Kotseos Chandler Q, Seifert Michael K
UNC Orthopaedics, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, USA.
Cureus. 2025 Jul 11;17(7):e87745. doi: 10.7759/cureus.87745. eCollection 2025 Jul.
A 63-year-old female presented with acute, atraumatic posterior elbow pain. She was found to have infectious olecranon bursitis with resistant bacteria. Her treatment was complicated by a penicillin allergy, necessitating the use of linezolid, which was further complicated by the rare black hairy tongue (BHT) side effect of linezolid. Despite the visible discoloration and associated pain from BHT, the patient continued linezolid to treat her bursal infection. She recovered from the bursitis and linezolid side effects after completion, supporting that immediate withdrawal is not necessary for the resolution of BHT but should be part of shared decision-making to avoid early discontinuation of the antimicrobial.
一名63岁女性出现急性、无创伤性肘部后侧疼痛。她被诊断为感染性鹰嘴滑囊炎，感染的是耐药菌。由于她对青霉素过敏，治疗变得复杂，因此需要使用利奈唑胺，而利奈唑胺罕见的黑毛舌（BHT）副作用又使情况进一步复杂化。尽管BHT导致了可见的色素沉着和相关疼痛，但患者仍继续使用利奈唑胺来治疗滑囊感染。完成治疗后，她的滑囊炎和利奈唑胺副作用均已康复，这表明BHT的消退并不一定需要立即停药，但应作为共同决策的一部分，以避免过早停用抗菌药物。
