Post Cesarean Surgical Site Infection With Mycobacterium Abscessus Sp. Massiliense
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Abstract
Objective: Surgical site infections (SSIs) owing to nontuberculous Mycobacteria (NTM) have emerged as an important cause of hospital-acquired SSI leading to great morbidity and mortality. Among NTM, Mycobacterium abscessus is reported in these sites. Epidemiology and transmission of M. abscessus in humans is noticing crux changes.
Case report: We hereby describe a case of SSI after lower segment cesarean section (LSCS), presenting as a skin and soft tissue infection (SSTI) owing to a NTM.
Conclusion: Clinicians should be aware of the possibility of infections caused by M. abscessus in patients who develop SSIs, particularly if they do not respond to conventional first-line antimicrobial therapy.
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13. Baker AW, Lewis SS, Alexander BD, Chen LF, Wallace RJ Jr, Brown-Elliott BA, et al. Two-Phase Hospital-Associated Outbreak of Mycobacterium abscessus: Investigation and Mitigation. Clin Infect Dis 2017; 64: 902-11.
14. Ringuet H, Akoua-Koffi C, Honore S, Varnerot A, Vincent V, Berche P, et al. hsp65 sequencing for identification of rapidly growing mycobacteria. J Clin Microbiol 1999; 37: 852-7.
15. Koh WJ, Jeon K, Lee NY, Kim BJ, Kook YH, Lee SH, et al. Clinical significance of differentiation of Mycobacterium massiliense from Mycobacterium abscessus. Am J Respir Crit Care Med 2011; 183: 405-10.
2. Apurba SS, Deepashree R. Essentials of Hospital Infection Control. 1st ed. New Delhi, India: Jaypee Brothers Medical, 2019.
3. Prevots DR, Marras TK. Epidemiology of human pulmonary infection with nontuberculous mycobacteria: a review. Clin Chest Med 2015; 36: 13-34.
4. Ryan K, Byrd TF. Mycobacterium abscessus: Shapeshifter of the Mycobacterial World. Front Microbiol 2018; 9: 2642.
5. Gupta S, Manchanda V, Sachdev P, Kumar Saini R, Joy M. Study of incidence and risk factors of surgical site infections in lower segment caesarean section cases of tertiary care hospital of north India. Indian J Med Microbiol 2021; 39: 1-5.
6. Tsao SM, Liu KS, Liao HH, Huang TL, Shen GH, Tsao TC, et al. The clinical management of cesarean section-acquired Mycobacterium abscessus surgical site infections. J Infect Dev Ctries 2014; 8: 184-92.
7. Lai CC, Tan CK, Chou CH, Hsu HL, Liao CH, Huang YT, et al. Increasing incidence of non tuberculous mycobacteria, Taiwan, 2000-2008. Emerg Infect Dis 2010; 16: 294 6.
8. Wu TS, Yang CH, Brown-Elliott BA, Chao AS, Leu HS, Wu TL, et al. Postcesarean section wound infection caused by Mycobacterium massiliense. J Microbiol Immunol Infect 2016; 49: 955-61.
9. Adekambi T, Sassi M, van Ingen J, Drancourt M. Reinstating Mycobacterium massiliense and Mycobacterium bolletii as species of the Mycobacterium abscessus complex. Int J Syst Evol Microbiol 2017; 67: 2726-30.
10. Sasikumar C, Desai U, Joshi JM. Post-lower segment cesarean section wound infection with Mycobacterium abscessus. Indian J Dermatol Venereol Leprol 2017; 83: 349-350.
11. Shree R, Park SY, Beigi RH, Dunn SL, Krans EE. Surgical Site Infection following Cesarean Delivery: Patient, Provider and Procedure-Specific Risk Factors. Am J Perinatol 2016; 33: 157-64.
12. Jonsson BE, Gilljam M, Lindblad A, Ridell M, Wold AE, Welinder-Olsson C. Molecular epidemiology of Mycobacterium abscessus, with focus on cystic fibrosis. J Clin Microbiol 2007; 45: 1497-504.
13. Baker AW, Lewis SS, Alexander BD, Chen LF, Wallace RJ Jr, Brown-Elliott BA, et al. Two-Phase Hospital-Associated Outbreak of Mycobacterium abscessus: Investigation and Mitigation. Clin Infect Dis 2017; 64: 902-11.
14. Ringuet H, Akoua-Koffi C, Honore S, Varnerot A, Vincent V, Berche P, et al. hsp65 sequencing for identification of rapidly growing mycobacteria. J Clin Microbiol 1999; 37: 852-7.
15. Koh WJ, Jeon K, Lee NY, Kim BJ, Kook YH, Lee SH, et al. Clinical significance of differentiation of Mycobacterium massiliense from Mycobacterium abscessus. Am J Respir Crit Care Med 2011; 183: 405-10.
| Files | ||
| Issue | Vol 16, No 2 (June 2022) | |
| Section | Case Reports | |
| DOI | https://doi.org/10.18502/jfrh.v16i2.9486 | |
| Keywords | ||
| Surgical Wound Infection Nontuberculous Mycobacteria Mycobacterium Abscessus Heat-Shock Protein 65 | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Nagpal R, Vanam H, Dhingra H, Banswada R. Post Cesarean Surgical Site Infection With Mycobacterium Abscessus Sp. Massiliense. J Family Reprod Health. 2022;16(2):155-160.
