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Tenosynovitis caused by M ycobacterium malmoense in two kidney transplant recipients and review of the literature
Author(s) -
Grootveld Rebecca,
Scherer Hans U.,
Peters Elke E. M.,
Gaasbeek André,
Arend Sandra M.,
Wunderink Herman F.
Publication year - 2018
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/tid.12810
Subject(s) - medicine , tenosynovitis , immunosuppression , renal transplant , surgery , debridement (dental) , kidney transplant , differential diagnosis , kidney transplantation , nontuberculous mycobacteria , transplantation , pathology , mycobacterium , tuberculosis
We report two unrelated cases of tenosynovitis caused by M ycobacterium malmoense in kidney transplant recipients. Both patients received immunosuppression and were referred to our tertiary hospital because of persisting complaints lasting >6 months not responding to corticosteroids or surgery. The mycobacterial cultures were positive for the slow‐growing M . malmoense after several weeks of incubation. The patient in Case 1 was treated with a combination of surgical debridement and antibiotics, whereas the patient in Case 2 was only treated surgically. Both cases illustrate the doctor's delay in diagnosing mycobacterial infections, and remind us that nontuberculous mycobacterial infections should be part of the differential diagnosis of tenosynovitis, especially in immunocompromised patients.