A 40-yr-old man with chronic olecranon bursitis caused by Mycobacterium gordonae, a rare cause of human infection, was treated with antimicrobial therapy with an excellent response. Successful treatment for reported cases of synovial and bursal infection caused by atypical mycobacteria has usually involved a combined approach with surgical resection followed by chemotherapy. Patients with infection confined to a bursa, and from whom an organism has been isolated to permit definitive susceptibility testing, may be treated with antimicrobials alone and observed for clinical response.
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Lorber et al. (1983) studied this question.