Atypical mycobacterial infections following laparoscopic surgery

Three cases of atypical mycobacterial infection were encountered following laparoscopic surgery at the Colombo North Teaching Hospital over a period of eighteen months from September 2014 to April 2016. The patients presented with port site infections and sinus tract formation three to four weeks af...

Full description

Bibliographic Details
Main Authors: WAMP Samaranayake, KMMP Dassanayake
Format: Article
Language:English
Published: Sri Lankan Society for Microbiology 2018-05-01
Series:Sri Lankan Journal of Infectious Diseases
Subjects:
Online Access:https://sljid.sljol.info/articles/8160
_version_ 1797985092263477248
author WAMP Samaranayake
KMMP Dassanayake
author_facet WAMP Samaranayake
KMMP Dassanayake
author_sort WAMP Samaranayake
collection DOAJ
description Three cases of atypical mycobacterial infection were encountered following laparoscopic surgery at the Colombo North Teaching Hospital over a period of eighteen months from September 2014 to April 2016. The patients presented with port site infections and sinus tract formation three to four weeks after laparoscopic surgery performed in the same operating theatre. These cases were clinically suspected as atypical mycobacterial infection. The Ziehl Neelsen stain showed acid fast bacilli with atypical morphology and cultures grew mycobacteria other than tuberculosis (MOTT). Histology of tissues showed chronic granulomatous inflammation. The infections resolved with surgical intervention and long term antibiotic therapy. Erroneous practice of disinfection of laparoscopic instruments with formaldehyde was thought to be the cause of these infections. No cases were reported after implementing protocols for proper cleaning and disinfection of laparoscopes.
first_indexed 2024-04-11T07:13:09Z
format Article
id doaj.art-485951b0620b4cfdb0144c8b7d05ab16
institution Directory Open Access Journal
issn 2012-8169
2448-9654
language English
last_indexed 2024-04-11T07:13:09Z
publishDate 2018-05-01
publisher Sri Lankan Society for Microbiology
record_format Article
series Sri Lankan Journal of Infectious Diseases
spelling doaj.art-485951b0620b4cfdb0144c8b7d05ab162022-12-22T04:38:06ZengSri Lankan Society for MicrobiologySri Lankan Journal of Infectious Diseases2012-81692448-96542018-05-0181323510.4038/sljid.v8i1.81605786Atypical mycobacterial infections following laparoscopic surgeryWAMP Samaranayake0KMMP Dassanayake1Colombo North Teaching Hospital, RagamaColombo North Teaching Hospital, RagamaThree cases of atypical mycobacterial infection were encountered following laparoscopic surgery at the Colombo North Teaching Hospital over a period of eighteen months from September 2014 to April 2016. The patients presented with port site infections and sinus tract formation three to four weeks after laparoscopic surgery performed in the same operating theatre. These cases were clinically suspected as atypical mycobacterial infection. The Ziehl Neelsen stain showed acid fast bacilli with atypical morphology and cultures grew mycobacteria other than tuberculosis (MOTT). Histology of tissues showed chronic granulomatous inflammation. The infections resolved with surgical intervention and long term antibiotic therapy. Erroneous practice of disinfection of laparoscopic instruments with formaldehyde was thought to be the cause of these infections. No cases were reported after implementing protocols for proper cleaning and disinfection of laparoscopes.https://sljid.sljol.info/articles/8160laparoscopic surgery, atypical mycobacterial infection, disinfection
spellingShingle WAMP Samaranayake
KMMP Dassanayake
Atypical mycobacterial infections following laparoscopic surgery
Sri Lankan Journal of Infectious Diseases
laparoscopic surgery, atypical mycobacterial infection, disinfection
title Atypical mycobacterial infections following laparoscopic surgery
title_full Atypical mycobacterial infections following laparoscopic surgery
title_fullStr Atypical mycobacterial infections following laparoscopic surgery
title_full_unstemmed Atypical mycobacterial infections following laparoscopic surgery
title_short Atypical mycobacterial infections following laparoscopic surgery
title_sort atypical mycobacterial infections following laparoscopic surgery
topic laparoscopic surgery, atypical mycobacterial infection, disinfection
url https://sljid.sljol.info/articles/8160
work_keys_str_mv AT wampsamaranayake atypicalmycobacterialinfectionsfollowinglaparoscopicsurgery
AT kmmpdassanayake atypicalmycobacterialinfectionsfollowinglaparoscopicsurgery