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Related Experiment Videos

[Postoperative infection with Mycobacterium chelonae]

E Engelhardt1, R Feldmann, A Skaria

  • 1Clinique et Policlinique de Dermatologie, Hôpital Cantonal Universitaire de Genève.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|November 1, 1996
PubMed
Summary

A rare Mycobacterium chelonae infection occurred at a vein graft site after heart surgery. Prompt treatment with Clarithromycin and heat therapy led to complete healing in two months.

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Area of Science:

  • Infectious Diseases
  • Cardiovascular Surgery
  • Microbiology

Background:

  • Atypical mycobacteria, such as Mycobacterium chelonae, can cause infections following surgical procedures.
  • Infection of a donor vein graft site is an uncommon complication after cardiac bypass surgery.
  • Mycobacterium chelonae's fastidious growth requirements can lead to misdiagnosis as a wound healing disorder.

Observation:

  • A 70-year-old patient presented with fibrinous, necrotic ulcerations at a donor vein graft site post-cardiac bypass.
  • The infection was identified as Mycobacterium chelonae, an atypical mycobacterium.
  • The patient's delayed wound healing was initially suspected to be a primary healing issue.

Findings:

  • Complete healing was achieved after a two-month course of Clarithromycin therapy.

Related Experiment Videos

  • Adjunctive local heat therapy was utilized alongside antibiotic treatment.
  • Clarithromycin is identified as the preferred antibiotic for treating Mycobacterium chelonae infections.
  • Implications:

    • Highlights the importance of considering atypical mycobacterial infections in post-surgical wound complications.
    • Emphasizes the effectiveness of Clarithromycin and heat therapy for Mycobacterium chelonae infections.
    • Suggests improved diagnostic approaches for atypical mycobacterial infections in surgical settings.