CONSIDERING MYCOBACTERIUM-HAEMOPHILUM IN THE DIFFERENTIAL-DIAGNOSIS FOR LYTIC BONE-LESIONS IN AIDS PATIENTS WHO PRESENT WITH ULCERATING SKIN-LESIONS

Citation
Ra. Lefkowitz et Rd. Singson, CONSIDERING MYCOBACTERIUM-HAEMOPHILUM IN THE DIFFERENTIAL-DIAGNOSIS FOR LYTIC BONE-LESIONS IN AIDS PATIENTS WHO PRESENT WITH ULCERATING SKIN-LESIONS, Skeletal radiology, 27(6), 1998, pp. 334-336
Citations number
10
Categorie Soggetti
Radiology,Nuclear Medicine & Medical Imaging
Journal title
ISSN journal
03642348
Volume
27
Issue
6
Year of publication
1998
Pages
334 - 336
Database
ISI
SICI code
0364-2348(1998)27:6<334:CMITDF>2.0.ZU;2-5
Abstract
Mycobacterium haemophilum has recently been recognized as a newly emer ging cause of osteomyelitis in immunocompromised patients. While still uncommon, its incidence has increased significantly with the growing AIDS epidemic. Like its relatives M. tuberculosis and M. intracellular e, this organism is acid-fast positive; yet unlike its more well-known counterparts, M. haemophilum requires iron-supplemented culture media and low incubation temperatures (30-32 degrees C) for growth. We desc ribe a case of M. haemophilum osteomyelities in the distal femur of a 36-year old HIV-positive male, who also presented with multiple skin u lcerations. In an AIDS patients with a lyric bone lesion and concomita nt skin eruptions, the diagnosis of M. haemophilum should be entertain ed so that special culture media can be used and appropriate treatment administered.