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Mycobacterium intracellulare Infection Mimicking Progression of Scleroderma
Joint Authors
Jacobsen, Søren
Krabbe, Simon
Thybo, Sören
Engelhart, Merete
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-27
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
This case report describes a patient with scleroderma who developed Mycobacterium intracellulare infection, which for more than a year mimicked worsening of her connective tissue disorder.
The patient was diagnosed with scleroderma based on puffy fingers that developed into sclerodactyly, abnormal nail fold capillaries, interstitial lung disease, Raynaud’s phenomenon, esophageal dysmotility, and positivity for rheumatoid factor and anti-SSA antibodies.
She developed massive inflammatory changes of the cutis, the subcutis, and the muscle fasciae of the right leg, that after several failed attempts of immunosuppressive treatments were found to be caused by Mycobacterium intracellulare.
While she was receiving high-dose prednisolone, as worsening of her connective tissue disease was suspected to be the cause of the inflammatory changes, she had Listeria monocytogenes meningitis and was hospitalized for several weeks, but she recovered from this without sequelae.
After Mycobacterium intracellulare infection was diagnosed, she was treated with clarithromycin and rifampicin.
Her skin manifestations, arthralgias, and fatigue improved considerably, and the wounds of the right leg healed, unfortunately with significant scarring.
Immunodeficiency testing was unremarkable.
In summary, an infection with Mycobacterium intracellulare was mistaken for an unusually severe progression of scleroderma.
American Psychological Association (APA)
Krabbe, Simon& Engelhart, Merete& Thybo, Sören& Jacobsen, Søren. 2017. Mycobacterium intracellulare Infection Mimicking Progression of Scleroderma. Case Reports in Rheumatology،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1149948
Modern Language Association (MLA)
Krabbe, Simon…[et al.]. Mycobacterium intracellulare Infection Mimicking Progression of Scleroderma. Case Reports in Rheumatology No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1149948
American Medical Association (AMA)
Krabbe, Simon& Engelhart, Merete& Thybo, Sören& Jacobsen, Søren. Mycobacterium intracellulare Infection Mimicking Progression of Scleroderma. Case Reports in Rheumatology. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1149948
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149948