EJMCR |

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

ORCID

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: December 25, 2024]. doi:10.24911/ejmcr.173-1720881506

AMA (American Medical Association) Style

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 December 25, 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