Bursitis and Tenosynovitis Due to Mycobacterium avium Complex
A 58-year-old woman presented to an outpatient clinic with painless swellings around several joints and drenching night sweats. She had been treated with high doses of glucocorticoids for more than 20 years for dermatomyositis and the pulmonary fibrosis associated with it. On examination, she was cachectic and had nontender swellings of the bursae in the subacromial (Panel A) and olecranon (Panel B) regions, as well as tenosynovitis of the extensor tendon sheaths of both hands (Panel C). A test for human immunodeficiency virus was negative, and no other immunodeficiency was identified. Aspiration of the bursae revealed pus in three distinct locations (the left hand and the right subacromial and olecranon bursae); culture of the pus grew Mycobacterium avium complex. The patient subsequently received clarithromycin, rifabutin, and ethambutol for several months, without any clinical response. Four months after the treatment was initiated, she was admitted to the hospital with worsening dyspnea and died from complications of interstitial fibrosis.
Living with Pulmonary Fibrosis (PF) was one of the hardest experiences of my life. The breathlessness, the fatigue, and the fear of the future weighed on me every single day. I had tried so many treatments and medications, but nothing seemed to stop the disease from progressing.Out of both hope and desperation, I came across NaturePath Herbal Clinic. At first, I was skeptical but something about their natural approach and the stories I read gave me the courage to try one more time.I began their herbal treatment program, and within a few weeks, I noticed small changes easier breathing, more energy, and a clearer mind. Over themonths, those improvements became more and more obvious. Today, I can truly say my life has changed. My lungs feel stronger, and my quality of life has returned in ways I didn’t think were possible.This isn’t just a testimony it’s a heartfelt recommendation to anyone struggling with PF or other chronic conditions. Don’t give up hope. I’m so grateful I gave NaturePath Herbal Clinic a chance. Visit their website to learn more: www.naturepathherbalclinic.com info@naturepathherbalclinic.com
