Nontuberculous Mycobacterial Infections After Silicone Breast Implant Reconstruction Emphasize a Diversity of Infecting Mycobacteria
Author(s) -
Fabián Andrés Rosas Romero,
Eleanor A. Powell,
N. Esther Babady,
Anna Kaltsas,
Cesar J. Figueroa,
Melissa Pulitzer,
Babak J. Mehrara,
Michael S. Glickman,
Sejal Morjaria
Publication year - 2017
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofx189
Subject(s) - nontuberculous mycobacteria , medicine , mycobacterium infections , mycobacterium , mycobacterium abscessus , mycobacterium avium complex , microbiology and biotechnology , silicone , tuberculosis , pathology , immunology , biology , chemistry , organic chemistry
Postsurgical skin and soft tissue infections (SSTIs) caused by nontuberculous mycobacteria (NTM) are uncommon, indolent, difficult to treat, and often mimic pyogenic bacterial infections. Here we present 3 cases of NTM infections following placement of silicone implants for reconstructive breast surgery. These cases emphasize the importance of a high index of suspicion for NTM in patients with SSI after a prosthetic reconstruction refractory to conventional antibiotic therapy and the importance of early investigation with mycobacterial-specific diagnostics.
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