Patient on Immunomodulatory Therapy Experiencing Joint Pain and Skin Lesions: A Case Report.
Jason D GreenwoodNathaniel NielsenNathaniel E MillerPublished in: Journal of primary care & community health (2021)
A woman in her late fifties was admitted to the Family Medicine Inpatient Service directly from Rheumatology clinic for polyarticular pain and erythema with concern for infection. She was taking immunosuppressant medications for a history of multiple autoimmune diseases. Examination showed increasing erythema and tenderness on the upper and lower extremity joints. Histologic evaluation, surgical evaluation, and cultures were consistent with mycobacterium haemophilum infection. Mycobacterium haemophilum is an uncommon opportunistic infection that usually affects immunocompromised patients. The patient was treated with a multi-drug antibiotic regimen for several months due to drug resistance. Although this opportunistic infection is not common it should be considered in the differential of immunocompromised patients with skin and articular symptoms. Treatment outcomes are usually favorable if it caught earlier in the course.
Keyphrases
- chronic pain
- case report
- mycobacterium tuberculosis
- mental health
- end stage renal disease
- newly diagnosed
- healthcare
- chronic kidney disease
- primary care
- ejection fraction
- juvenile idiopathic arthritis
- palliative care
- bone marrow
- spinal cord injury
- physical activity
- wound healing
- systemic lupus erythematosus
- electronic health record
- disease activity