Experience with atypical mycobacterial infection in the deep structures of the hand

摘要: Two new cases of atypical mycobacterium infections the deep structures are reported. With two reported previously by authors and a review 24 others recorded others, symptoms signs reviewed. Typically it occurs in middle-aged person, some whom give history puncture wound within 6 weeks onset symptoms. Synovium finger is involved commonly carpal tunnel syndrome may be result involvement bursae. Fever does not occur no systemic present. Biopsy cultures essential for diagnosis, but presumptive diagnosis indicates that, after synovectomy, treatment should started with antituberculous drugs, isoniazid ethambutol, Rifampin, or both continued 18 to months, unless vitro sensitivity tests indicate change medication. The usual organisms M. kansasii, marinum, intracellulare , avium .