Nagao Miki, Sonobe Makoto, Bando Toru, Saito Takashi, Shirano Michinori, Matsushima Aki, Fujihara Naoko, Takakura Shunji, Iinuma Yoshitsugu, Ichiyama Satoshi
Department of Infection Control and Prevention, Kyoto University Hospital, Shogoin Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, Japan.
Int J Infect Dis. 2009 Mar;13(2):209-11. doi: 10.1016/j.ijid.2008.06.018. Epub 2008 Oct 9.
Mycobacterium peregrinum is a species included in the Mycobacterium fortuitum complex, a member of the group of rapidly growing non-tuberculous mycobacteria (RGM). Only a few cases of infection with M. peregrinum have been reported, and no relevant review has been published.
Following the treatment of a patient with M. peregrinum infection after plastic surgery, we undertook a review of the literature of previously reported cases of M. peregrinum infection.
Ten previously reported cases were identified. Like other cases of the M. fortuitum complex infections, the majority of M. peregrinum infections were related to surgical site infections and catheter-related infections. In the literature, most of the antibiotic regimens were based on a combination of quinolones with various antibiotics, and the duration of treatment ranged from 6 weeks to 4 months.
The fact that the optimal treatment for M. peregrinum infection has not yet been established has resulted in the use of a diverse range of therapies. It is important that clinicians carefully review each case so that a more appropriate treatment for M. peregrinum infections can be determined.
偶发分枝杆菌是偶然分枝杆菌复合群中的一个菌种，属于快速生长的非结核分枝杆菌（RGM）组。仅报告了少数偶发分枝杆菌感染病例，且尚无相关综述发表。
在一名整形外科手术后感染偶发分枝杆菌的患者接受治疗后，我们对先前报道的偶发分枝杆菌感染病例的文献进行了综述。
共确定了10例先前报道的病例。与偶然分枝杆菌复合群感染的其他病例一样，大多数偶发分枝杆菌感染与手术部位感染和导管相关感染有关。在文献中，大多数抗生素治疗方案是基于喹诺酮类与各种抗生素的联合使用，治疗持续时间为6周至4个月。
尚未确定偶发分枝杆菌感染的最佳治疗方法，这导致了多种治疗方法的使用。临床医生仔细审查每个病例很重要，以便确定更合适的偶发分枝杆菌感染治疗方法。
