This article discusses two cases of Mycobacterium haemophilum related myelitis in individuals from the same town in Missouri. Both patients presented with neurological symptoms and had spinal cord lesions. The diagnosis was confirmed through spinal cord biopsy and immunohistochemistry testing. Treatment with antibiotics resulted in clinical stability and imaging improvement. The article highlights the challenges in diagnosing and confirming Mycobacterium haemophilum infections and emphasizes the importance of considering specific culture techniques and molecular testing. The authors also suggest that environmental exposure and subclinical immunosuppression may have contributed to the development of the infection in these cases. [Extracted from the article]