被描述过。我们报告了一例44岁丙型肝炎病史的男性，被诊断为由脓肿分枝杆菌引起的胸椎骨髓炎。我们对NTBM骨髓炎进行了文献综述，并讨论了其诊断和治疗。
