pISSN 2093-2340   eISSN 2092-6448
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    Infect Chemother. 2008 Sep-Oct;40(5):292-296. Korean.
    Published online Oct 25, 2008.
    https://doi.org/10.3947/ic.2008.40.5.292
    Copyright © 2008 The Korean Society of Infectious Diseases and The Korean Society for Chemotherapy
    Case Report

    Post-traumatic Infrapatellar Bursitis due to Mycobacterium fortuitum in an Immunocompetent Patient

    Dong Won Park, M.D.,1 Ji Eun Kim, M.D.,1 Su Young Back, M.D.,1 Hye Sun Park, M.D.,1 Chang Nam Son, M.D.,1 Seong Eun Ahn, M.D.,1 HyeJeong Park, M.D.,1 Si Hyong Jang, M.D.,2 Seung Sam Paik, M.D.,2 Chung Hyuk Choi, M.D.,3 Tae-Yeal Choi, M.D.,4 and Hyunjoo Pai, M.D.1
      • 1Department of Internal Medicine, Division of Infectious Disease, Hanyang University College of Medicine, Seoul, Korea.
      • 2Department of Histopathology, Hanyang University College of Medicine, Seoul, Korea.
      • 3Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
      • 4Department of laboratory Medicine, Hanyang University College of Medicine, Seoul, Korea.
    • Correspondance: Hyunjoo Pai, M.D., PhD. Department of Internal Medicine, Division of Infectious disease, Hanyang University College of Medicine, 17 Haengdang-dong Seongdong-gu, Seoul, 133-792, Korea. Tel: +82-2-2290-8356, Fax: +82-2-2298-9183, Email: paihj@hanyang.ac.kr
    Received June 23, 2008; Accepted September 05, 2008.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Mycobacterium fortuitum is a rare pathogen, frequently found in water, soil, animals and plant materials. It can cause infections involving skin, soft tissue and skeletal system after direct inoculation of the pathogen through surgical traumas, punctures and injections. We report a case of infrapatellar bursitis caused by M. fortuitum in an immunocompetent, 42-year-old female, which occurred after bicycle trauma. She experienced marked improvement after surgical excision and debridement of the wound site and antimicrobial therapy.

    Keywords
    Mycobacterium fortuitum; Rapidly growing mycobacteria; Trauma; Bursitis; Immunocompetent

    Figures

    Figure 1
    Several acid-fast bacilli with long slender brain observed by AFB stain (AFB ×1,000).

    Figure 2
    PCR-RFLP band patterns by HaeIII (Lanes 1-3) and MspI (Lanes 4-6) digests of PCR-amplified sequences. 2 Bands of Lane M, 25 bp DNA ladder; Lanes 1 and 4, samples from patient; Lanes 2 and 5, M. fortuitum type 1 controls; Lanes 3 and 6, M. fortuitum type 2 controls.

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    MeSH Terms
    Adult
    Animals
    Bursitis
    Debridement
    Female
    Humans
    Mycobacterium
    Mycobacterium fortuitum
    Plants
    Punctures
    Skin
    Soil
    Metrics
    Share
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