JTR  Vol.3 No.3 , September 2015
A Case of Ankle Osteomyelitis Caused by Mycobacterium abscessus
Abstract: The proportion of non-tuberculous mycobacteria to Mycobacterium tuberculosis cultivated in the laboratory has been recently increasing. Numerous skin and soft tissue infections have been reported, while osteomyelitis is reported very rarely. A delayed diagnosis can cause a wide range of bone destruction and joint contracture, which highlights the importance of early recognition of osteomyelitis. Here we report a case of ankle osteomyelitis caused by Mycobacterium abscessus and treatment failure due to delayed diagnosis.
Cite this paper: Seo, H. , Son, J. , Park, J. and Kim, J. (2015) A Case of Ankle Osteomyelitis Caused by Mycobacterium abscessus. Journal of Tuberculosis Research, 3, 107-112. doi: 10.4236/jtr.2015.33016.

[1]   Tortoli, E. (2003) Impact of Genotypic Studies on Mycobacterial Taxonomy: The New Mycobacteria of the 1990s. Clinical Microbiology Reviews, 16, 319-354.

[2]   Nakamura, T., Yamamura, Y., Tsuruta, T., Tomoda, K., Sakaguchi, M. and Tsukano, M. (2001) Mycobacterium kansasii Arthritis of the Foot in a Patient with Systemic Lupus Erythematosus. Internal Medicine, 40, 1045-1049.

[3]   Weigl, J.A. and Haas, W.H. (2000) Postoperative Mycobacterium avium Osteomyelitis Confirmed by Polymerase Chain Reaction. European Journal of Pediatrics, 159, 64-69.

[4]   Koh, W.J., Chang, B., Jeong, B.H., et al. (2013) Increasing Recovery of Nontuberculous Mycobacteria from Respiratory Specimens over a 10-Year Period in a Tertiary Referral Hospital in South Korea. Tuberculosis and Respiratory Diseases, 75, 199-204.

[5]   Edwards, C., Diveronica, M. and Abel, E. (2012) Epidural Abscess Caused by Mycobacterium abscessus. American Journal of Case Reports, 13, 180-182.

[6]   Garcia, D.C., Sandoval-Sus, J., Razzaq, K. and Young, L. (2013) Vertebral Osteomyelitis Caused by Mycobacterium abscessus. BMJ Case Reports, 7, Article ID: 2013-009597.

[7]   Silva, J.T., Lopez-Medrano, F., Fernandez-Ruiz, M., et al. (2015) Mycobacterium abscessus Pulmonary Infection Complicated with Vertebral Osteomyelitis in a Heart Transplant Recipient: Case Report and Literature Review. Transplant Infectious Disease, 17, 418-423.

[8]   De Vuyst, D., Vanhoenacker, F., Gielen, J., Bernaerts, A. and De Schepper, A.M. (2003) Imaging Features of Musculoskeletal Tuberculosis. European Radiology, 13, 1809-1819.

[9]   Yang, Z.B., Zhang, B.X., Lu, Q.S., Chen, L.H., Liu, X.Q. and Li, H.P. (2002) Large-Scale Outbreak of Infection with Mycobacterium chelonae subsp. Abscessus after Penicillin Injection. Journal of Clinical Microbiology, 40, 2626-2628.

[10]   Kim, W.J., Hwang, J.M., Kim, K.H., Choi, H.K., Lee, S.H. and Lee, S.J. (2010) Knee Joint Osteomyelitis Due to Mycobacterium abscessus: A Case Report. Infection & Chemotherapy, 42, 315-318.

[11]   Koh, W.J., Kwon, O.J. and Lee, K.S. (2005) Diagnosis and Treatment of Nontuberculous Mycobacterial Pulmonary Diseases: A Korean Perspective. Journal of Korean Medical Science, 20, 913-925.

[12]   Huang, Y.C., Liu, M.F., Shen, G.H., et al. (2010) Clinical Outcome of Mycobacterium abscessus Infection and Antimicrobial Susceptibility Testing. Journal of Microbiology, Immunology and Infection, 43, 401-406.

[13]   Good, R.C. and Snider Jr., D.E. (1982) Isolation of Nontuberculous Mycobacteria in the United States, 1980. Journal of Infectious Diseases, 146, 829-833.