Young V L, Hertl M C, Murray P R, Lambros V S
Division of Plastic and Reconstructive Surgery, Washington University School of Medicine, St. Louis, Mo., USA.
Plast Reconstr Surg. 1995 Nov;96(6):1430-4. doi: 10.1097/00006534-199511000-00032.
This report describes a case of gross contamination with the filamentous fungus P. variotii cultured from an intraluminal saline breast implant removed from a patient 14 months after implantation because of severe capsular contracture. We suspect the fungal contamination occurred when a container of saline was left open in the operating room prior to filling and placement of the implant. This case may be the first documented report of microbial growth and reproduction in the internal environment of a saline implant. We assume that organisms such as P. variotii can survive--and accumulate biomass--on the minute amounts of substrates that diffuse across an implant envelope.
本报告描述了一例因严重包膜挛缩在植入14个月后从患者体内取出的腔内生理盐水乳房植入物中培养出丝状真菌变异青霉的严重污染病例。我们怀疑真菌污染发生在植入物填充和放置前，装有生理盐水的容器在手术室中未盖盖子时。该病例可能是生理盐水植入物内部环境中微生物生长和繁殖的首份有记录报告。我们推测像变异青霉这样的生物体能够在透过植入物包膜扩散的微量底物上存活并积累生物量。
