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. 2015 Dec 3:2:1-4.
doi: 10.1016/j.jctube.2015.11.003. eCollection 2016 Jan.

Mycobacterium avium intracellulare complex causing olecranon bursitis and prosthetic joint infection in an immunocompromised host

Eugene M Tan  1 , Jasmine R Marcelin  2 , Erin Mason  2 , Abinash Virk  2
Affiliations

Mycobacterium avium intracellulare complex causing olecranon bursitis and prosthetic joint infection in an immunocompromised host

Eugene M Tan et al. J Clin Tuberc Other Mycobact Dis. .

Abstract

Case: A 73-year-old immunocompromised male presented with recurrent left elbow swelling due to Mycobacterium avium intracellulare complex (MAC) olecranon bursitis. 3 years after completing MAC treatment, he underwent right total knee arthroplasty (TKA). 1 year later, he developed TKA pain and swelling and was diagnosed with MAC prosthetic joint infection (PJI). He underwent TKA resection, reimplantation, and 12 months of anti-MAC therapy. This patient is the seventh case report of MAC olecranon bursitis and the third case report of MAC PJI. He is the only report of both MAC olecranon bursitis and PJI occurring in the same patient.

Informed consent: This patient was informed and agreed to the publication of this material.

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Figures

Fig 1
Fig. 1
Left elbow X-ray (left panel: lateral view, right panel: anteroposterior view) shows soft tissue swelling (red arrow) overlying the extensor surface of the olecranon, consistent with olecranon bursitis. There is also a tiny olecranon spur and minimal bone spurring at both humeral epicondyles. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article).
Fig 2
Fig. 2
Anteroposterior view of chest X-ray shows basal atelectasis and multiple bilateral calcified pleural plaques (red arrow) consistent with prior asbestos exposure. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article).
Fig 3
Fig. 3
Right knee X-ray shows a well-seated TKA with large effusion or synovitis (red arrow). Left panel shows an anteroposterior view of the standing knee. Right panel shows a lateral view of the knee in flexion. (For interpretation of the references to color in this figure legend, the reader is referred to the web version of this article).
See this image and copyright information in PMC

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