A Case of Ankle Osteomyelitis Caused by Mycobacterium abscessus

Abstract

The proportion of non-tuberculous mycobacteria to Mycobacterium tuberculosis cultivated in the laboratory has been recently increasing. Numerous skin and soft tissue infections have been reported, while osteomyelitis is reported very rarely. A delayed diagnosis can cause a wide range of bone destruction and joint contracture, which highlights the importance of early recognition of osteomyelitis. Here we report a case of ankle osteomyelitis caused by Mycobacterium abscessus and treatment failure due to delayed diagnosis.

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Seo, H. , Son, J. , Park, J. and Kim, J. (2015) A Case of Ankle Osteomyelitis Caused by Mycobacterium abscessus. Journal of Tuberculosis Research, 3, 107-112. doi: 10.4236/jtr.2015.33016.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Tortoli, E. (2003) Impact of Genotypic Studies on Mycobacterial Taxonomy: The New Mycobacteria of the 1990s. Clinical Microbiology Reviews, 16, 319-354. http://dx.doi.org/10.1128/CMR.16.2.319-354.2003
[2] Nakamura, T., Yamamura, Y., Tsuruta, T., Tomoda, K., Sakaguchi, M. and Tsukano, M. (2001) Mycobacterium kansasii Arthritis of the Foot in a Patient with Systemic Lupus Erythematosus. Internal Medicine, 40, 1045-1049. http://dx.doi.org/10.2169/internalmedicine.40.1045
[3] Weigl, J.A. and Haas, W.H. (2000) Postoperative Mycobacterium avium Osteomyelitis Confirmed by Polymerase Chain Reaction. European Journal of Pediatrics, 159, 64-69.
http://dx.doi.org/10.1007/PL00013806
[4] Koh, W.J., Chang, B., Jeong, B.H., et al. (2013) Increasing Recovery of Nontuberculous Mycobacteria from Respiratory Specimens over a 10-Year Period in a Tertiary Referral Hospital in South Korea. Tuberculosis and Respiratory Diseases, 75, 199-204. http://dx.doi.org/10.4046/trd.2013.75.5.199
[5] Edwards, C., Diveronica, M. and Abel, E. (2012) Epidural Abscess Caused by Mycobacterium abscessus. American Journal of Case Reports, 13, 180-182. http://dx.doi.org/10.12659/AJCR.883324
[6] Garcia, D.C., Sandoval-Sus, J., Razzaq, K. and Young, L. (2013) Vertebral Osteomyelitis Caused by Mycobacterium abscessus. BMJ Case Reports, 7, Article ID: 2013-009597.
http://dx.doi.org/10.1136/bcr-2013-009597
[7] Silva, J.T., Lopez-Medrano, F., Fernandez-Ruiz, M., et al. (2015) Mycobacterium abscessus Pulmonary Infection Complicated with Vertebral Osteomyelitis in a Heart Transplant Recipient: Case Report and Literature Review. Transplant Infectious Disease, 17, 418-423. http://dx.doi.org/10.1111/tid.12381
[8] De Vuyst, D., Vanhoenacker, F., Gielen, J., Bernaerts, A. and De Schepper, A.M. (2003) Imaging Features of Musculoskeletal Tuberculosis. European Radiology, 13, 1809-1819.
http://dx.doi.org/10.1007/s00330-002-1609-6
[9] Yang, Z.B., Zhang, B.X., Lu, Q.S., Chen, L.H., Liu, X.Q. and Li, H.P. (2002) Large-Scale Outbreak of Infection with Mycobacterium chelonae subsp. Abscessus after Penicillin Injection. Journal of Clinical Microbiology, 40, 2626-2628. http://dx.doi.org/10.1128/JCM.40.7.2626-2628.2002
[10] Kim, W.J., Hwang, J.M., Kim, K.H., Choi, H.K., Lee, S.H. and Lee, S.J. (2010) Knee Joint Osteomyelitis Due to Mycobacterium abscessus: A Case Report. Infection & Chemotherapy, 42, 315-318.
http://dx.doi.org/10.3947/ic.2010.42.5.315
[11] Koh, W.J., Kwon, O.J. and Lee, K.S. (2005) Diagnosis and Treatment of Nontuberculous Mycobacterial Pulmonary Diseases: A Korean Perspective. Journal of Korean Medical Science, 20, 913-925.
http://dx.doi.org/10.3346/jkms.2005.20.6.913
[12] Huang, Y.C., Liu, M.F., Shen, G.H., et al. (2010) Clinical Outcome of Mycobacterium abscessus Infection and Antimicrobial Susceptibility Testing. Journal of Microbiology, Immunology and Infection, 43, 401-406.
http://dx.doi.org/10.1016/S1684-1182(10)60063-1
[13] Good, R.C. and Snider Jr., D.E. (1982) Isolation of Nontuberculous Mycobacteria in the United States, 1980. Journal of Infectious Diseases, 146, 829-833. http://dx.doi.org/10.1093/infdis/146.6.829

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