Mycobacterium chelonae and Mycobacterium fortuitum infection following open fracture: a case report and review of the literature

Indian Journal of Medical Microbiology
K Kwan, S T Ho

Abstract

We report a case of dual nontuberculous mycobacterial infections complicating an open distal radius and ulna fracture after polytrauma in a 35-year-old man. There was persistent wound discharge after definitive fixation of this fracture, but microbiological cultures did not yield any organism. The patient underwent multiple debridement, and subsequent tissue grew Mycobacterium chelonae and Mycobacterium fortuitum. Despite appropriate chemotherapy and surgical debridement the infection persisted until radical bone excision and tissue debridement were done. This case indicates that nontuberculous mycobacterial infections should be considered when conventional microbiological assays fail to identify the infecting agent in suspected osteomyelitis following open fracture. A combination of radical debridement, including removal of infected bone, and prolonged antimicrobial therapy are required to eradicate the infection completely.

References

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Citations

Oct 7, 2014·Indian Journal of Dermatology·Swapna A MaliRajesh Sharma
Apr 29, 2015·Infectious Diseases·Sheng BiJi-Fang Sheng
Dec 14, 2011·Médecine et maladies infectieuses·R BredaS Rigal
Dec 14, 2017·Case Reports in Ophthalmological Medicine·Jaime D MartinezLeejee H Suh
Feb 22, 2017·Journal of Orthopaedic Surgery·Christian FangFrankie Leung
Nov 29, 2011·Indian Journal of Medical Microbiology·R Set, J Shastri

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