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Nakamuara T, Iwai M, Inoue T, Irie H, Karasugi T, Seki A, Hamaguchi M, Kuraoka S, Mizukami T, Nakamura K. A neonate with multiple hand flexor tendon ruptures due to methicillin-susceptible Staphylococcus aureus sepsis: a case report. BMC Pediatr 2023; 23:68. [PMID: 36759790 PMCID: PMC9909912 DOI: 10.1186/s12887-023-03871-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 01/27/2023] [Indexed: 02/11/2023] Open
Abstract
BACKGROUND Neonatal pyogenic tenosynovitis is a highly emergent soft tissue infection. We report a case of a neonate with pyogenic tendinopathy and tendon rupture diagnosed by ultrasonography (US). He subsequently developed pyogenic arthritis and osteomyelitis during antimicrobial therapy. CASE PRESENTATION A 7-day-old boy was admitted to our hospital with redness and swelling of the right index finger. US on admission showed rupture of the flexor tendon of the right index finger with inactivity. The day after admission, he developed pyogenic arthritis of the right elbow and, subsequently, pyogenic osteomyelitis. Staphylococcus aureus was identified through bacterial culture, and the patient was treated with intravenous antibiotics for 6 weeks. However, after discharge from our hospital, rupture of the flexor tendon of the left thumb was confirmed. A two-stage flexor tendinoplasty was completed at the age of 2 years and 1 month for the flexor tendon rupture on his right index finger. CONCLUSIONS In addition to blood culture, ultrasonographic evaluation should be performed in neonates with erythematous and swollen joints to identify the focus of infection as soon as possible. Moreover, repeated regular US examination is important in the follow-up of bone and soft tissue infections.
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Affiliation(s)
- Tomomi Nakamuara
- grid.411152.20000 0004 0407 1295Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Masanori Iwai
- Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556, Chuoku, Kumamoto, Japan.
| | - Takeshi Inoue
- grid.411152.20000 0004 0407 1295Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Hiroki Irie
- grid.411152.20000 0004 0407 1295Department of Emergency Medicine and Critical Care, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Tatsuki Karasugi
- grid.411152.20000 0004 0407 1295Department of Orthopedic Surgery, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Atsuhito Seki
- grid.63906.3a0000 0004 0377 2305Department of Orthopedic Surgery, National Center for Child Health and Development, 2-10-1 Ohkura, 157-8535 Setagayaku, Tokyo, Japan
| | - Masayoshi Hamaguchi
- grid.411152.20000 0004 0407 1295Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Shohei Kuraoka
- grid.411152.20000 0004 0407 1295Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
| | - Tomoyuki Mizukami
- grid.415538.eDepartment of Pediatrics, National Hospital Organization Kumamoto Medical Center, 1-5 Ninomaru, 860-0008 Chuoku, Kumamoto, Japan
| | - Kimitoshi Nakamura
- grid.411152.20000 0004 0407 1295Department of Pediatrics, Kumamoto University Hospital, 1-1-1 Honjo, 860-8556 Chuoku, Kumamoto, Japan
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Dutronc H, Sawaya E, Poursac N, Desclaux A, Ménard A, Peuchant O. Mycobacteriumheraklionense as an emerging cause of tenosynovitis. JOURNAL OF MICROBIOLOGY, IMMUNOLOGY, AND INFECTION = WEI MIAN YU GAN RAN ZA ZHI 2023; 56:197-199. [PMID: 36137925 DOI: 10.1016/j.jmii.2022.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/28/2022] [Accepted: 08/31/2022] [Indexed: 02/07/2023]
Affiliation(s)
- Hervé Dutronc
- CHU Bordeaux, Department of Infectious and Tropical Diseases F-33000 Bordeaux, France
| | - Elias Sawaya
- Institut Aquitaine de la main, F-33600 Pessac, France
| | - Nicolas Poursac
- CHU Bordeaux, Department of Rhumatology, F-33000 Bordeaux, France
| | - Arnaud Desclaux
- CHU Bordeaux, Department of Infectious and Tropical Diseases F-33000 Bordeaux, France
| | - Armelle Ménard
- CHU Bordeaux, Department of Bacteriology, F-33000 Bordeaux, France; Univ. Bordeaux, INSERM, UMR1312 BRIC - BoRdeaux Institute of onCology, Bordeaux, France
| | - Olivia Peuchant
- CHU Bordeaux, Department of Bacteriology, F-33000 Bordeaux, France; Univ. Bordeaux, UMR 5234 CNRS Microbiologie Fondamentale et Pathogénicité, F-33000 Bordeaux, France.
