Osteomyelitis concurrently caused by Staphylococcus aureus and Mycobacterium tuberculosis.
We report the case of a 59-year-old woman who presented with fever and a cutaneous ulcer on her left ankle. In addition to Staphylococcus aureus growth from a blood culture, S aureus and Mycobacterium tuberculosis were both isolated from tissue specimens. This case highlights that osteomyelitis may be concurrently caused by S aureus and M tuberculosis. In a patient whose osteomyelitis due to S aureus responds poorly to clinical therapy, clinicians should suspect coexisting tuberculosis, especially in areas where tuberculosis is endemic.
Lee
Ing-Kit
IK
Division of Infectious Diseases, Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Taiwan.
Liu
Jien-Wei
JW
D000038:Abscess / Q000382:microbiology; D000843:Ankle Joint / Q000382:microbiology*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007592:Joint Diseases / Q000382:microbiology*; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010019:Osteomyelitis / Q000175:diagnosis*; D010020:Osteonecrosis / Q000382:microbiology; D012883:Skin Ulcer / Q000382:microbiology; D013203:Staphylococcal Infections / Q000175:diagnosis*; D013639:Tarsal Bones / Q000382:microbiology; D014394:Tuberculosis, Osteoarticular / Q000175:diagnosis*