A Case Report of a Novel Atypical Mycobacterial Infection: Mycobacterium Chimaera Hand Tenosynovitis

C. M. McLaughlin, M. Schade, E. Cochran, K. F. Taylor

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Case:A 76-year-old fisherman with a history of diabetes mellitus, coronary artery bypass grafting, and a previous ipsilateral elbow wound presented with a 1-year history of hand pain and swelling. Anti-inflammatories and antibiotics were administered without improvement. Magnetic resonance imaging and ultrasound demonstrated flexor tenosynovitis. Intraoperative cultures revealed Mycobacterium chimaera. The treatment course included 2 tenosynovectomies and a 1-year course of triple antimycobacterial therapy.Conclusion:Nontuberculous mycobacteria infections should be considered in cases of indolent tenosynovitis. M. chimaera should be considered in patients with a history of cardiopulmonary bypass given its association with cardiopulmonary heater-cooler units.

Original languageEnglish (US)
Article numbere22.00292
JournalJBJS case connector
Volume12
Issue number3
DOIs
StatePublished - Sep 22 2022

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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