Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
Yuichiro Fujieda, Keita Ninagawa, Yuichiro Matsui, Michihiro Kono, Tamotsu Kamishima, Norimasa Iwasaki, Tatsuya Atsumi
Abstract
Infectious disease with various presentations in systemic lupus erythematosus often resembles lupus flare. A 37-year-old woman presented with a swollen left index finger that had not resolved, despite 7 years of immunosuppressive treatment. MRI showed rice-body formation in the flexor tendon sheath and tenosynovectomy demonstrated chronic synovitis with epithelioid granuloma. A mycobacterial culture confirmed invasive mycobacterial tenosynovitis due to Mycobacterium chelonae. The patient was treated with moxifloxacin and clarithromycin and completely recovered.
Topics & Concepts
MedicineTenosynovitisClarithromycinMycobacterium chelonaeMycobacterium tuberculosisTuberculosisSynovitisDermatologyMycobacteriumArthritisPathologyImmunologySurgeryInternal medicineHelicobacter pyloriMycobacterium research and diagnosisInfectious Diseases and MycologyTuberculosis Research and Epidemiology