{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:46:30Z","timestamp":1791812790740,"version":"4.3.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 3","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Olecranon bursitis is a common clinical condition that is usually traumatic, inflammatory, or bacterial in origin. Fungal involvement of the olecranon bursa is exceedingly rare and may present a diagnostic challenge because of its indolent course and nonspecific clinical and radiological features. A 63-year-old female with diabetes mellitus presented with a gradually progressive, painless swelling over the posterior aspect of the left elbow of 1 year duration. Ultrasonography revealed a thick-walled cystic lesion with internal echoes and septations overlying the olecranon process, while plain radiography showed a posterior soft-tissue density lesion with tiny calcific specks. The lesion was surgically excised. Gross examination showed a cystic mass containing thick greenish purulent material. Histopathological examination revealed a fibrocollagenous cyst wall with dense mixed inflammatory infiltrates and fibrinous necroinflammatory material containing scattered fungal hyphae. Gomori methenamine silver stain highlighted fungal elements, confirming the diagnosis of mycotic olecranon bursitis. Fungal bursitis should be considered in the differential diagnosis of chronic, nonresolving olecranon bursitis, particularly in patients with underlying risk factors such as diabetes mellitus. Careful histopathological examination with special stains plays a critical role in establishing the definitive diagnosis and guiding appropriate management.<\/jats:p>","DOI":"10.4103\/aam.aam_436_26","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T11:01:33Z","timestamp":1783422093000},"page":"S437-S440","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Mycotic Olecranon Bursitis in a Diabetic Patient: A Rare Case Report"],"prefix":"10.4103","volume":"25","author":[{"given":"Ashwini","family":"Sonwane","sequence":"first","affiliation":[{"name":"Department of Pathology, Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mangesh","family":"Londhe","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shraddha","family":"Khanke","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamika Singh","family":"Thakur","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vaishali","family":"Dhanke","sequence":"additional","affiliation":[{"name":"Department of Pathology, Dr. D. Y. Patil Medical Hospital and Research Centre, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"R1-20261012","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s00402-013-1882-7","article-title":"Prepatellar and olecranon bursitis: Literature review and development of a treatment algorithm","volume":"134","author":"Baumbach","year":"2014","journal-title":"Arch Orthop Trauma Surg"},{"key":"R2-20261012","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.jbspin.2009.04.003","article-title":"Cloxacillin-based therapy in severe septic bursitis: Retrospective study of 82 cases","volume":"76","author":"Martinez-Taboada","year":"2009","journal-title":"Joint Bone Spine"},{"key":"R3-20261012","doi-asserted-by":"crossref","first-page":"3029","DOI":"10.1093\/jac\/dkab265","article-title":"Clinical characteristics and management of olecranon and prepatellar septic bursitis in a multicentre study","volume":"76","author":"Charret","year":"2021","journal-title":"J Antimicrob Chemother"},{"key":"R4-20261012","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1055\/s-2006-926569","article-title":"Ultrasonographic findings in patients with olecranon bursitis","volume":"27","author":"Blankstein","year":"2006","journal-title":"Ultraschall Med"},{"key":"R5-20261012","doi-asserted-by":"crossref","first-page":"425","DOI":"10.3348\/jkrs.2008.58.4.425","article-title":"Ultrasonographic findings of Aspergillus bursitis in a patient with renal transplantation: A case report","volume":"58","author":"Kang","year":"2008","journal-title":"J Korean Radiol Soc"},{"key":"R6-20261012","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1128\/CMR.00053-10","article-title":"Histopathologic diagnosis of fungal infections in the 21st century","volume":"24","author":"Guarner","year":"2011","journal-title":"Clin Microbiol Rev"},{"key":"R7-20261012","doi-asserted-by":"crossref","first-page":"71","DOI":"10.13107\/jocr.2023.v13.i12.4084","article-title":"Rare case of dematiaceous fungal infection in the olecranon bursa of a 75-year-old diabetic male \u2013 A case report","volume":"13","author":"Mohan","year":"2023","journal-title":"J Orthop Case Rep"},{"key":"R8-20261012","first-page":"2019250","article-title":"Olecranon bursitis caused by Candida parapsilosis in a patient with rheumatoid arthritis","volume":"2016","author":"Gamarra-Hilburn","year":"2016","journal-title":"Case Rep Rheumatol"},{"key":"R9-20261012","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.mmcr.2022.10.002","article-title":"Olecranon bursitis caused by Scedosporium apiospermum in a patient treated with CAR-T cells","volume":"38","author":"Falkenburg","year":"2022","journal-title":"Med Mycol Case Rep"},{"key":"R10-20261012","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s11046-017-0211-z","article-title":"Fungal olecranon bursitis in an immunocompetent patient by Knoxdaviesia dimorphospora sp. nov.: Case report and review","volume":"183","author":"Guevara-Suarez","year":"2018","journal-title":"Mycopathologia"}],"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_436_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:01:30Z","timestamp":1791810090000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_436_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":10,"journal-issue":{"issue":"Suppl 3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aam.aam_436_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]},"assertion":[{"value":"2026-04-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}