Correspondence

A case is reported of a post-traumatic olecranon bursitis caused by Mycobacterium kansasii following an injury sustained in a public swimming pool. It responded to surgical debridement and combined rifampicin, isoniazid, pyrazinamide and ethambutol antimicrobial therapy. A literature search was performed and a treatment regimen for this uncommon condition is suggested. Case report A 59-year-old male with no pre-existing risk factors for tuberculous disease sustained a 2 cm laceration over his right elbow whilst at a public swimming pool. He developed an olecranon bursitis and was given a course of oral flucloxacillin and subsequently had the bursa aspirated and injected with a steroid. When the bursa ruptured he had a formal surgical excision and the specimen was sent for microbiological and histological assessment. Two weeks post-operation it was noted that the wound had not healed and had continued to ooze. Histology of th