Gabl M, Pechlaner S, Hausdorfer H, Kreczy A, Went P
University Hospital of Traumatology, Innsbruck, Austria.
J Hand Surg Am. 1997 Mar;22(2):338-40. doi: 10.1016/S0363-5023(97)80174-8.
This report analyzes a rare case of flexor tenosynovitis caused by Mycobacterium malmoense. A synovectomy was carried out on the index finger (no other finger was afflicted) of a 66-year-old farmer, followed by antibiotic therapy with ethambutol, rifampin, and clarithromycin. Because of strong side effects, the treatment with ethambutol and rifampicin had to be discontinued after 4 months. There was no recurrence after 14 months, and the patient's finger had a full range of motion.
本报告分析了一例由马尔默分枝杆菌引起的屈指肌腱腱鞘炎罕见病例。对一名66岁农民的食指（无其他手指受累）进行了滑膜切除术，随后用乙胺丁醇、利福平及克拉霉素进行抗生素治疗。由于出现强烈的副作用，乙胺丁醇和利福平治疗4个月后不得不停药。14个月后未复发，患者手指活动范围正常。
