Department of Medicine and Microbiology, All India Institute of Medical Sciences, New Delhi, India.
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Int J Mycobacteriol. 2020 Jan-Mar;9(1):100-102. doi: 10.4103/ijmy.ijmy_189_19.
Laparoscopic port-site infections, though infrequent, undermine the advantages provided by minimally invasive surgeries. Persistent nonhealing discharging sinuses, not responding to conventional antibiotic therapy, pose diagnostic and therapeutic challenges. Sizeable number of these infections is caused by rapidly growing nontuberculous mycobacteria (NTM), and diagnosing these requires a high index of suspicion. We present a case of a nonhealing laparoscopic cholecystectomy umbilical port-site infection caused by Mycobacterium senegalense, a rare NTM. The patient recovered completely after 6 months of combination therapy with clarithromycin, trimethoprim-sulfamethoxazole, and levofloxacin.
腹腔镜手术部位感染虽然不常见，但却削弱了微创手术带来的优势。持续不愈合的窦道溢液，且对常规抗生素治疗无反应，这给诊断和治疗带来了挑战。这些感染中有相当一部分是由快速生长的非结核分枝杆菌（NTM）引起的，诊断这些感染需要高度怀疑。我们报告了一例由塞内加尔分枝杆菌引起的、经腹腔镜胆囊切除术脐部切口部位感染的病例，塞内加尔分枝杆菌是一种罕见的 NTM。该患者在接受克拉霉素、复方磺胺甲噁唑和左氧氟沙星联合治疗 6 个月后完全康复。
