Suzuki Anna, Komiya Takako, Fujita Hiroaki, Shimada Kazuki, Nonaka Masahito, Hanano Mai, Takeishi Meisei, Ishikawa Takashi, Matsumura Hajime
From the Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan.
Department of Infection Prevention and Control, Tokyo Medical University, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2025 Jun 4;13(6):e6823. doi: 10.1097/GOX.0000000000006823. eCollection 2025 Jun.
is a rare, rapidly growing, nontuberculosis mycobacterium that belongs to type IV of the rapidly growing mycobacteria. These bacteria are found in soil and water, and cause localized skin and soft tissue infections; however, they are challenging to culture, leading to diagnostic delays. To our knowledge, there have been 12 reported cases of surgical site infections (SSIs) caused by , with only 2 cases following breast reconstruction. A 51-year-old woman underwent nipple-sparing mastectomy and immediate breast reconstruction using a deep inferior epigastric perforator flap for invasive ductal carcinoma of the left breast. One month after surgery, she developed an SSI caused by . Despite initial outpatient treatment, the infection persisted, requiring multiple hospitalizations, administration of intravenous antibiotics, and several debridements under general anesthesia. Negative pressure wound therapy and a coordinated approach among various medical specialties are essential for managing infections. The patient experienced side effects from prolonged antibiotic use but eventually exhibited no signs of infection recurrence. This case highlights the challenges in diagnosing and treating SSIs, emphasizing the need for comprehensive surgical and medical management, together with patient-centered care, to effectively manage long-term treatment.
是一种罕见的、生长迅速的非结核分枝杆菌，属于快速生长分枝杆菌的IV型。这些细菌存在于土壤和水中，可引起局部皮肤和软组织感染；然而，它们的培养具有挑战性，会导致诊断延迟。据我们所知，已有12例由引起的手术部位感染（SSI）的报告，其中仅有2例发生在乳房重建术后。一名51岁女性因左乳浸润性导管癌接受了保留乳头的乳房切除术，并使用腹壁下深动脉穿支皮瓣立即进行乳房重建。术后1个月，她发生了由引起的SSI。尽管最初进行了门诊治疗，但感染持续存在，需要多次住院、静脉使用抗生素以及在全身麻醉下进行多次清创。负压伤口治疗以及各医学专科之间的协作方法对于管理感染至关重要。患者因长期使用抗生素出现了副作用，但最终未表现出感染复发的迹象。该病例凸显了诊断和治疗SSI的挑战，强调需要全面的手术和医疗管理以及以患者为中心的护理，以有效管理长期治疗。
