Chronic intractable nontuberculous mycobacterial-infected wound after acupuncture therapy in the elbow joint:A case report  

作　　者：Jong Hyup Kim In Chang Koh Soo Yeon Lim Seong Hee Kang Hoon Kim 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Konyang University Hospital,University of Konyang College of Medicine,Myunggok Medical Research Institute,Daejeon 35365,South Korea [2]Division of Infectious Diseases,Department of Internal Medicine,Konyang University Hospital,University of Konyang College of Medicine,Myunggok Medical Research Institute,Daejeon 35365,South Korea

出　　处：《World Journal of Clinical Cases》2024年第36期6926-6934,共9页世界临床病例杂志（英文）

摘　　要：BACKGROUND Musculoskeletal nontuberculous Mycobacterium(NTM)infections are rare,partic-ularly post-acupuncture therapy,and present diagnostic challenges due to their infrequency and potential severity.Prompt recognition and appropriate manage-ment are crucial for optimal outcomes.NTM-infected wounds involving the joints are difficult to treat,and only a few cases have been reported.CASE SUMMARY We present a case of a chronic intractable NTM-infected wound on the elbow joint that completely healed with conservative wound care and antibiotic treatment.An 81-year-old woman presented with a chronic,ulcerative wound on the right elbow joint where she had undergone repeated acupuncture therapy for chronic intolerable pain.Magnetic resonance imaging revealed synovial thickening,effusion,and subcutaneous cystic lesions.An orthopedic surgeon performed open synovectomy and serial debridement.However,1 month postoperatively,the wound had not healed and became chronic.A wound culture revealed NTM(Mycobacterium abscessus),and the patient was referred to the Department of Plastic and Reconstructive Surgery.Instead of surgical intervention,conservative wound care with intravenous antibiotics was provided,considering the wound status and the patient’s poor general condition.Complete wound healing was achieved in 12 months,with no impact on the range of motion of the elbow joint.CONCLUSION With clinical awareness,musculoskeletal NTM infection can be treated with conservative wound care and appropriate antimicrobial agents.

关 键 词：Nontuberculous mycobacteria ARTHRITIS INFECTIOUS Acupuncture Chronic wound Case report 

分 类 号：R245[医药卫生—针灸推拿学]