Post operative <i>Mycobacterium fortuitum infection</i> following laparoscopic inguinal hernia repair: A case report

Kusum Sharma; Suma Appannanavar; Meera Sharma

doi:10.5005/jogi-2-1-62

SEARCH WITHIN CONTENT

Online First

Post operative Mycobacterium fortuitum infection following laparoscopic inguinal hernia repair: A case report

Kusum Sharma, Suma Appannanavar, Meera Sharma

Keywords : Inguinal hernia. Mycobacterium fortuitum, PCR, Post laparoscopic

Citation Information : Sharma K, Appannanavar S, Sharma M. Post operative Mycobacterium fortuitum infection following laparoscopic inguinal hernia repair: A case report. J Gastrointest Infect 2012; 2 (1):62-64.

DOI: 10.5005/jogi-2-1-62

License: CC BY-SA 4.0

Published Online: 01-09-2015

ARTICLE
REFERENCES

Abstract

Rapidly growing mycobacteria (RGM) are ubiquitous in nature and are associated with opportunistic nosocomial infections requiring prolonged and multiple antibiotics. Here we report a PCR confirmed case of M. fortuitum complex infection in a post laproscopic inguinal hernia repair using prolene mesh. To the best of our knowledge we have for the first time evaluated the role of PCR using specific primers for the diagnosis of M. fortuitum complex both fromclinical samples and fromculture isolate. A 62 year old physician developed low grade fever and pain over the right iliac fossa after an inguinal hernia repair. Mycobacteriological investigation revealed M. fortuitum infection. Subsequently using specific primer, M. fortuitum complex DNAwas demonstrated both in clinical sample and culture isolate. Patient was startedwith clarithromycin, doxycycline and streptomycin. Thus, PCR is a promising tool for the rapid diagnosis of difficult to treat infections caused by M. fortuitum complex.

PDF Share

Verghese S, Madhusudhan B, Senthil MS, Thabitha C, Leelavathy S, Padmaja P, et al. Chronic postoperativewound infection caused by Myocobacterium fortuitum complex. J Commun Dis. 2007; 39(4):257-9.
De Groote MA, Huiitt G. infection due to rapidly growing mycobacteria. Clin infect Dis. 2006; 42(2):1756.
Kee SJ, Kim SM, Kim SH, Shin MG, Shin JH, Suh SP, et al. Multiplex PCR Assay for Identification of Mycobacterial. Chonnam Med J. 2009; 45:19-26.
Gayathri Devi DR, Sridaran D, Indumati VA, Babu PRS, Belwady SMR, Swamy ACV. Isolation of Mycobacterium chelonae from wound infection following Laparscopy: A case report. Ind J Tuber. 2004; 51:149-51.
Verghese S, Mullaseri A, Padmaja P, Subhadra AC, Cherian KM. Pacemaker implant site infection caused by atypical mycobacteria. Indian Heart J. 1998; 50(2):201-2.
Celdran A, Esteban J, Manas J, Granizo JJ. Wound infections due to Mycobacterium fortuitum after polypropylene mesh inguinal hernia repair. J Hosp Infect. 2007; 66(4):374-7.
Vijayaraghavan R, Chandrashekhar R, Sujatha Y, Belagavi CS. Hospital outbreak of atypical mycobacterial infection of port sites after laparoscopic surgery. J Hosp Infect. 2006; 64(4):344-7.

PDF Share