Abstract

Mycobacterium szulgai is a nontuberculous mycobacteria that is an emerging pathogen particularly in immunocompromised patients. It is rarely associated with human disease and is an ubiquitous environmental mycobacterium that has the potential to cause localized and disseminated disease in both immunocompromised and healthy individuals. Although pulmonary disease is the most frequent clinical manifestation of infection, involvement of other organs such as joint, bone, skin, soft tissue, and cornea have been described. We report a 65-year-old malnourished man with non-Hodgkin lymphoma and chronic lymphocytic leukemia on chemotherapy, who developed disseminated M. szulgai infection. Mycobacterium szulgai was isolated from multiple joints. The patient was successfully treated with antibiotic therapy in combination with surgical incision and drainage of the affected joints. The patient later died of causes unrelated to his infection.

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