Surgical Site Infections Due to Rapidly Growing Mycobacteria in Puducherry, India

Abstract

Background: Rapidly growing Mycobacteria are increasingly recognized, nowadays as an important pathogen that can cause wide range of clinical syndromes in humans. We herein describe unrelated cases of surgical site infection caused by Rapidly growing Mycobacteria (RGM), seen during a period of 12 months. Materials and Methods: Nineteen patients underwent operationsby different surgical teams located in diverse sections of Tamil Nadu, Pondicherry, Karnataka, India. All patients presented with painful, draining subcutaneous nodules at the infection sites. Purulent material specimens were sent to the microbiology laboratory. Gram stain and Ziehl-Neelsen staining methods were used for direct examination. Culture media included blood agar, chocolate agar, MacConkey agar, Sabourauds agar and Lowenstein-Jensen medium for Mycobacteria. Isolated microorganisms were identified and further tested for antimicrobial susceptibility by standard microbiologic procedures.

Management of infections with Mycobacterium other than tuberculosis as a complication of surgical procedures

“…Latest studies reveal that clarithromycin, cefoxitin and imipenem were useful for treating MOTT. [20][21][22] Almost all the patients in our study were cured with a combined approach of drainage and clarithromycin based combination therapy. In hernioplasty patients mesh was removed.…”

Methods of phenotypic identification of non-tuberculous mycobacteria

“…Almost all diseases caused by rapidly growing mycobacteria in humans are due to M. fortuitum, M. chelonae , and M. abscessus [4] . They can affect respiratory tract, skin and soft tissue, causing diseases that include pulmonary infections [5] , [6] , [7] , [8] , and extra-pulmonary infections [6] , [9] , [10] , [11] , including traumatic and surgical wound infections [5] , [12] , [13] , [14] , [15] , [16] , [17] , skin and soft tissue infections [2] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , implant-associated [29] , [30] , and catheter-associated infections [4] , [31] . NTM have even been isolated from hospital cockroaches [32] .…”

Laparoscopic Post-sites Infections by Atypical Mycobacteria

“…Los resultados estéticos y las molestias ocasionadas suscitaron ciertas dificultades en la relación médico paciente, situación lógica y ya mencionada por otros autores (25).…”