Non-vertebral Mycobacterium avium complex osteomyelitis in an immunocompetent patient

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Mycobacterium avium complex (MAC) is a ubiquitous soil pathogen that is an uncommon cause of diseases in immunocompetent patients. In this case, we describe the presentation of an otherwise healthy man in his 50s presenting with months of malaise and severe hip pain, with aspiration initially yielding no bacteria and presumed fastidious infection. He was treated with irrigation and debridement, surgical stabilisation of the femoral neck and conventional broad-spectrum antibiotics with final cultures diagnostic of MAC osteomyelitis. This case serves to demonstrate the importance of clinical suspicion and appropriate workup of this unusual case of MAC hip osteomyelitis in an otherwise immunocompetent patient.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

BMJ case reports - 17(2024), 3 vom: 15. März

Sprache:

Englisch

Beteiligte Personen:

McAllister, Rebecca [VerfasserIn]
Magee, Anthony [VerfasserIn]
Kelly, Sean [VerfasserIn]

Links:

Volltext

Themen:

Anti-Bacterial Agents
Bone and joint infections
Case Reports
Global Health
Hip implants
Journal Article
Orthopaedics

Anmerkungen:

Date Completed 18.03.2024

Date Revised 20.03.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1136/bcr-2023-257670

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369803876