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Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus
- Source :
- Internal Medicine
- Publication Year :
- 2020
- Publisher :
- Japanese Society of Internal Medicine, 2020.
-
Abstract
- 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.
- Subjects :
- Adult
Pathology
medicine.medical_specialty
Moxifloxacin
Mycobacterium chelonae
Case Report
Non tuberculosis mycobacterium
030204 cardiovascular system & hematology
Fingers
03 medical and health sciences
0302 clinical medicine
systemic lupus erythematosus
Clarithromycin
Internal Medicine
medicine
Humans
Lupus Erythematosus, Systemic
skin and connective tissue diseases
Mycobacterium Infections
Tenosynovitis
biology
Flexor tendon
business.industry
Mycobacterial culture
non-tuberculosis mycobacterium
General Medicine
Symptom Flare Up
biology.organism_classification
medicine.disease
Magnetic Resonance Imaging
tenosynovitis
Anti-Bacterial Agents
Infectious disease (medical specialty)
Female
030211 gastroenterology & hepatology
business
rice-body formation
medicine.drug
Subjects
Details
- ISSN :
- 13497235 and 09182918
- Volume :
- 59
- Database :
- OpenAIRE
- Journal :
- Internal Medicine
- Accession number :
- edsair.doi.dedup.....c491e579c87c35a93f26d4a9fca55b99