“…Numerous reports of SSI caused by nontuberculous Mycobacterial species exist in the literature, most often associated with implant reconstruction. [20, 41, 44, 63, 91, 92] In addition, the proportion of Gram negative bacilli isolated from wound cultures in women with SSI after mastectomy is much higher than would be expected from breast specimens, ranging up to 50% in some studies. [13, 20, 44, 59, 60, 77, 82, 93–96] The presence of nontuberculous Mycobacteria and in particular antibiotic resistant Gram negative bacilli in infected wounds complicates treatment, since empiric therapy of breast surgical wounds does not usually include antibiotics active against these bacteria.…”