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Published on: September 9, 2015
Retroperitoneal abscess caused by Mycobacterium chelonae and treatment
1Department of Pharmaceutical Services, Mercy Hospital and Medical Center, Chicago, IL 60616.
Objective:
To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment.
Design:
Case report.
Setting:
Private community teaching hospital.
Patients:
A patient was admitted to the hospital following a gunshot to the flank. The bullet passed through the iliac crest and lodged in the abdomen.
Intervention:
The patient was treated with cefazolin, trimethoprim/sulfamethoxazole, and amikacin at different times.
Outcome:
The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free.
Conclusions:
Antimicrobial agents with in vitro activity against M. chelonae, especially amikacin-containing regimens, are recommended for treating M. chelonae infection.
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