硅胶乳房植入重建术后的非结核分枝杆菌感染凸显了感染分枝杆菌的多样性。
Nontuberculous Mycobacterial Infections After Silicone Breast Implant Reconstruction Emphasize a Diversity of Infecting Mycobacteria.
作者信息
Romero Fabian A, Powell Eleanor A, Babady N Esther, Kaltsas Anna, Figueroa Cesar J, Pulitzer Melissa, Mehrara Babak J, Glickman Michael S, Morjaria Sejal
机构信息
Infectious Disease Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Clinical Microbiology Service, Department of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
出版信息
Open Forum Infect Dis. 2017 Sep 2;4(4):ofx189. doi: 10.1093/ofid/ofx189. eCollection 2017 Fall.
Postsurgical skin and soft tissue infections (SSTIs) caused by nontuberculous mycobacteria (NTM) are uncommon, indolent, difficult to treat, and often mimic pyogenic bacterial infections. Here we present 3 cases of NTM infections following placement of silicone implants for reconstructive breast surgery. These cases emphasize the importance of a high index of suspicion for NTM in patients with SSI after a prosthetic reconstruction refractory to conventional antibiotic therapy and the importance of early investigation with mycobacterial-specific diagnostics.
由非结核分枝杆菌（NTM）引起的术后皮肤及软组织感染（SSTIs）并不常见，病程缓慢，难以治疗，且常类似化脓性细菌感染。在此，我们报告3例在进行乳房重建手术植入硅胶假体后发生NTM感染的病例。这些病例强调了对于假体重建后发生手术部位感染（SSI）且常规抗生素治疗无效的患者，高度怀疑NTM感染的重要性，以及早期采用针对分枝杆菌的诊断方法进行调查的重要性。
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