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Osteomyelitis Concurrently Caused by Staphylococcus aureus and Mycobacterium tuberculosis

Ing-Kit Lee, MD, Jien-Wei Liu, MD
Volume: 100 Issue: 9 September, 2007

Abstract:

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 aureusand 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.


Key Points


* Osteomyelitis may be concurrently caused by Staphylococcus aureus and Mycobacterium tuberculosis.


* In patients whose osteomyelitis due to S aureus responds poorly to clinical therapy, clinicians should suspect coexisting tuberculosis, especially in areas where tuberculosis is endemic.


* Additional anti-TB therapy may be initiated until TB is proven to be negative.

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