Mycobacterium fortuitum infection of the sternum. Review of the literature and case illustration

Archives of Surgery
L E SamuelsS K Brockman

Abstract

Sternal wound infection with atypical mycobacteria following open heart surgery is a rare occurrence. Previous reports have described infection by Mycobacterium fortuitum, an acid-fast bacillus and member of a larger family of rapidly growing mycobacteria. The source and mode of transmission have not been identified. Surgical debridement and the combination of aminoglycosides and quinolones have been shown to be effective methods of treatment. More recently, clarithromycin has been shown to be the drug of choice against rapidly growing mycobacteria. We describe a 49-year-old woman who underwent infundibular stenosis repair and in whom M fortuitum sternal osteomyelitis developed. Total sternectomy, muscle flap reconstruction, and antibiotic treatment successfully eradicated the infection.

Citations

Aug 19, 2004·ANZ Journal of Surgery·John C MuthusamiS R Banerjee Jesudason
Jun 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Ronald A Lehman, Suken A Shah
Jan 20, 2007·Surgical Infections·Mark S Rasnake, David P Dooley
Aug 15, 2013·Journal of Cardiac Surgery·Shinya UnaiHitoshi Hirose
May 20, 2006·Scandinavian Journal of Infectious Diseases·Björn Petrini
Oct 1, 2010·Journal of Bronchology & Interventional Pulmonology·Elif KupeliFusun Oner Eyuboglu
Apr 23, 2013·Case Reports in Infectious Diseases·Roland TalanowReimer Andresen
Nov 24, 1999·International Journal of Dermatology·I C ValenciaF A Kerdel
Jan 24, 2020·Sudanese Journal of Paediatrics·Reema GuptaTanvi Khanna

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