| Two Cases of Mycobacterium
fortuitum Infection after Open-Heart Surgery |
(Department of Thoracic and Cardiovascular Surgery,
Ogaki Municipal Hospital, Ogaki, Japan)
| Yukifusa Yokoyama |
Shuji Tamaki |
June Yokote |
| Masato Mutsuga |
Toshihiko Suzuki |
Masaya Nakashima |
|
Mycobacterial infection after open-heart
surgery is a rare complication. We report 2 cases of cutaneous
infection caused by Mycobacterium fortuitum (M. fortuitum).
Case 1: A 56-year-old man had wound infection from the 10th postoperative
day (POD). The growth of M. fortuitum was detected on
the 38th POD. Combination of multiple antibiotic therapy was
performed. He was cured after several recurrences of cutaneous
ulcer and abscess following 15 months. Case 2: A 26-year-old
man had wound infection from the 28th POD. Deep sternal infection
with mediastinitis developed. Bacteriological examination revealed
the growth of M. fortuitum on the 61st POD. Omentopexy
was performed on the 67th POD. Wound infection completely healed,
and the patient was discharged from our hospital on the 137th
POD. Mycobacterial infection should be considered when the wound
infection is resistant to ordina antibiotics.
Jpn. J. Cardiovasc. Surg. 34: 74-77 (2005) |
|
