Singh Joya, Antony Suresh J
Department of Medicine, Burrell College of Osteopathic MedicineLas CrucesNew Mexico.
Proc (Bayl Univ Med Cent). 2019 Oct 14;33(1):97-99. doi: 10.1080/08998280.2019.1674089. eCollection 2020 Jan.
Nontuberculous mycobacteria (NTM) are a rare cause of prosthetic joint infection (PJI) that is documented to affect immunocompromised patients primarily. In this case report, we describe an immunocompetent patient with a rare case of PJI caused by after a total knee replacement. This patient is the eighth reported case of PJI caused by NTM and the first reported case in an immunocompetent individual. Because PJI caused by NTM is rare and difficult to treat, it is essential to include it in the differentials during initial workup of suspected PJI, especially in the context of negative preliminary bacterial cultures.
非结核分枝杆菌(NTM)是人工关节感染(PJI)的罕见病因,主要影响免疫功能低下的患者。在本病例报告中,我们描述了一名免疫功能正常的患者,在全膝关节置换术后发生了由NTM引起的罕见PJI病例。该患者是第八例报道的由NTM引起的PJI病例,也是首例报道的免疫功能正常个体中的病例。由于由NTM引起的PJI罕见且难以治疗,在疑似PJI的初始检查过程中将其纳入鉴别诊断至关重要,尤其是在初步细菌培养结果为阴性的情况下。