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Osteomyelitis of the Radius Caused by Atypical Mycobacterium (Mycobacterium Avium Complex) : Case Report Hirotaka Nishihara 1 , Koji Watanabe 1 , Yoshihiro Yanase 1 , Takashi Oribe 1 1Department of Orthopaedic Surgery, Saiseikai Hyougo-ken Hospital Keyword: atypical mycobacterium , 非定型抗酸菌 , osteomyelitis , 骨髄炎 , Mycobacterium avium complex pp.337-340
Published Date 2004/3/1
DOI https://doi.org/10.11477/mf.1408100399
  • Abstract
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 Atypical mycobacterial osteomyelitis is rare. We report a case of osteomyelitis of the radius caused by atypical Mycobacteria (Mycobacterium aviumcomplex). A 65-year-old man was admitted to our hospital, presented with painful and swelling of the left forearm. Laboratory findings included a leukocyte count of 9,000, erythrocyte sedimentation rate of 59mm/h, and a positive C-reactive protein value. Radiographs of the left elbow revealed an osteolytic lesion of the radial tuberosity. Standerd tuberculin skin test was negative. At surgery, an abscess was removed, and cultures of the lesion yieldedmycobacterium aviumcomplex. Antitubercular drug therapy consisting of rifampicin, clarithromycin, and cycloserine was continued postoperatively. But, one month later, fistula developed at the site of the incision, and curettage and bone graft were performed. The antitubercular drug therapy was continued postoperatively and nine months later, his condition is favorable.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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