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KMID : 0383820120720020191
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Tuberculosis and Respiratory Diseases
2012 Volume.72 No. 2 p.191 ~ p.196
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A Case of Chronic Arthritis Due to Mycobacterium intracellulare after Trauma
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Kim Jae-Gyung
Kim Dae-Won
Cho Yul-Hee
Yim Sun-Mie
Kang Ju-Hyun
Ju Young-Bin
Kang Hyeon-Hui
Song Jung-Sup
Yoon Hyoung-Kyu
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Abstract
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While nontuberculous mycobacterium (NTM) infections are recently on the rise, arthritis caused by NTM is hardly reported in Korea. NTM arthritis has no distinctive clinical characteristics from chronic arthritis. Tuberculosis of the joint specifically produces similar clinical and pathologic presentations to NTM arthritis, so it is not easy to distinguish between them. We report a case of Mycobacterium intracellulare in an arthritis patient after trauma and surgical repair of the injury. At the beginning, the patient was diagnosed as tuberculous tenosynovitis through pathology without microbiologic evidence. The final diagnosis was made after subsequent recurrences for several years. The misdiagnosis and delayed diagnosis led to irreversible joint destruction and functional impairment. NTM infection must be included in the differential diagnosis of chronic arthritis at the outset.
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KEYWORD
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Arthritis, Mycobacterium avium-intracellulare Infection, Wounds and Injuries
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