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

Dong Won Park; Ji Eun Kim; Su Young Back; Hye Sun Park; Chang Nam Son; Seong Eun Ahn; HyeJeong Park; Si Hyong Jang; Seung Sam Paik; Chung Hyuk Choi; Tae-Yeal Choi; Hyunjoo Pai

doi:10.3947/ic.2008.40.5.292

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Park, Kim, Back, Park, Son, Ahn, Park, Jang, Paik, Choi, Choi, and Pai: Post-traumatic Infrapatellar Bursitis due to Mycobacterium fortuitum in an Immunocompetent Patient

Case Report

Infection and Chemotherapy

Infection and Chemotherapy 2008; 40(5): 292-296.

Published online: 25 October 2008

DOI: https://doi.org/10.3947/ic.2008.40.5.292

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, 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, paihj@hanyang.ac.kr

Received 23 June 2008 Accepted 5 September 2008

(open-access):

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 and Tables

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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