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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
A case of knee arthritis caused by Mycolicibacterium wolinskyi after total knee arthroplasty |
| Language |
J |
| AuthorList |
Mika Tokuda1), Hironobu Soki1), Atsushi Yoshida2), Kazushige Abo1), Satoru Matsutani3), Ryo Mizushima2), Keisuke Kamada2), Yasutomo Itakura2), Shigekazu Iguchi2), Yutaka Uzawa2), Yuko Arai2), Ken Kikuchi2) |
| Affiliation |
1) Department of Clinical Laboratory, Saitama Red Cross Hospital
2) Department of Infection Diseases, Tokyo Women's Medical University
3) Department of Orthopedic Surgery, Saitama Red Cross Hospital |
| Publication |
J.J.C.M.: 30 (2), 80-84, 2020 |
| Received |
November 8, 2019 |
| Accepted |
January 21, 2020 |
| Abstract |
We report the second case of Mycolicibacterium wolinskyi arthritis in Japan. Artificial knee joint infection occurred 3 month after total knee arthroplasty and hip arthroplasty. Gram-positive bacilli difficult to stain and with positive acid-fast staining were isolated from the pus. The colony could appear on blood agar and chocolate agar for 2 days, suggested this strain as rapid grower Mycobacterium. This strain showed sensitivity to amikacin, ciprofloxacin, moxifloxacin, minocycline, and linezolid. After debridement twice and two changes of antimicrobial agents, improvement was seen and the patient was discharged from hospital.
Clinical microbiological laboratories should be aware of rare rapid growing mycobacteria because species identification and drug sensitivity are directly linked to treatment for such cases. |
| Keywords |
Mycolicibacterium wolinskyi, Mycobacterium wolinskyi |
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