{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T08:04:04Z","timestamp":1767773044827,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,3,1]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:p>\n                  <jats:italic>Mycobacterium avium<\/jats:italic> complex (MAC) is a ubiquitous soil pathogen that is an uncommon cause of diseases in immunocompetent patients. In this case, we describe the presentation of an otherwise healthy man in his 50s presenting with months of malaise and severe hip pain, with aspiration initially yielding no bacteria and presumed fastidious infection. He was treated with irrigation and debridement, surgical stabilisation of the femoral neck and conventional broad-spectrum antibiotics with final cultures diagnostic of MAC osteomyelitis. This case serves to demonstrate the importance of clinical suspicion and appropriate workup of this unusual case of MAC hip osteomyelitis in an otherwise immunocompetent patient.<\/jats:p>","DOI":"10.1136\/bcr-2023-257670","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T11:00:23Z","timestamp":1710500423000},"page":"e257670","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Non-vertebral <i>Mycobacterium avium<\/i> complex osteomyelitis in an immunocompetent patient"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0012-3452","authenticated-orcid":false,"given":"Rebecca","family":"McAllister","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Magee","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery, Tripler Army Medical Center, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Kelly","sequence":"additional","affiliation":[{"name":"Tripler Army Medical Center, Honolulu, Hawaii, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"2025082712190608000_17.3.e257670.1","doi-asserted-by":"crossref","first-page":"S46","DOI":"10.1016\/j.ijid.2020.02.022","article-title":"Non-tuberculous mycobacterial infections-A neglected and emerging problem","volume":"92S","author":"Ahmed","year":"2020","journal-title":"Int J Infect Dis"},{"key":"2025082712190608000_17.3.e257670.2","doi-asserted-by":"crossref","unstructured":"Gray ME , Liu PW , Wispelwey B . Mycobacterium avium complex vertebral osteomyelitis in the absence of HIV infection: a case report and review. BMC Infect Dis 2018;18. doi:10.1186\/s12879-018-3143-4","DOI":"10.1186\/s12879-018-3143-4"},{"key":"2025082712190608000_17.3.e257670.3","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1097\/01.blo.0000229325.75911.8e","article-title":"Hip pain in a 21-year-old man","volume":"455","author":"Doumas","year":"2007","journal-title":"Clin Orthop Relat Res."},{"key":"2025082712190608000_17.3.e257670.4","unstructured":"Clinical and Laboratory Standards Institute . Laboratory detection and identification of mycobacteria; approved standard\u2014first edition. CLSI document M48-A. Wayne, PA Clinical and Laboratory Standards Institute; 2008."},{"key":"2025082712190608000_17.3.e257670.5","doi-asserted-by":"publisher","DOI":"10.3201\/eid0104.950402"},{"key":"2025082712190608000_17.3.e257670.6","doi-asserted-by":"publisher","DOI":"10.1007\/PL00013806"},{"key":"2025082712190608000_17.3.e257670.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-4453(95)92925-8"},{"key":"2025082712190608000_17.3.e257670.8","first-page":"176","article-title":"Osteomyelitis and arthritis of the wrist caused by mycobacterium Intracellulare in an immunocompetent patient: a case report and literature review","volume":"39","author":"Yano","year":"2014","journal-title":"Acta Reumatol Port"},{"key":"2025082712190608000_17.3.e257670.9","doi-asserted-by":"crossref","first-page":"172","DOI":"10.5535\/arm.2016.40.1.172","article-title":"Calcaneal Osteomyelitis due to non-tuberculous mycobacteria: a case report","volume":"40","author":"Yi","year":"2016","journal-title":"Ann Rehabil Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-257670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:19:12Z","timestamp":1756322352000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-257670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,3,15]]},"published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1136\/bcr-2023-257670"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-257670","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,3]]}}}