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Mycotic aneurysm and disseminated Mycobacterium avium-intracellulare infection in a patient with hairy cell leukemia.

HAIRY CELL LEUKEMIA is a lymphoproliferative disorder characterized by pancytopenia, an indolent course, and susceptibility to infections normally controlled by the cellmediated immune system. Infection by nontuberculous mycobacteria occurs in 5% of patients with hairy cell leukemia and is frequently disseminated with a fatal outcome. I In this report, we describe a patient with hairy cell leukemia whose disseminated Mycobacterium avium-intracellulare infection had a unique site of symptomatic involvement, the popliteal artery, that resulted in a mycotic aneurysm.