{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:56Z","timestamp":1787755196610,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      We present the case of an otherwise healthy 77-year-old male retired firefighter and recreational pheasant hunter who presented with recurrent symptoms of carpal tunnel syndrome and tenosynovitis because of\n                      <jats:italic toggle=\"yes\">Mycobacterium szulgai<\/jats:italic>\n                      . He was initially treated unsuccessfully for a presumed seronegative rheumatologic flare, followed by surgical diagnosis and treatment including revision carpal tunnel release with tenosynovectomy, and a secondary debridement and wound closure. His symptoms resolved after several months of multidrug antibiotic therapy with only mild residual median nerve deficit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      Nontuberculous\n                      <jats:italic toggle=\"yes\">Mycobacterium<\/jats:italic>\n                      infections of the upper extremity are extremely rare and challenging to diagnose\/treat. This report highlights diagnostic and surgical challenges in this rarely reported infection.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.21.00104","type":"journal-article","created":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T15:00:52Z","timestamp":1629126052000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Recurrent Carpal Tunnel Syndrome Associated with Mycobacterium szulgai Infection"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7645-8294","authenticated-orcid":false,"given":"Ryan M.","family":"McKee","sequence":"first","affiliation":[{"name":"School of Medicine, University of California, San Diego, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Kordahi","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Hubbard","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8620-8616","authenticated-orcid":false,"given":"Katherine","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Allergy, and Immunology, University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0422-6800","authenticated-orcid":false,"given":"Gonzalo","family":"Ballon-Landa","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Scripps Health, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan T.","family":"Leek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Diego, San Diego, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"3","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1093\/clinids\/9.3.578","article-title":"Mycobacterium szulgai: an unusual pathogen","volume":"9","author":"Dylewski","year":"1987","journal-title":"Rev Infect Dis."},{"issue":"5","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1177\/1753193419829365","article-title":"Mycobacterium szulgai infection as a cause of carpal tunnel syndrome in a patient who kept a Mississippi mud turtle","volume":"44","author":"Harvey","year":"2019","journal-title":"J Hand Surg Eur Vol."},{"issue":"2","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/0002-9343(78)90831-8","article-title":"Tuberculoid tenosynovitis and carpal tunnel syndrome caused by Mycobacterium szulgai","volume":"65","author":"Stratton","year":"1978","journal-title":"Am J Med."},{"key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"bcr2016217722","DOI":"10.1136\/bcr-2016-217722","article-title":"Mycobacterium szulgai infection in the flexor sheath of the right index finger in an immunocompetent patient","volume":"2017","author":"Bartolf","year":"2017","journal-title":"BMJ Case Rep."},{"key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"bcr2017221942","DOI":"10.1136\/bcr-2017-221942","article-title":"Oyster-related tenosynovitis: a rare case of Mycobacterium szulgai in the immunocompromised","volume":"2017","author":"Baca-Atlas","year":"2017","journal-title":"BMJ Case Rep."},{"issue":"13","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.2340\/00015555-3352","article-title":"Multifocal cutaneous infections caused by Mycobacterium szulgai without pulmonary involvement","volume":"99","author":"Zhang","year":"2019","journal-title":"Acta Derm Venereol."},{"issue":"10","key":"bib7-20240805","doi-asserted-by":"crossref","first-page":"1556","DOI":"10.3201\/eid1510.090310","article-title":"Nontuberculous mycobacteria infections and anti\u2013tumor necrosis factor-\u03b1 therapy","volume":"15","author":"Winthrop","year":"2009","journal-title":"Emerg Infect Dis."},{"issue":"1","key":"bib8-20240805","doi-asserted-by":"crossref","first-page":"180","DOI":"10.20506\/rst.20.1.1273","article-title":"Mycobacteriosis in birds","volume":"20","author":"Tell","year":"2001","journal-title":"Rev Sci Tech."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00104","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:39:02Z","timestamp":1787751542000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.21.00104"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.21.00104","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}