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Mycobacterium avium arthritis with extra-articular abscess in a patient with mixed connective tissue disease
Choong Won Lee1, Han Dong Sung, Byong Moon Choi
1Division of Rheumatology, Department of Internal Medicine, Wallace Memorial Baptist Hospital, 374-75 Namsan-Dong, Gumjung-Gu, Busan, 609-340 Korea. choong@wmbh.co.kr
Abstract:
A case of Mycobacterium avium arthritis in a 39-year-old female patient with mixed connective tissue disease (MCTD) was reported. An extra-articular abscess had formed outside the knee joint and extended down the calf. A culture was taken of the abscess and synovial fluid disclosed Mycobacterium avium. This was resistant to most anti-tuberculosis agents. A combination of anti-tuberculosis drugs followed a total resection of the abscess. We concluded that M avium septic arthritis could insidiously develop into an extra-articular abscess. A combination of anti-tuberculosis drugs with a total resection of the abscess was an effective treatment.
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