Misra Richa, Jain Vidhi, Tejan Nidhi, Negi Aarti, Umrao Jyoti, Dhole Tapan Nirodhechand
Department of Microbiology, Division of Mycobacteriology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Lab Med. 2017 Aug 1;48(3):e36-e41. doi: 10.1093/labmed/lmx025.
M. abscessus complex is notoriously resistant to most antimicrobial agents. The complex is differentiated into 3 subspecies: M. abscessus subsp. abscessus, M. abscessus subsp. massiliense, and M. abscessus subsp. bolletii. Skin and soft tissue infections due to this organism can be acquired by direct contact with contaminated material through traumatic injury, surgical wound and environmental exposure or by secondary involvement of skin/soft tissue during disseminated disease. We report a case of Mycobacterium abscessus infection recovered from a post-operative mid-line abdominal wound to illustrate the diagnostic and management difficulties encountered in such patients.
脓肿分枝杆菌复合群对大多数抗菌药物具有众所周知的耐药性。该复合群可分为3个亚种：脓肿分枝杆菌脓肿亚种、脓肿分枝杆菌马赛亚种和脓肿分枝杆菌博列蒂亚种。由该病原体引起的皮肤和软组织感染可通过创伤、手术伤口和环境暴露直接接触受污染物质而获得，或在播散性疾病期间通过皮肤/软组织的继发性累及而获得。我们报告1例从腹部正中术后伤口分离出脓肿分枝杆菌感染的病例，以说明此类患者遇到的诊断和管理困难。
