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Mycobacterium fortuitum Infection at Umbilical Hernioplasty Site OD01-OD02

机译:脐疝成形术部位OD01-OD02的分枝杆菌感染

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Non Tuberculous Mycobacteria (NTM) are a group of rapidly growing mycobacteria and are generally considered to be of low virulence. Of late, there has been an increase in incidence of infections due to these organisms. Among them, Mycobacterium fortuitum, M. chelonae and M. abscessus are the common species which have been identified. Though they are occasionally implicated in pulmonary infections, NTM are very commonly associated with cutaneous infections, especially surgical site infections. Identification of NTM infection at such sites should be suspected when there is delayed healing of the wound. Histopathological Examination (HPE) of the wound site may reveal a classical picture of granulomas, epithelioid cells and giant cells which may lead to a suspicion of tuberculosis. It is important to perform mycobacterial culture and sensitivity testing of the wound tissue as this helps to differentiate tuberculous and non tuberculous infections. Here, we present a case of a patient who underwent mesh hernioplasty for umbilical hernia and was diagnosed with M. fortuitum infection at the site of umbilical hernioplasty.
机译:非结核分枝杆菌(NTM)是一组快速生长的分枝杆菌,通常被认为是低毒力的。最近,由于这些生物引起的感染发生率增加。其中,Fortuitum分枝杆菌,M。chelonae和脓肿M.脓肿是已被鉴定的常见物种。尽管NTM偶尔涉及肺部感染,但NTM通常与皮肤感染(尤其是手术部位感染)相关。当伤口愈合延迟时,应怀疑在此类部位发现了NTM感染。伤口部位的组织病理学检查(HPE)可能显示肉芽肿,上皮样细胞和巨细胞的经典图像,这可能会导致怀疑结核病。对伤口组织进行分枝杆菌培养和敏感性测试非常重要,因为这有助于区分结核和非结核感染。在这里,我们介绍了一例接受脐疝网状疝修补术并在脐疝修补术部位被诊断为Fortuitum感染的患者。

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