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Knee Joint Osteomyelitis due to Mycobacterium abscessus : A Case Report
Won Jin Kim, Kyung Hwa Shin, Jong Min Hwang, Kye-Hyung Kim, Hee Kyoung Choi, Sun Hee Lee, and Su Jin Lee
Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
Vol.42 Num.5 (p315~318)
Nontuberculous mycobacteria (NTM) is widely present in environment but it rarely
causes infections in human. However, when NTM infects humans, it can cause
pulmonary infection, lymphadenitis, skin infections, disseminated infection, etc. Of
theses disease, pulmonary infection occurs most frequently while osteomyelitis is
rare. In addition, osteomyelitis caused by Mycobacterium abscessus , an acid-fast
bacillus classified as a pathogenic "rapid growing" NTM, is even rare and has never
been reported in Korea. Although no consensus guidelines concerning the treatment
of osteomyelitis caused by M. abscessus exist, prolonged antibiotics therapy in
combination with surgical debridement is generally recommended. Herein, we
reported the first case of knee joint osteomyelitis caused by M. abscessus in Korea.
The patient experienced significant improvement after antibiotic treatment without
recourse to surgery.
Keywords : Mycobacterium abscessus , Osteomyelitis