Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis
ABSTRACT The incidence of skin nontuberculous mycobacterial (NTM) infections has been rising in recent years, paralleling the increase in invasive procedures and immunosuppression. We present a case involving a patient undergoing treatment with a tumor necrosis factor blocker (Etanercept®) for psori...
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Sociedade Brasileira de Medicina Tropical (SBMT)
2025-06-01
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| Series: | Revista da Sociedade Brasileira de Medicina Tropical |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100805&lng=en&tlng=en |
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| author | Vanessa Ribeiro Ferreira Mariana Santiago Bernardes Rebeca de Oliveira Alves Melo Martins Isabella Cristiny Mendes Alexandre Carolina Souza de Oliveira Thalyssa Figueiredo Magalhães Daniela Vale Dias Laísa Ezaguy de Hollanda Guilherme Augusto Pivoto João Marcelo Cordeiro-Santos Luciana Mendes dos Santos |
| author_facet | Vanessa Ribeiro Ferreira Mariana Santiago Bernardes Rebeca de Oliveira Alves Melo Martins Isabella Cristiny Mendes Alexandre Carolina Souza de Oliveira Thalyssa Figueiredo Magalhães Daniela Vale Dias Laísa Ezaguy de Hollanda Guilherme Augusto Pivoto João Marcelo Cordeiro-Santos Luciana Mendes dos Santos |
| author_sort | Vanessa Ribeiro Ferreira |
| collection | DOAJ |
| description | ABSTRACT The incidence of skin nontuberculous mycobacterial (NTM) infections has been rising in recent years, paralleling the increase in invasive procedures and immunosuppression. We present a case involving a patient undergoing treatment with a tumor necrosis factor blocker (Etanercept®) for psoriatic dactylitis, who showed clinical deterioration 30 days following intra-articular corticosteroid therapy. Liquid culture media identified M. abscessus, prompting the initiation of combination antibiotic therapy. To the best of our knowledge, this is the first reported case of an NTM superinfection in dactylitis, underscoring the importance of screening for these infections in immunosuppressed patients receiving localized injectable treatments. |
| format | Article |
| id | doaj-art-b434fbf105a440ecbcf799312abe81bd |
| institution | DOAJ |
| issn | 1678-9849 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Sociedade Brasileira de Medicina Tropical (SBMT) |
| record_format | Article |
| series | Revista da Sociedade Brasileira de Medicina Tropical |
| spelling | doaj-art-b434fbf105a440ecbcf799312abe81bd2025-08-20T03:14:50ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492025-06-015810.1590/0037-8682-0055-2025Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitisVanessa Ribeiro Ferreirahttps://orcid.org/0000-0002-8744-5787Mariana Santiago Bernardeshttps://orcid.org/0000-0002-1632-4160Rebeca de Oliveira Alves Melo Martinshttps://orcid.org/0009-0000-6915-6394Isabella Cristiny Mendes Alexandrehttps://orcid.org/0000-0002-1460-3705Carolina Souza de Oliveirahttps://orcid.org/0009-0005-6410-8357Thalyssa Figueiredo Magalhãeshttps://orcid.org/0009-0008-5679-5240Daniela Vale Diashttps://orcid.org/0000-0002-7499-7902Laísa Ezaguy de Hollandahttps://orcid.org/0000-0003-4240-0777Guilherme Augusto Pivoto Joãohttps://orcid.org/0000-0003-2355-8384Marcelo Cordeiro-Santoshttps://orcid.org/0000-0002-7140-7145Luciana Mendes dos Santoshttps://orcid.org/0000-0002-3598-8237ABSTRACT The incidence of skin nontuberculous mycobacterial (NTM) infections has been rising in recent years, paralleling the increase in invasive procedures and immunosuppression. We present a case involving a patient undergoing treatment with a tumor necrosis factor blocker (Etanercept®) for psoriatic dactylitis, who showed clinical deterioration 30 days following intra-articular corticosteroid therapy. Liquid culture media identified M. abscessus, prompting the initiation of combination antibiotic therapy. To the best of our knowledge, this is the first reported case of an NTM superinfection in dactylitis, underscoring the importance of screening for these infections in immunosuppressed patients receiving localized injectable treatments.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100805&lng=en&tlng=enPsoriatic dactylitisNontuberculous mycobacteriaTumor necrosis factor blocker |
| spellingShingle | Vanessa Ribeiro Ferreira Mariana Santiago Bernardes Rebeca de Oliveira Alves Melo Martins Isabella Cristiny Mendes Alexandre Carolina Souza de Oliveira Thalyssa Figueiredo Magalhães Daniela Vale Dias Laísa Ezaguy de Hollanda Guilherme Augusto Pivoto João Marcelo Cordeiro-Santos Luciana Mendes dos Santos Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis Revista da Sociedade Brasileira de Medicina Tropical Psoriatic dactylitis Nontuberculous mycobacteria Tumor necrosis factor blocker |
| title | Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis |
| title_full | Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis |
| title_fullStr | Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis |
| title_full_unstemmed | Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis |
| title_short | Cutaneous nontuberculous mycobacterial infection after intra-articular corticosteroid injection in a patient with psoriatic dactylitis |
| title_sort | cutaneous nontuberculous mycobacterial infection after intra articular corticosteroid injection in a patient with psoriatic dactylitis |
| topic | Psoriatic dactylitis Nontuberculous mycobacteria Tumor necrosis factor blocker |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822025000100805&lng=en&tlng=en |
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