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Nontuberculous mycobacteria (NTM) are, by definition, mycobacteria unrelated to the Mycobacterium tuberculosis complex and Mycobacterium leprae. NTM are an ineluctable part of the natural environment. Isolates of NTM have been recovered from soil, surface and tap water, animals and even food products [1],[2]. More than 170 species of NTM have been described in the literature [3]. The Mycobacterium terrae complex (MTC) is a group of environmental mycobacteria most commonly implicated as causative agents in bone and joint infections arising from direct environmental inoculation injuries [4]. Prior to the introduction of more sophisticated means of species identification, the MTC was initially identified phenotypically and comprised of non-chromogenic, slowly-growing species–M. terrae, and M. nonchromogenicum [5]. The advent of gene sequencing leads to further delineation and new species recognition …