Open AccessMycobacterium abscessus subsp. massiliense infection secondary to traumatic anterior cruciate ligament reconstruction surgery
Author(s) -
Christopher P. Emerson,
Hogan Brecount,
Daniel Quintero,
Dylan N. Greif,
Jean Jose,
Lee D. Kaplan
Publication year - 2021
Publication title -
brazilian journal of case reports
Language(s) - English
Resource type - Journals
ISSN - 2763-583X
DOI - 10.52600/2763-583x.bjcr.2021.1.4.22-30
Subject(s) - mycobacterium abscessus , medicine , azithromycin , amikacin , mycobacterium fortuitum , surgery , septic arthritis , imipenem , clofazimine , antibiotics , mycobacterium , clarithromycin , arthritis , tuberculosis , dermatology , microbiology and biotechnology , pathology , antibiotic resistance , biology , leprosy , helicobacter pylori
Non-tuberculous Mycobacterium (NTM) infections following knee surgery are rarely reported in the literature. One month after arthroscopic lysis of adhesions from anterior cruciate ligament (ACL) reconstruction, a 67-year-old male patient presented with symptoms suggesting septic arthritis. Empiric antibiotics were initiated. Intraoperative cultures were positive for Mycobacterium abscessus. Organism-specific antimicrobial therapy with azithromycin, amikacin, and imipenem were started. Four months later the patient was switched to oral outpatient treatment with azithromycin, clofazimine and bedaquiline. Mycobacterium infections following ACL reconstruction are exceedingly rare in the United States. Successful management of Mycobacterium abscessus infection is exceptionally challenging for both orthopedists and infection disease specialists.