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A rare presentation of osteoarticular M. marinum involving multiple small joints and tenosynovitis of the hand, which was misdiagnosed as rheumatoid arthritis, is reported. The patient was initially treated for seronegative rheumatoid arthritis but failed to respond to methotrexate. Magnetic resonance imaging showed arthritis and tenosynovitis. Subsequently, synovial biopsy led to histological and microbiological diagnosis. Antimycobacterial treatment should be started promptly in such cases. The combined use of rifampicin, ethambutol, and clarithromycin appears to be effective, and debridement is indicated in patients with deep-seated infections.<\/jats:p>","DOI":"10.1093\/mrcr\/rxad052","type":"journal-article","created":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T14:31:46Z","timestamp":1695738706000},"page":"16-20","source":"Crossref","is-referenced-by-count":2,"title":["Nontuberculous mycobacteriosis oligoarthritis of\u00a0the right hand misdiagnosed as rheumatoid arthritis: A case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6163-5200","authenticated-orcid":false,"given":"Yuji","family":"Joyo","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya City University East Medical Center , Nagoya, Aichi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanshiro","family":"Yasuma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nagoya 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