Volume 25, Number 6—June 2019
CME ACTIVITY - Synopsis
Nontuberculous Mycobacterial Musculoskeletal Infection Cases from a Tertiary Referral Center, Colorado, USA
|Patient no.||Age, y/sex||Immunocompromising conditions||Inciting or predisposing factor(s)||Time to symptom onset, mo||Reason care sought||Time from symptom onset to diagnosis, mo||Diagnostic procedure, source of microbiologic diagnosis|
|1||55/M||History of lymphoma, pseudogout, oral steroid use||Steroid injection, left ankle||UNK||Osteomyelitis, septic arthritis||12||Tissue sample from ankle debridement|
|2||53/F||None||Pedicure||0||Synovitis, osteomyelitis, cellulitis||4||UNK; diagnosis at another hospital|
|3||48/F||None||Second THA||UNK||PJI||UNK||Thigh fluid sampled during I&D|
|4||45/M||None||AKA||1||Draining wound at stump||2||Sample of fluid draining from AKA stump|
|5||64/F||None||Carpal tunnel release||0||Tenosynovitis, septic arthritis||8||Synovial fluid obtained during excision of synovitis|
|6||69/F||Diabetes mellitus||THA||6||PJI||9||Synovial biopsy obtained during explantation|
|7||23/F||Systemic lupus erythematosus, oral steroids, hydroxyl-chloroquine, mycophenolate mofetil||Avascular necrosis, ankle fusion||3||Septic arthritis, osteomyelitis, skin abscesses||1||UNK; diagnosis at another hospital|
|8||57/F||Polymyositis, oral steroids, azathioprine, rituximab, methotrexate||ACL repair, arthroscopy, steroid injection||UNK||Septic arthritis||UNK||Aspirate of left knee and right hip|
|9||76/M||Nonspecific autoimmune disease, oral steroids||Calcium pyrophosphate deposition disease, TKA||0||PJI||2||UNK; diagnosis at another hospital|
|10||58/M||None||Trauma, steroid injection||12||Septic arthritis||19||UNK; diagnosis at another hospital|
|11||77/F||Rheumatoid arthritis, prednisone, azathioprine||TKA||300||PJI||12||Synovial biopsy obtained during placement of antimicrobial spacer|
|12||83/M||Malnutrition, prednisone||TKA||168||PJI||8||Tissue obtained during TKA revision|
|13||49/F||None||TKA (revision)||14||PJI||2||UNK; diagnosis at another hospital|
|14||24/F||Crohn’s disease, infliximab||Failed IV||0||Cellulitis, abscess||7||Skin biopsy|
*AKA, above-knee amputation; I&D, irrigation and debridement; PJI, prosthetic joint infection, THA, total hip arthroplasty; TKA, total knee arthroplasty; UNK, unknown.
1These first authors contributed equally to this article.
Page created: May 24, 2019
Page updated: May 24, 2019
Page reviewed: May 24, 2019
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