RT Journal Article
SR Electronic
T1 Mycobacterium marinum arthritis mimicking rheumatoid arthritis.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 817
OP 819
VO 33
IS 4
A1 Alex Lam
A1 Wadie Toma
A1 Naomi Schlesinger
YR 2006
UL http://www.jrheum.org/content/33/4/817.abstract
AB Mycobacterium marinum is an atypical mycobacterium found in salt and fresh water. M. marinum infection occurs following skin trauma in fresh or salt water and usually presents as a localized granuloma or sporotrichotic lymphangitis. It rarely affects the musculoskeletal system. We describe a patient who presented with subcutaneous nodules and an inflammatory arthritis that was thought to be rheumatoid arthritis, and was treated as such with corticosteroids, methotrexate, and anti-tumor necrosis factor-alpha therapy, with worsening of his arthritis.