龟分枝杆菌
脓肿分枝杆菌
堪萨斯分枝杆菌
偶发分枝杆菌
海洋分枝杆菌
分枝杆菌
非结核分枝杆菌
微生物学
腱鞘炎
医学
肺结核
结核分枝杆菌
免疫学
皮肤病科
生物
外科
病理
作者
Thierry Zénone,A. Boibieux,S. Tigaud,Jean-François Fredenucci,Véronique Vincent,Christian Chidiac,D. Peyramond
标识
DOI:10.1080/00365549950163482
摘要
The clinical characteristics, outcome and treatment of non-tuberculous mycobacterial tenosynovitis are reviewed. From lesions localized in the hand, 10 different species of non-tuberculous mycobacteria have been reported. The most common are Mycobacterium marinum and Mycobacterium kansasii. Other less frequent organisms are Mycobacterium avium complex, Mycobacterium szulgai, Mycobacterium terrae, Mycobacterium fortuitum, Mycobacterium chelonae, Mycobacterium abscessus, Mycobacterium malmoense and Mycobacterium xenopi. The infections appear to be the result of previous trauma, surgical procedure, corticosteroid injection or non-apparent inoculation (water contamination). Immunosuppression is sometimes associated with the infections and can be considered as a risk factor. Surgical debridement and appropriate mycobacterial cultures are critical to enable diagnosis and appropriate management. Specimens should be inoculated on a range of media and incubated at a range of temperatures in order to isolate mycobacteria with different growth characteristics (with prolonged incubation). The optimal treatment of these infections is discussed.
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