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Mycobacterium avium-intracellularecellulitis occurring with septic arthritis after joint injection: a case report

Overview of attention for article published in BMC Infectious Diseases, February 2007
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Title
Mycobacterium avium-intracellularecellulitis occurring with septic arthritis after joint injection: a case report
Published in
BMC Infectious Diseases, February 2007
DOI 10.1186/1471-2334-7-9
Pubmed ID
Authors

David M Murdoch, Jay R McDonald

Abstract

Cellulitis caused by Mycobacterium avium-intracellulare has rarely been described. Mycobacterium avium-intracellulare is a rare cause of septic arthritis after intra-articular injection, though the causative role of injection is difficult to ascertain in such cases. A 57-year-old with rheumatoid arthritis treated with prednisone and azathioprine developed bilateral painful degenerative shoulder arthritis. After corticosteroid injections into both acromioclavicular joints, he developed bilateral cellulitis centered over the injection sites. Skin biopsy showed non-caseating granulomas, and culture grew Mycobacterium avium-intracellulare. Joint aspiration also revealed Mycobacterium avium-intracellulare infection. Although rare, skin and joint infections caused by Mycobacterium avium-intracellulare should be considered in any immunocompromised host, particularly after intra-articular injection. Stains for acid-fast bacilli may be negative in pathologic samples even in the presence of infection; cultures of tissue specimens should always be obtained.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 22 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 5%
Unknown 21 95%

Demographic breakdown

Readers by professional status Count As %
Researcher 5 23%
Student > Doctoral Student 5 23%
Student > Postgraduate 2 9%
Student > Master 2 9%
Other 1 5%
Other 5 23%
Unknown 2 9%
Readers by discipline Count As %
Medicine and Dentistry 15 68%
Veterinary Science and Veterinary Medicine 1 5%
Psychology 1 5%
Unspecified 1 5%
Unknown 4 18%