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Kasamatsu A, Fukushima K, Igarashi Y, Mitarai S, Nagata Y, Horiuchi M, Sekiya N. Vertebral Osteomyelitis Caused by Mycobacterium arupense Mimicking Tuberculous Spondylitis: First Reported Case and Literature Review. Open Forum Infect Dis 2023; 10:ofad019. [PMID: 36726542 PMCID: PMC9887264 DOI: 10.1093/ofid/ofad019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Accepted: 01/12/2023] [Indexed: 01/18/2023] Open
Abstract
Mycobacterium arupense is a slow-growing, nontuberculous mycobacterium widely found in the environment and is known to cause tenosynovitis and osteomyelitis, mainly in the hands and wrists. We present the first case of vertebral osteomyelitis caused by M arupense in a 78-year-old man with renal cell carcinoma. The patient had a history of tuberculous pleuritis in childhood. Although the nucleic acid amplification test of the vertebral tissue for Mycobacterium tuberculosis was negative, we initiated tuberculosis treatment based on the history and pathological findings of auramine-rhodamine-positive organisms and epithelioid cell granulomas. Subsequently, the isolated mycobacterium was identified as M arupense by genome sequencing. Accordingly, the treatment regimen was changed to a combination of clarithromycin, ethambutol, and rifabutin. Owing to a subsequent adverse event, rifabutin was switched to faropenem, and the patient was treated for a total of 1 year. In previous literature, we found 15 reported cases of bone and soft tissue infections caused by M arupense, but none of them had vertebral lesions. Physicians should be aware that M arupense can cause vertebral osteomyelitis mimicking tuberculous spondylitis. In addition, molecular testing of isolated mycobacteria is essential for diagnosis, even if tuberculous spondylitis is suspected.
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Affiliation(s)
- Ayu Kasamatsu
- Department of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan,Department of Infection Prevention and Control, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan
| | - Kazuaki Fukushima
- Correspondence: Kazuaki Fukushima, MD, Department of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Hon-komagome, Bunkyo-ku, Tokyo 113-8677, Japan (); Noritaka Sekiya, MD, Department of Infection Prevention and Control, Department of Clinical Laboratory, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Hon-komagome, Bunkyo-ku, Tokyo 113-8677, Japan ()
| | - Yuriko Igarashi
- Department of Mycobacterium Reference and Research, Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan
| | - Satoshi Mitarai
- Department of Mycobacterium Reference and Research, Research Institute of Tuberculosis, Japan Anti-Tuberculosis Association, Tokyo, Japan
| | - Yuka Nagata
- Department of Infection Prevention and Control, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan
| | - Masao Horiuchi
- Department of Infection Prevention and Control, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan
| | - Noritaka Sekiya
- Correspondence: Kazuaki Fukushima, MD, Department of Infectious Diseases, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Hon-komagome, Bunkyo-ku, Tokyo 113-8677, Japan (); Noritaka Sekiya, MD, Department of Infection Prevention and Control, Department of Clinical Laboratory, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Hon-komagome, Bunkyo-ku, Tokyo 113-8677, Japan ()
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Nontuberculous Mycobacteria: Ecology and Impact on Animal and Human Health. Microorganisms 2022; 10:microorganisms10081516. [PMID: 35893574 PMCID: PMC9332762 DOI: 10.3390/microorganisms10081516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 07/18/2022] [Indexed: 11/16/2022] Open
Abstract
Nontuberculous mycobacteria (NTM) represent an important group of environmentally saprophytic and potentially pathogenic bacteria that can cause serious mycobacterioses in humans and animals. The sources of infections often remain undetected except for soil- or water-borne, water-washed, water-based, or water-related infections caused by groups of the Mycobacterium (M.) avium complex; M. fortuitum; and other NTM species, including M. marinum infection, known as fish tank granuloma, and M. ulcerans infection, which is described as a Buruli ulcer. NTM could be considered as water-borne, air-borne, and soil-borne pathogens (sapronoses). A lot of clinically relevant NTM species could be considered due to the enormity of published data on permanent, periodic, transient, and incidental sapronoses. Interest is currently increasing in mycobacterioses diagnosed in humans and husbandry animals (esp. pigs) caused by NTM species present in peat bogs, potting soil, garden peat, bat and bird guano, and other matrices used as garden fertilizers. NTM are present in dust particles and in water aerosols, which represent certain factors during aerogenous infection in immunosuppressed host organisms during hospitalization, speleotherapy, and leisure activities. For this Special Issue, a collection of articles providing a current view of the research on NTM-including the clinical relevance, therapy, prevention of mycobacterioses, epidemiology, and ecology-are addressed.
