Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Fujieda, Yuichiro, Ninagawa, Keita, Matsui, Yuichiro, Kono, Michihiro, Kamishima, Tamotsu, Iwasaki, Norimasa, Atsumi, Tatsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578613/
https://www.ncbi.nlm.nih.gov/pubmed/32536648
http://dx.doi.org/10.2169/internalmedicine.4671-20
_version_ 1783598404315643904
author Fujieda, Yuichiro
Ninagawa, Keita
Matsui, Yuichiro
Kono, Michihiro
Kamishima, Tamotsu
Iwasaki, Norimasa
Atsumi, Tatsuya
author_facet Fujieda, Yuichiro
Ninagawa, Keita
Matsui, Yuichiro
Kono, Michihiro
Kamishima, Tamotsu
Iwasaki, Norimasa
Atsumi, Tatsuya
author_sort Fujieda, Yuichiro
collection PubMed
description 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.
format Online
Article
Text
id pubmed-7578613
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-75786132020-10-29 Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus Fujieda, Yuichiro Ninagawa, Keita Matsui, Yuichiro Kono, Michihiro Kamishima, Tamotsu Iwasaki, Norimasa Atsumi, Tatsuya Intern Med Case Report 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. The Japanese Society of Internal Medicine 2020-06-15 2020-09-15 /pmc/articles/PMC7578613/ /pubmed/32536648 http://dx.doi.org/10.2169/internalmedicine.4671-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Fujieda, Yuichiro
Ninagawa, Keita
Matsui, Yuichiro
Kono, Michihiro
Kamishima, Tamotsu
Iwasaki, Norimasa
Atsumi, Tatsuya
Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title_full Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title_fullStr Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title_full_unstemmed Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title_short Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
title_sort non-tuberculosis mycobacterium tenosynovitis with rice bodies in a patient with systemic lupus erythematosus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7578613/
https://www.ncbi.nlm.nih.gov/pubmed/32536648
http://dx.doi.org/10.2169/internalmedicine.4671-20
work_keys_str_mv AT fujiedayuichiro nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT ninagawakeita nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT matsuiyuichiro nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT konomichihiro nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT kamishimatamotsu nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT iwasakinorimasa nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus
AT atsumitatsuya nontuberculosismycobacteriumtenosynovitiswithricebodiesinapatientwithsystemiclupuserythematosus

Ejemplares similares