Secondary Mycobacterium abscessus Infection after Debridement in Child with Dog Bite: a Case Report.

التفاصيل البيبلوغرافية
العنوان: Secondary Mycobacterium abscessus Infection after Debridement in Child with Dog Bite: a Case Report.
المؤلفون: Li L, Yu JY, Shi YL, Dai ZQ, Dai Y
المصدر: Clinical laboratory [Clin Lab] 2023 Jul 01; Vol. 69 (7).
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: Clinical Laboratory Publications Country of Publication: Germany NLM ID: 9705611 Publication Model: Print Cited Medium: Internet ISSN: 1433-6510 (Print) Linking ISSN: 14336510 NLM ISO Abbreviation: Clin Lab Subsets: MEDLINE
أسماء مطبوعة: Publication: 2010- : Mainz : Clinical Laboratory Publications
Original Publication: Heidelberg : Verlag Klinisches Labor, [1997-
مواضيع طبية MeSH: Anti-Bacterial Agents*/pharmacology , Mycobacterium Infections, Nontuberculous*/diagnosis , Mycobacterium Infections, Nontuberculous*/drug therapy, Animals ; Child, Preschool ; Dogs ; Female ; Humans ; Amikacin/pharmacology ; Clarithromycin ; Debridement ; Microbial Sensitivity Tests
مستخلص: Background: In recent years, there have been increasing reports related to infection caused by Mycobacterium abscessus (MAB). As one of the most common mycobacterium iatrogenic infections, it is characterized by pulmonary infection. However, only a few reports of MAB-related skin and soft tissue infections are available. This study reported a 3-year-old child admitted to our hospital for a dog bite with MAB infection after debridement.
Methods: The diagnosis of MAB in this child was made after detecting the bacteria in the wound secretion based on secretion culture in clinical laboratory.
Results: The result of the first bacterial isolation and culture of wound secretion was negative. However, the results were positive two days later and was diagnosed as MAB infection for samples of the purulent secretions collected by puncture and aspiration during debridement from the red and swollen regions of the thigh. The drug sensitivity results suggested that the child was sensitive to cefoxitin. However, she was resistant to amikacin, linezolid, minocycline, imipenem, tobramycin, moxifloxacin, clarithromycin, and doxycycline. The combined treatment strategy was used for managing MAB infection with a good effect.
Conclusions: The management of MAB soft tissue infection has limitations, like poor tolerance, toxicity, and mul¬ti-drug interaction. The combined treatment strategy is important for MAB infection, and monitoring adverse re-actions and toxicity is the key.
المشرفين على المادة: 84319SGC3C (Amikacin)
0 (Anti-Bacterial Agents)
H1250JIK0A (Clarithromycin)
تواريخ الأحداث: Date Created: 20230712 Date Completed: 20230714 Latest Revision: 20230718
رمز التحديث: 20231215
DOI: 10.7754/Clin.Lab.2022.221213
PMID: 37436386
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-6510
DOI:10.7754/Clin.Lab.2022.221213