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Volume 15, Number 9—September 2009

Synopsis

Extrapulmonary Infections Associated with Nontuberculous Mycobacteria in Immunocompetent Persons

Claudio PiersimoniComments to Author  and Claudio Scarparo
Author affiliations: United Hospitals, Ancona, Italy (C. Piersimoni); Santa Maria della Misericordia University Hospital, Udine, Italy (C. Scarparo)

Main Article

Table 2

Clinical signs associated with osteoarticular infections caused by nontuberculous mycobacteria

Disease Affected site Mycobacterium spp. Underlying diseases and risk factors 
(no. cases reported)
Arthritis, osteomyelitis Thumb (interphalangeal joint) M. malmoense Rheumatoid arthritis (1)
Arthritis Knee, ankle M. xenopi None* (6), invasive medical procedure (1)
Arthritis Multiple joints: wrist, knee, finger, ankle, elbow, vertebrae, shoulder M. kansasii AIDS (13), rheumatoid arthritis (3), systemic lupus erythematous (2), renal transplant (2), polymyositis (1), progressive systemic sclerosis (1), myelodysplasia (1), none (26), localized trauma (10), steroid therapy (10)
Arthritis Knee M. kansasii Prosthetic joint (1)
Synovitis (carpal tunnel syndrome) Wrist M. szulgai No underlying disease, fish-tank cleaning (2)
Tenosynovitis Hand M. intracellulare None* (1)
Tenosynovitis Hand M. chelonae Penetrating injury (2), fracture (1),
Immunosuppression (3)
Tenosynovitis Hand, wrist M. avium complex Steroid injection (1), trauma (8), surgery (4)
Osteomyelitis Sternum, foot, elbow M. wolinsky Cardiac surgery (1), stepped on nail (1), open fracture (1)
Osteomyelitis Femur, tibia, calcaneus, toe, elbow, sternum M. goodii Open fracture (4), stepped on nail (1), surgery (2), penetrating trauma (2), puncture wound (1)
Osteomyelitis Wrist M. scrofulaceum Diabetes (1)
Osteomyelitis Hand, ankle, wrist M. marinum Fisherman exposed to aquarium (25), trauma (1), local or systemic steroids (20)
Osteomyelitis M. ulcerans Traumatic injury (213)
Osteomyelitis Vertebrae M. avium complex, M. xenopi, M. fortuitum, M. abscessus, M. kansasii, M. simiae Systemic lupus erythematous and treatment with steroids (7), AIDS (4), interferon receptor defect (3), carcinoma (1), renal failure (1), chronic granulomatous disease (1), none* (16)
Osteomyelitis Vertebrae M. xenopi Vertebral disk surgery (58)
Osteomyelitis Tibia M. conceptionense Fracture (1)
Osteomyelitis Vertebrae M. abscessus Trauma to the back (1)
Osteomyelitis Vertebrae M. avium complex Trauma to the back (1)
Osteomyelitis Lower extremity, upper extremity, vertebrae, disseminated disease M. hemophilum AIDS (21), bone marrow or solid organ transplant (7); AIDS plus solid organ transplant (1),
lymphoma (2), polycythemia vera (1)

*Otherwise healthy with no underlying disease or risk factor.

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