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KMID : 0338420030180020119
The Korean Journal of Internal Medicine
2003 Volume.18 No. 2 p.119 ~ p.121
Mycobacterium Avium Arthritis with Extra-articular Abscess in a Patient with Mixed Connective Tissue Disease
Choong Won Lee/Choong Won Lee
Han Dong Sung/Byong Moon Choi/Chun Wook Kim/Su Jin Jun/Sang Jo Min
Abstract
A case of Mycobacterium avium arthritis in a 39-year-old female patient with mixed connective tissue disease (MCTD) was reported. An extra-articular abscess had formed outside the knee joint and extended down the calf. A culture was taken of the abscess and synovial fluid disclosed Mycobacteriun avium. This was resistant to most anti-tuberculosis agents. A combination of anti-tuberculosis drugs followed a total resection of the abscess. We concluded that M avium septic arthritis could insidiously develop into an extra-articular abscess. A combination of anti-tuberculosis drugs with a total resection of the abscess was an effective treatment.
KEYWORD
Mycobacterium avium, Arthritis, Abscess, Mixed connective tissue disease,
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