A Persistent Problem: Mycobacterium abscessus Infection of an Orthopedic Device after Trauma.
Tyler H Doty, William N Bennett, Andrew C Wyatt
✦ AI-curated · Sources linked
Case in brief
A patient with a forearm fracture from a motor vehicle accident developed a delayed Mycobacterium abscessus infection at the iliac crest bone graft donor site six weeks post-surgery. Diagnosis was confirmed through further investigation, leading to multiple surgeries, including hardware removal, and a tailored antibiotic regimen. The patient was ultimately cleared of the infection, highlighting the complexity of managing such cases.
What made this case unusual
The case illustrates a rare occurrence of Mycobacterium abscessus infection associated with orthopedic hardware, emphasizing the challenges posed by delayed presentation and multidrug resistance.
Diagnostic / clinical pearl
Clinicians should consider Mycobacterium abscessus in cases of delayed surgical site infections, especially in trauma patients, and be prepared for aggressive surgical and antibiotic management.
Why it matters
This case underscores the need for further research into the management of rapid-growing nontuberculous mycobacterial infections in both civilian and military trauma settings.