Cases reported "Mycobacterium Infections"

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11/16. Chronic tenosynovial hand infection from Mycobacterium terrae.

    A 23-year-old healthy man suffered a puncture wound from the fin of a catfish. Chronic tenosynovitis subsequently developed. Synovectomy was performed and cultures yielded Mycobacterium terrae. This organism, usually considered nonpathogenic, has only rarely been associated with human disease. This case further supports the role of this organism as a potential human pathogen and further suggests that M terrae should be considered in aquatic-associated hand tenosynovitis.
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keywords = wound
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12/16. meningitis caused by mycobacterium fortuitum.

    A previously healthy 16-yr-old Caucasian male developed a relapsing purulent meningitis shortly after a motor accident in venezuela, in which he received a small wound with a retained foreign body in the sacral region. Repeated initial physical examinations, radiographs of lumbar and sacral regions, and contrast myelography failed to demonstrate a cerebrospinal fluid leak or bone involvement, and mycobacterium fortuitum was repeatedly isolated from the cerebrospinal fluid. Finally, from the originally "cured" lumbar wound a purulent material was obtained from which M. fortuitum was also isolated. A retained foreign body was removed, and an abscess and fistulous tract were incised and drained. The patient responded dramatically to the combination of isoniazid plus co-trimoxazole and surgery.
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keywords = wound
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13/16. Problems in diagnosis and therapy of mycobacterium fortuitum infections.

    mycobacterium fortuitum was isolated 11 times from 8 patients during a 6-year period. Six of the isolates were from sputum; one was from aspiration of a lymph node, and 4 were from wound cultures. The isolation from sputum was believed not to be associated with pulmonary infection in all 6 instances. The difficulty in diagnosis and therapy of infections with mycobacterium fortuitum is illustrated by these cases and by others from the literature. amikacin and doxycycline may offer some therapeutic benefit for patients with mycobacterium fortuitum infections.
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keywords = wound
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14/16. Atypical mycobacteria periprosthetic infections--diagnosis and treatment.

    The presence of atypical mycobacteria has been reported in increasing numbers following augmentation mammaplasty in the united states. Prior to this work, there was no effective method for obtaining a satisfactory result with a retained prosthesis in a reasonable length of time. Early detection and prompt institution of this newly developed protocol of local and systemic antibiotic therapy, followed by surgical curettage and wound sterilization, have been successful in these three cases. This method has enabled patients to obtain a short course of therapy (in the most recent cases, less than 1 month) and a satisfactory aesthetic result. In spite of exhaustive efforts to pinpoint the etiology of the infection, the exact way in which the infecting agent has its entrance--whether by contaminated material or airborne--is as yet unknown. It is apparent from the patients treated that these remain as isolated infections, without systemic manifestations. Follow-up on these patients is in excess of 1 year, with soft, normal-appearing, Baker Class I breasts. With variations in the drugs utilized, this method is currently being expanded to treat other types of periprosthetic breast infections satisfactorily.
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keywords = wound
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15/16. mycobacterium fortuitum infections: a review with two illustrative cases.

    Two outbreaks of postoperative wound infections by organisms of the mycobacterium fortuitum complex have focused attention on this notoriously drug resistant organism. In this report 2 cases are presented which developed infections with this organism, one of which responded to systemic antimicrobials despite discouraging in vitro sensitivities. Surgical debridement must remain the choice of treatment; however, systemic antibiotics may prove effective in some cases.
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ranking = 210.5354978865
keywords = wound infection, wound
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16/16. Experience with atypical mycobacterial infection in the deep structures of the hand.

    Two new cases of atypical mycobacterium infections of the deep structures are reported. With two reported previously by the authors and a review of 24 others recorded by others, the symptoms and signs are reviewed. Typically it occurs in the middle-aged person, some of whom give a history of a puncture wound within 6 weeks of onset of symptoms. Synovium in the finger is involved commonly and a carpal tunnel syndrome may be the result of involvement of the bursae. fever does not occur and no systemic signs are present. biopsy and cultures are essential for diagnosis, but a presumptive diagnosis indicates that, after synovectomy, treatment should be started with antituberculous drugs, isoniazid with ethambutol, rifampin, or both and continued for 18 to 24 months, unless in vitro sensitivity tests indicate a change of medication. The usual organisms are M. kansasii, M. marinum, M. intracellulare, and M. avium.
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ranking = 1
keywords = wound
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