Department of Orthopaedic Surgery, Hyogo Rehabilitation Center Hospital, Hyogo, Japan.
Department of Rheumatoligy, Hyogo Rehabilitation Center Hospital, Hyogo, Japan.
JBJS Case Connect. 2020 Dec 10;10(4):e20.00205. doi: 10.2106/JBJS.CC.20.00205.
An adult woman with anti-aminoacyl-t RNA synthetase syndrome developed pain and swelling of both hands and her left forearm, initially diagnosed as seronegative rheumatoid arthritis. Surgical exploration revealed multiple "rice bodies," and the specimen grew Mycobacterium intracellurale. She subsequently received antibiotic therapy.
In the diagnosis of rice body formation in musculoskeletal tissues, it is necessary to consider not only rheumatic diseases but also mycobacterial infection.
一名成年女性患有氨酰-tRNA 合成酶抗体综合征，最初表现为双手和左前臂疼痛和肿胀，被诊断为血清阴性类风湿关节炎。手术探查发现多个“米体”，标本培养出胞内分枝杆菌。随后她接受了抗生素治疗。
在诊断肌肉骨骼组织中米体形成时，不仅要考虑风湿性疾病，还要考虑分枝杆菌感染。
