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Postoperative Infektion mit Mycobacterium chelonae
- Source :
- Der Hautarzt. 47:863-866
- Publication Year :
- 1996
- Publisher :
- Springer Science and Business Media LLC, 1996.
-
Abstract
- A 70-year-old patient developed Mycobacterium chelonae infection at a donor vein graft site following cardiac bypass surgery. The infection presented as fibrinous, necrotic ulcerations in the scar area. Mycobacterium chelonae and mycobacterium fortuitum are atypical mycobacteria and have been described previously causing infections after injections or surgical procedures. Infection of donor vein graft site is a rare complication after cardiac surgery. As mycobacterium chelonae cannot be cultivated on normal culture media, delayed wound healing might be disinterpretated as a primary wound healing disorder. Treatment of atypical myobacteriosis includes antibiotics, local heat therapy and surgical excision. Clarithromycin is the antibiotic of choice. We obtained complete healing after two months of Clarithromycin treatment, combined with heat therapy.
- Subjects :
- Male
medicine.medical_specialty
Infrared Rays
medicine.drug_class
medicine.medical_treatment
Antibiotics
Mycobacterium Infections, Nontuberculous
Mycobacterium chelonae
Dermatology
Clarithromycin
medicine
Humans
Surgical Wound Infection
Saphenous Vein
Coronary Artery Bypass
Aged
Cross Infection
biology
business.industry
biology.organism_classification
Combined Modality Therapy
Heat therapy
Cardiac surgery
Surgery
Bypass surgery
Mycobacterium fortuitum
Complication
business
medicine.drug
Subjects
Details
- ISSN :
- 00178470
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Der Hautarzt
- Accession number :
- edsair.doi.dedup.....4aded58518a2bb455c7f6acb6f88448d