Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus

Yuichiro Fujieda; Keita Ninagawa; Yuichiro Matsui; Michihiro Kono; Tamotsu Kamishima; Norimasa Iwasaki; Tatsuya Atsumi

doi:10.2169/internalmedicine.4671-20

CASE REPORTS

Non-tuberculosis Mycobacterium Tenosynovitis with Rice Bodies in a Patient with Systemic Lupus Erythematosus

Yuichiro Fujieda, Keita Ninagawa, Yuichiro Matsui, Michihiro Kono, Tamotsu Kamishima, Norimasa Iwasaki, Tatsuya Atsumi

著者情報

Yuichiro Fujieda
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan
Keita Ninagawa
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan
Yuichiro Matsui
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan
Michihiro Kono
3rd Department of Internal Medicine, Hokkaido P.W.F.A.C Obihiro-Kosei General Hospital, Japan
Tamotsu Kamishima
Faculty of Health Sciences, Hokkaido University, Japan
Norimasa Iwasaki
Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan
Tatsuya Atsumi
Department of Rheumatology, Endocrinology and Nephrology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Japan

キーワード: tenosynovitis, non-tuberculosis mycobacterium, systemic lupus erythematosus, Mycobacterium chelonae, rice-body formation

ジャーナルオープンアクセス

2020 年 59 巻 18 号 p. 2317-2320

DOI https://doi.org/10.2169/internalmedicine.4671-20

Browse “Advance online publication” version

詳細

抄録

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.

責任著者(Corresponding author)

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