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This case report demonstrates the MRI findings of atypical tuberculosis (TB) of the knee joint, caused by Mycobacterium kansasii. Osteoarticular TB caused by atypical mycobacteria is rare; instead, it is predominantly a synovial disease affecting the tendon sheaths rather than bone. Predisposing factors are immunocompromised individuals, including the elderly, alcoholics, those with HIV, diabetes mellitus, malnutrition and other chronic debilitating illnesses, and local factors, such asdoi:10.4102/sajr.v10i4.155 fatcat:q2nsfte4gvhh3n6pjemixcfobe