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Background   Mycobacterium marseillense  is a new species of the  Mycobacterium avium  complex. There has been only a few human infections caused by  M. marseillense  worldwide.    Case presentation  We report a case of tenosynovitis caused by  M. marseillense  in an immunocompetent adult in Japan. The isolate was initially identified as  M. intracellulare  using commercial real time polymerase chain reaction assays and later identified as  M. marseillense  with sequencing of the the  rpoB  and  hsp65  regions, and matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDI-TOF MS).    Conclusions  This is the first case reporting on  M. marseillense  generating a positive result with commercial real time PCR assays targeting MAC. Human infections associated by  M. marseillense  might be underreported due to similarities with  Mycobacterium intracellulare . To accurately identify  M. marseillese , MALDI-TOF MS might provide a rapid and reliable method.

Tenosynovitis caused by Mycobacterium marseillense, initially identified as Mycobacterium avium complex using AccuProbe and COBAS TaqMan