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Area of Science:

  • Orthopedic Surgery
  • Infectious Diseases
  • Microbiology

Background:

  • Surgical site infections (SSIs) are common in orthopedic trauma.
  • Delayed presentation and multidrug resistance complicate SSI treatment.
  • Mycobacterium abscessus is a rare cause of orthopedic hardware infections.

Purpose of the Study:

  • To report a case of delayed Mycobacterium abscessus orthopedic hardware infection.
  • To discuss the successful management of this rare infection.
  • To highlight implications for trauma and battlefield infections.

Main Methods:

  • Case report of a patient with a forearm fracture and subsequent M. abscessus infection.
  • Diagnosis confirmed by identifying M. abscessus from infected sites.
  • Treatment involved surgical hardware removal and multi-drug antibiotic therapy.

Main Results:

  • Successful eradication of M. abscessus infection after extensive surgical intervention and combination antibiotic therapy.
  • Patient achieved medical clearance following treatment.
  • Demonstrated effective multi-disciplinary management approach.

Conclusions:

  • Rapid-growing nontuberculous mycobacterium (RGNTM) infections in trauma patients require thorough investigation.
  • Aggressive surgical debridement and tailored antibiotic regimens are crucial for successful outcomes.
  • This case informs management of complex civilian and military trauma-related infections.