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Hirayama K, Kanda N, Suzuki T, Sasaki K, Kimura Y, Takahashi K, Matsumura M, Hatakeyama S. Disseminated Mycolicibacter arupensis and Mycobacterium avium co-infection in a patient with anti-interferon-γ neutralizing autoantibody-associated immunodeficiency syndrome. J Infect Chemother 2022; 28:1336-1339. [PMID: 35691862 DOI: 10.1016/j.jiac.2022.05.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 04/13/2022] [Accepted: 05/27/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND Disseminated infections of Mycolicibacter arupensis, a slowly growing nontuberculous mycobacteria (NTM) which causes synovitis, osteomyelitis, or pulmonary infections have rarely been reported. We report a case of disseminated M. arupensis and Mycobacterium avium co-infection in a patient with anti-interferon (IFN)-γ neutralizing autoantibody-associated immunodeficiency syndrome. CASE PRESENTATION A 68-year-old Japanese male without human immunodeficiency virus infection was referred with complaints of persistent low-grade fever, arthralgia of the upper limbs, and weight loss of 10 kg. Cervical and mediastinal lymphadenopathies as well as a nodular opacity in the right lung were detected, and biopsy specimens of the cervical lymph node yielded M. arupensis without evidence of malignant cells. M. arupensis was also detected in sputum and peripheral blood. Computed tomography (CT) revealed deterioration of the right supraclavicular lymphadenopathy with internal necrosis and multiple low-density splenic lesions. Bone marrow and aspirates from the cervical lymph node collected at initiation of treatment yielded M. avium. The presence of anti-IFN-γ neutralizing autoantibodies was detected, leading to a diagnosis of co-infection of M. arupensis and M. avium with anti-IFN-γ neutralizing autoantibody-associated immunodeficiency syndrome. Post initiation of treatment with clarithromycin, ethambutol, and rifabutin, his fever declined, and his polyarthritis resolved. He developed disseminated varicella zoster during treatment; however, a follow-up CT scan six months after treatment revealed improvement of the lymphadenopathies, consolidation in the right lung, and splenic lesions. CONCLUSION This is the first report of disseminated M. arupensis and M. avium co-infection in a patient with anti-IFN-γ neutralizing autoantibody-associated immunodeficiency syndrome.
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Affiliation(s)
- Kaho Hirayama
- Division of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan
| | - Naoki Kanda
- Division of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan
| | - Takayuki Suzuki
- Division of Infectious Diseases, Jichi Medical University Hospital, Tochigi, Japan
| | - Kazumasa Sasaki
- Department of Clinical Laboratory, Jichi Medical University Hospital, Tochigi, Japan
| | - Yumiko Kimura
- Department of Clinical Laboratory, Jichi Medical University Hospital, Tochigi, Japan
| | - Kento Takahashi
- Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, Japan
| | - Masami Matsumura
- Division of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan
| | - Shuji Hatakeyama
- Division of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan; Division of Infectious Diseases, Jichi Medical University Hospital, Tochigi, Japan.
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