Mycobacterial infection (hand)
Joint and synvoial sheath infection of the hand may be the result of mycobacterial infection:
- M. tuberculosis
- M. marinum: particularly in those handling fish
- M. kansasii
- M. avium
- M. intracellularis
If suspected on the basis of historical grounds or systemic symptoms, incisional or joint fluid should be sent for culture in Lowenstein-Jensen media at low temperature.
Surgical debridement may be indicated; antituberculous medication is essential. Years of treatment may be required.
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