An injection abscess due to M. fortuitum: A rare case report

An iatrogenic injection abscess is usually easy to treat if caused by aerobic bacteria but some rapidly growing mycobacteria (RGM), namely, Mycobacterium fortuitum, M. chelonae, and M. abscessus are associated with postinjection abscess and may cause delayed wound healing. RGM can cause mild localiz...

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Main Authors: Shambhavi Singh, Sarika P Kombade, Salman Khan, Arghadip Sammadar, Jitu Mani Kalita, Vijay Lakshmi Nag
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2573;epage=2576;aulast=Singh
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author Shambhavi Singh
Sarika P Kombade
Salman Khan
Arghadip Sammadar
Jitu Mani Kalita
Vijay Lakshmi Nag
author_facet Shambhavi Singh
Sarika P Kombade
Salman Khan
Arghadip Sammadar
Jitu Mani Kalita
Vijay Lakshmi Nag
author_sort Shambhavi Singh
collection DOAJ
description An iatrogenic injection abscess is usually easy to treat if caused by aerobic bacteria but some rapidly growing mycobacteria (RGM), namely, Mycobacterium fortuitum, M. chelonae, and M. abscessus are associated with postinjection abscess and may cause delayed wound healing. RGM can cause mild localized cellulitis or abscess to osteomyelitis following penetration injuries or unsafe injection practices. A 7-year-old girl was presented to pediatric surgery OPD with abscess formation over the right buttock. Incision and drainage from abscess were performed in OPD and pus sample was sent for aerobic bacterial culture and sensitivity. On gram stain plenty of pus cells with no microorganism were seen and growth on blood agar after 48 h of aerobic incubation at 37°C showed small off-white pinpoint, smooth butyrous waxy colonies. Smear prepared from blood agar showed uniformly stained short, slender, faintly stained gram-positive bacilli, for which acid-fast staining (1% and 20% H2SO4) was performed that showed acid-fast bacilli. The isolate was further identified by the molecular method and was confirmed to be Mycobacterium fortuitum by genotype Mycobacterium CM VER 1.0 (HAIN LIFESCIENCE, BioMerieux India Pvt. Ltd.).
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spelling doaj.art-8915238042c444039a1934bbea3b12382022-12-21T19:22:28ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-01952573257610.4103/jfmpc.jfmpc_71_20An injection abscess due to M. fortuitum: A rare case reportShambhavi SinghSarika P KombadeSalman KhanArghadip SammadarJitu Mani KalitaVijay Lakshmi NagAn iatrogenic injection abscess is usually easy to treat if caused by aerobic bacteria but some rapidly growing mycobacteria (RGM), namely, Mycobacterium fortuitum, M. chelonae, and M. abscessus are associated with postinjection abscess and may cause delayed wound healing. RGM can cause mild localized cellulitis or abscess to osteomyelitis following penetration injuries or unsafe injection practices. A 7-year-old girl was presented to pediatric surgery OPD with abscess formation over the right buttock. Incision and drainage from abscess were performed in OPD and pus sample was sent for aerobic bacterial culture and sensitivity. On gram stain plenty of pus cells with no microorganism were seen and growth on blood agar after 48 h of aerobic incubation at 37°C showed small off-white pinpoint, smooth butyrous waxy colonies. Smear prepared from blood agar showed uniformly stained short, slender, faintly stained gram-positive bacilli, for which acid-fast staining (1% and 20% H2SO4) was performed that showed acid-fast bacilli. The isolate was further identified by the molecular method and was confirmed to be Mycobacterium fortuitum by genotype Mycobacterium CM VER 1.0 (HAIN LIFESCIENCE, BioMerieux India Pvt. Ltd.).http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2573;epage=2576;aulast=Singhinjection abscessmycobacterium fortuitumrapidly growing mycobacteria
spellingShingle Shambhavi Singh
Sarika P Kombade
Salman Khan
Arghadip Sammadar
Jitu Mani Kalita
Vijay Lakshmi Nag
An injection abscess due to M. fortuitum: A rare case report
Journal of Family Medicine and Primary Care
injection abscess
mycobacterium fortuitum
rapidly growing mycobacteria
title An injection abscess due to M. fortuitum: A rare case report
title_full An injection abscess due to M. fortuitum: A rare case report
title_fullStr An injection abscess due to M. fortuitum: A rare case report
title_full_unstemmed An injection abscess due to M. fortuitum: A rare case report
title_short An injection abscess due to M. fortuitum: A rare case report
title_sort injection abscess due to m fortuitum a rare case report
topic injection abscess
mycobacterium fortuitum
rapidly growing mycobacteria
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=5;spage=2573;epage=2576;aulast=Singh
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