Mycobacterium fortuitum Infections in Surgical Wounds
| Autor: | KK Lahiri, KK Pannicker, J Jena |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Delayed wound healing Post surgical biology business.industry medicine.drug_class Natural water Antibiotics Surgical wound Case Report General Medicine bacterial infections and mycoses biology.organism_classification Surgery Acid-fast medicine Ziehl–Neelsen stain Mycobacterium fortuitum business |
| Popis: | Non-tuberculous mycobacteria (NTM), which include Mycobacterium fortuitum and M chelonae are rapidly growing mycobacteria, widely distributed in nature having been isolated from natural water, tap water, soil and water used in showers and surgical solutions [1]. They have been the cause of a variety of clinical presentations in cutaneous disease but rarely cause disseminated infections [2]. The source of infection is frequently contamination of the wound, directly or indirectly with contaminated tap water. The most frequently reported infections are post surgical, primary cutaneous and pulmonary [3]. Studies in India have isolated NTM from various sites and procedures viz.skin and soft tissue infections after laparoscopic procedures [4, 5]. We report a series of five cases of post surgical wound infections in immunocompetent individuals over a period of six months, who presented with delayed wound healing, discomfort over site of incision and chronic serous discharge. The detection and identification of the causative agent may be missed unless a direct Ziehl Neelsen (ZN) stain for acid fast bacilli and culture on Lowenstein Jensen (LJ) media is done from all chronic post surgical wound infections, since routine aerobic cultures are sterile and antibiotics for pyogenic infections do not work satisfactorily. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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