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Mycobacterium intracellulare infection of the shoulder and spine in a patient with steroid-treated systemic lupus erythematosus |
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| Authors: | James R. Zvetina M.D. Terrence C. Demos M.D. Herbert Rubinstein M.D. |
| Affiliation: | (1) Medical Service, V.A. Hospital, Hines, Illinois, USA;(2) Department of Medicine, University of Illinois, Abraham Lincoln School of Medicine, Chicago, Illinois, USA;(3) Radiology Department, Loyola University Medical Center, Maywood, Illinois, USA;(4) V.A. Edward Hines Jr. Hospital, 60141 Hines, IL, USA |
| Abstract: | Atypical mycobacterial infections of bone are rare. A patient with systemic lupus erythematosus treated with steroids developed an M. intracellulare infection of the shoulder and spine. These infections are insidious and diagnosis is difficult. Marked involvement of one joint, large effusion, or aspirated small synovial fragments suggest an atypical tuberculous joint infection. |
| Keywords: | M. intracellulare bone infection Systemic lupus erythematosus Steroids Infectious arthritis |
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