Open AccessScleral Buckle Infection Caused by Mycobacterium chelonae: A Case Report
Author(s) -
Mami Kusaka,
Yu Kagitani,
Sachiyo Hama,
Mihori Kita
Publication year - 2021
Publication title -
international medical case reports journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.198
H-Index - 11
ISSN - 1179-142X
DOI - 10.2147/imcrj.s294627
Subject(s) - mycobacterium chelonae , scleral buckle , buckle , medicine , meropenem , retinal detachment , surgery , nontuberculous mycobacteria , antibiotics , ophthalmology , microbiology and biotechnology , mycobacterium , biology , retinal , scleral buckling , pathology , antibiotic resistance , materials science , tuberculosis , composite material
A 63-year-old female with a history of retinal detachment repair with scleral buckle from 28 years prior presented with exposure of the buckle in her right eye. After removing the buckle and anchoring sutures, the operation field was washed with 0.25% polyvinyl alcohol-iodine, vancomycin, and ceftazidime. Cultures revealed Mycobacterium chelonae . Systemic meropenem was discontinued on postoperative day 5. The retina remained attached, and there was no recurrence over a 1-year follow-up. We report a case of NTM buckle infection that responded well to thorough washings with polyvinyl alcohol-iodine and antibiotic solutions instead of using a prolonged course of systemic antibiotics.