Port-site infection with Mycobacterium chelonei following laparoscopic appendicectomy

Area of Science:

• Medical Microbiology
• Surgical Infections

Background:

• Laparoscopic appendicectomy is a common surgical procedure.
• Port-site infections can occur following minimally invasive surgery.
• Mycobacterium chelonei is an atypical mycobacteria known to cause infections.

Observation:

• A 14-year-old female presented with a port-site infection post-laparoscopic appendicectomy.
• The infection was identified as Mycobacterium chelonei.
• Sinus tracts developed at the surgical site.

Findings:

• The patient underwent local exploration and excision of the infected sinuses.
• A six-month course of antibacterial agents was administered.
• The infection resolved completely with no recurrence observed at the two-year follow-up.

Implications:

• This case highlights the possibility of atypical mycobacterial infections after laparoscopic procedures.
• Prompt diagnosis and appropriate treatment, including surgical intervention and prolonged antibiotics, are crucial for managing such infections.
• Surgeons should be aware of rare pathogens like Mycobacterium chelonei in the differential diagnosis of post-operative wound infections.