Recurrent Mycobacterium xenopi infection in a patient with rheumatoid arthritis receiving etanercept

Kyongwook Yim From the Division of Infectious Diseases, Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA

Syed H. Nazeer From the Division of Infectious Diseases, Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA

Deanna Kiska Department of Clinical Pathology, SUNY Upstate Medical University, Syracuse, New York, USA

Frederick B. Rose From the Division of Infectious Diseases, Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA

Douglas Brown Department of Internal Medicine, Syracuse VA Medical Center, Syracuse, New York, USA

Michael H. Cynamon From the Division of Infectious Diseases, Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA; Department of Internal Medicine, Syracuse VA Medical Center, Syracuse, New York, USACorrespondence[email protected]

Abstract

A case of recurrent Mycobacterium xenopi infection presenting as Pott's disease in a patient receiving etanercept for severe rheumatoid arthritis is described. A 49-y-old Caucasian male had received a total of 11 months of anti-mycobacterial therapy for hip infection acquired 15 months earlier; he presented with progressive back pain, which was diagnosed as Pott's disease. He had been treated with etanercept in addition to his prior immunosuppressive agents after the diagnosis of hip infection.

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Recurrent Mycobacterium xenopi infection in a patient with rheumatoid arthritis receiving etanercept

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Recurrent Mycobacterium xenopi infection in a patient with rheumatoid arthritis receiving etanercept

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