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Mycobacterial infection (hand)

Authoring team

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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