PMID- 23188870 OWN - NLM STAT- MEDLINE DCOM- 20140121 LR - 20211021 IS - 1757-790X (Electronic) IS - 1757-790X (Linking) VI - 2012 DP - 2012 Nov 27 TI - Infrapatellar bursitis with Mycobacterium malmoense related to immune reconstitution inflammatory syndrome in an HIV-positive patient. LID - 10.1136/bcr-2012-007459 [doi] LID - bcr2012007459 AB - The immune reconstitution inflammatory syndrome (IRIS) after starting antiretroviral treatment for HIV infection can be caused by a great variety of pathogens. Among these are non-tuberculous mycobacteria (NTM), with Mycobacterium avium complex being the most commonly described finding. Antimycobacterial treatment of NTM in cases of IRIS is controversial. We report the case of a 39-year-old man diagnosed with HIV-1 infection during admission to hospital with Pneumocystis jirovecii pneumonia (PCP) and a CD4 cell count of 60/mul. The patient started antiretroviral treatment and made an uneventful recovery from the PCP diagnosis, but was readmitted after 2.5 months with a purulent infrapatellar bursitis on the left knee. A surgical procedure was performed and Mycobacterium malmoense was grown from the pus from the bursa. The patient recovered without supplemental antimycobacterial treatment. To our knowledge, this is the first report on IRIS caused by M malmoense. FAU - Leth, Steffen AU - Leth S AD - Department of Infectious Diseases, Aarhus University Hospital, Denmark. stefleth@rm.dk [corrected] FAU - Jensen-Fangel, Soren AU - Jensen-Fangel S LA - eng PT - Case Reports PT - Journal Article DEP - 20121127 PL - England TA - BMJ Case Rep JT - BMJ case reports JID - 101526291 RN - 0 (Anti-HIV Agents) SB - IM EIN - BMJ Case Rep. 2013;2013. doi: 10.1136/bcr-2012-007459corr1 MH - AIDS-Related Opportunistic Infections/*diagnosis/drug therapy/*immunology MH - Adult MH - Anti-HIV Agents/adverse effects/therapeutic use MH - Bursitis/*diagnosis/*immunology MH - HIV Seropositivity/*diagnosis/drug therapy/*immunology MH - *HIV-1 MH - Humans MH - Immune Reconstitution Inflammatory Syndrome/*diagnosis MH - Male MH - Mycobacterium Infections, Nontuberculous/*diagnosis/*immunology PMC - PMC4544090 EDAT- 2012/11/29 06:00 MHDA- 2014/01/22 06:00 PMCR- 2014/11/27 CRDT- 2012/11/29 06:00 PHST- 2012/11/29 06:00 [entrez] PHST- 2012/11/29 06:00 [pubmed] PHST- 2014/01/22 06:00 [medline] PHST- 2014/11/27 00:00 [pmc-release] AID - bcr-2012-007459 [pii] AID - 10.1136/bcr-2012-007459 [doi] PST - epublish SO - BMJ Case Rep. 2012 Nov 27;2012:bcr2012007459. doi: 10.1136/bcr-2012-007459.