Evidence map›Paper›PMID 33907090›Full record

ReviewMedicine2021

Combined administration of rifampicin, ethambutol, and clarithromycin for the treatment of tenosynovitis of the hand caused by Mycobacterium avium complex: Case series and literature review.

Yoshio Kaji, Osamu Nakamura, Konosuke Yamaguchi, Yumi Nomura, Kunihiko Oka, Tetsuji Yamamoto

Open access · goldAbstract readCase ReportsReview
In one paragraph

Review in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Extrapulmonary Comparisons BetweenInfection and drug resistance · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Yoshio KajiDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Osamu NakamuraDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Konosuke YamaguchiDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Yumi NomuraDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Kunihiko OkaDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Tetsuji YamamotoDepartment of Orthopaedic Surgery, Kagawa University Faculty of Medicine.
Kagawa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractWe report the clinical results and problems of combined administration of rifampicin, ethambutol, and clarithromycin (REC) for the treatment of Mycobacterium avium complex (MAC) infection of the hand (hand MAC).Participants included 7 patients with hand MAC. After resection of the infected lesion, REC was prescribed for 12 months. For these patients, the site of infection, clinical course after initiation of REC, adverse drug effects (ADEs), and incidence of recurrence were evaluated.Sites of infection were the flexor tenosynovium in 5 patients, extensor tenosynovium in 1 patient, and both flexor and extensor tenosynovium in 1 patient. ADEs of REC occurred in 5 patients, and included visual disturbance caused by ethambutol in 2 patients, liver function abnormality caused by rifampicin in 2 patients, and fever with diarrhea caused by rifampicin in 1 patient. For 2 of these 5 patients, desensitization therapy was applied and REC was able to be reinstated. In the remaining 3 patients, the causative drugs were discontinued and levofloxacin, a new quinolone, was administered. Complete healing was achieved in 5 patients, and recurrence was observed in 2 patients. These 2 patients with recurrence included 1 patient in whom REC was completed and 1 patient in whom REC therapy was modified due to ADE.REC provided relatively good clinical results as a treatment for hand MAC. However, recurrences were observed even after the completion of REC and the use of an alternative drug. Optimal duration of REC and appropriate alternative drugs need to be identified in the future.

Indexed as

Mycobacterium avium ComplexAgedAnti-Bacterial AgentsClarithromycinDrug Therapy, CombinationEthambutolFemaleHandHumansMaleMiddle AgedMycobacterium avium-intracellulare InfectionRifampinTenosynovitisAnti-Bacterial AgentsClarithromycinEthambutolRifampin

Identifiers

PMID33907090
PMCPMC8084042
OpenAlexW3157117756

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.