Case Report
Volume: 8 | Issue: 8 | Published: Sep 15, 2024 | Pages: 182 - 184 | DOI: 10.24911/ejmcr.173-1720881506
Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report
Authors: Frank Mulindwa , Sana Chaudhary , Jewel Estrella , Vivek Kandanati
Article Info
Authors
Frank Mulindwa
United Health Services, Department of Internal Medicine, Wilson Hospital, New York, USA
Sana Chaudhary
United Health Services, Department of Internal Medicine, Wilson Hospital, New York, USA
Jewel Estrella
SUNY Upstate Medical School, New York, USA
Vivek Kandanati
United Health Services, Department of Internal Medicine, Wilson Hospital, New York, USA.
Publication History
Received: July 13, 2024
Revised: August 24, 2024
Accepted: August 27, 2024
Published: September 15, 2024
Abstract
Background: Mycobacterium abscessus (M. abscessus), a rapidly growing Mycobacterium (RGM) is an emergent cause of soft issue and musculoskeletal infections. Treatment is often complicated by commonly occurring intrinsic and acquired resistance to not only the classical anti-tuberculous agents but also to most currently available antibiotics. Case Presentation: We present a case of left thumb carpometacarpal (CMC) joint septic arthritis in a 66-year-old American Caucasian woman following an intra-articular steroid injection for osteoarthritis treatment. She did not improve on conventional empirical cellulitis treatment prompting culture and sensitivity assays. Mycobacterium abscessus Deoxyribonucleic acid was detected by real-time polymerase chain reaction (PCR) with additional cultures growing the same organism within a week. Samples were sent to the New York State Department of Health for a full culture and sensitivity profile which demonstrated extensive resistance to antibacterial agents including conventional anti-tuberculous agents. Conclusion: This case not only highlights the importance of having a high degree of suspicion for M. abscessus in joint and soft tissue infections not improving to commonly used empirical therapies even in low prevalent areas. It also underlines the importance of performing cultures and sensitivity given antibiotic combinations for most RGM infections should be sensitivity guided.
Keywords: Septic arthritis, Mycobacterium abscessus, rapidly growing Mycobacterium, case report, green
Pubmed Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. EJMCR. 2024; 15 (September 2024): 182-184. doi:10.24911/ejmcr.173-1720881506
Web Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. https://ejmcr.com/articles/1233 [Access: November 06, 2024]. doi:10.24911/ejmcr.173-1720881506
AMA (American Medical Association) Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. EJMCR. 2024; 15 (September 2024): 182-184. doi:10.24911/ejmcr.173-1720881506
Vancouver/ICMJE Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. EJMCR. (2024), [cited November 06, 2024]; 15 (September 2024): 182-184. doi:10.24911/ejmcr.173-1720881506
Harvard Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati (2024) Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. EJMCR, 15 (September 2024): 182-184. doi:10.24911/ejmcr.173-1720881506
Chicago Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. "Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report." 15 (2024), 182-184. doi:10.24911/ejmcr.173-1720881506
MLA (The Modern Language Association) Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati. "Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report." 15.September 2024 (2024), 182-184. Print. doi:10.24911/ejmcr.173-1720881506
APA (American Psychological Association) Style
Frank Mulindwa, Sana Chaudhary, Jewel Estrella, Vivek Kandanati (2024) Multi-drug resistant Mycobacterium abscessus septic arthritis following an intra-articular steroid injection; a case report. , 15 (September 2024), 182-184. doi:10.24911/ejmcr.173-1720881506