Disseminated Mycobacterium intracellulare infection with multiple abscesses on extremities in a woman with chronic corticosteroid therapy

Authors

  • Kenichiro Yaita MD,

    Corresponding author
    1. Department of Infection Control and Prevention, Kurume University School of Medicine, Fukuoka, Japan
    • Correspondence

      Kenichiro Yaita, Department of Infection Control and Prevention, Kurume University School of Medicine, Fukuoka, Japan.

      Email: kyaita81@gmail.com

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  • Hisashi Akiyoshi MD,

    1. Department of Emergency and Critical Care Medicine, Kurume University Hospital, Fukuoka, Japan
    2. Department of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan
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  • Ichiro Nakae MD,

    1. Department of Emergency and Critical Care Medicine, Kurume University Hospital, Fukuoka, Japan
    2. Department of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan
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  • Yuji Kawasaki MD,

    1. Department of Emergency and Critical Care Medicine, Kurume University Hospital, Fukuoka, Japan
    2. Department of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan
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  • Kenjiro Nakama MD, PhD,

    1. Department of Orthopedic Surgery, Kurume University Hospital, Fukuoka, Japan
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  • Yoshiro Sakai PhD,

    1. Department of Infection Control and Prevention, Kurume University School of Medicine, Fukuoka, Japan
    2. Department of Pharmacy, Kurume University Hospital, Fukuoka, Japan
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  • Kenji Masunaga MD, PhD,

    1. Department of Infection Control and Prevention, Kurume University School of Medicine, Fukuoka, Japan
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  • Hiroshi Watanabe MD, PhD

    1. Department of Infection Control and Prevention, Kurume University School of Medicine, Fukuoka, Japan
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Abstract

A 78-year-old Japanese woman with rheumatoid arthritis was admitted to our hospital due to fever. She had been prescribed prednisolone and bucillamine. Computed tomography revealed abscesses on extremities. M. intracellulare was cultured from her calcaneus osteomyelitis, and this result pointed to a disseminated mycobacterial infection. We drained the abscesses and found M. intracellulare. We started antimycobacterial agents, but the patient died finally. Disseminated mycobacterial infection is rare but critical, and the possibility of such an infection in an immunocompromised patient should be a prime consideration when choosing appropriate drugs and surgical approaches.

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