Successful Treatment of Mycobacterium gordonae Sacroiliitis Using a Novel Minimally Invasive Sacroiliac Joint Arthrodesis: A Case Report.

Abstract

CASE:

A 43-year-old man with a history of well-controlled HIV (human immunodeficiency virus) infection presented with sacroiliac joint destruction from a Mycobacterium gordonae infection. A sacroiliac joint arthrodesis was performed using a minimally invasive technique utilizing both biologic fusion (allograft bone with rhBMP-2 [recombinant human bone morphogenetic protein-2]) and fixation with titanium ingrowth rods.

CONCLUSION:

To our knowledge, this is the first reported case of infectious sacroiliitis from a nontubercular mycobacterium (M. gordonae) treated with a combination of joint debridement, biologic fusion with bone graft, and nonbiologic functional fusion using titanium ingrowth rods, all performed in a minimally invasive fashion. This strategy effectively alleviated pain and preserved function at 2 years of follow-up.

• Authors: Nathan Wanderman, Joseph Thurn, Mitchell Wyffels, Jonathan N Sembrano
• Journal: JBJS case connector (JBJS Case Connect) 2016 Jul-Sep Vol. 6 Issue 3 Pg. e55 ISSN: 2160-3251 [Electronic] United States
• PMID: 29252632 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Arthrodesis (methods)
• HIV Infections (complications)
• Humans
• Male
• Mycobacterium Infections, Nontuberculous (microbiology, surgery)
• Nontuberculous Mycobacteria (isolation & purification)
• Sacroiliac Joint (surgery)
• Sacroiliitis (microbiology, surgery)