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Polypropylene Mesh Infection From Surgical Site Infections Caused by Mycobacterium fortuitum
Kota Tsuchiya1, Nao Hayashi2, Goh Ohji3
1Department of Plastic Surgery, Seirei Mikatahara General Hospital, Hamamatsu, JPN.
Abstract:
This report highlights two cases of surgical site infections (SSIs) caused by Mycobacterium fortuitum (Mf) following abdominal mesh implantation. The first case involved an 83-year-old male experiencing non-healing erythema and wounds post-operation, which persisted despite multiple treatments, until effective management was achieved with targeted antibiotics after Mf identification. The second case concerned a female patient with a gynecological postoperative hernia, where Mf was quickly detected following SSI onset three weeks after surgery. Prompt mesh removal and appropriate antibiotic treatment led to a rapid and full recovery. These cases emphasize the importance of early detection and intervention in managing Mf infections effectively, illustrating how the timing of diagnosis can significantly influence treatment outcomes.
Insights
Surgical site infections from Mycobacterium fortuitum (Mf) after abdominal mesh implantation are highlighted. Early detection and targeted antibiotics are crucial for effective treatment and patient recovery.
Area of Science:
- Infectious Diseases
- Surgical Infections
- Microbiology
Background:
- Abdominal mesh implantation is a common surgical procedure.
- Surgical site infections (SSIs) can complicate mesh implantation.
- Mycobacterium fortuitum (Mf) is an atypical bacterium that can cause infections.
Observation:
- Two cases of SSIs caused by Mf following abdominal mesh implantation are presented.
- Case 1: An 83-year-old male with persistent non-healing wounds post-operation.
- Case 2: A female patient with a gynecological hernia and delayed Mf detection.
Findings:
- Mf identification was key to successful treatment in both cases.
- Targeted antibiotics and, in one case, mesh removal led to recovery.
- Delayed diagnosis in Case 1 prolonged treatment, while prompt intervention in Case 2 ensured rapid recovery.
Implications:
- Highlights the importance of considering Mf in refractory SSIs after mesh surgery.
- Emphasizes the critical role of timely diagnosis and appropriate antimicrobial therapy.
- Suggests that prompt intervention, including potential mesh removal, improves patient outcomes.
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