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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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Series: | Journal of Family Medicine and Primary Care |
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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.). |
first_indexed | 2024-12-21T00:06:00Z |
format | Article |
id | doaj.art-8915238042c444039a1934bbea3b1238 |
institution | Directory Open Access Journal |
issn | 2249-4863 |
language | English |
last_indexed | 2024-12-21T00:06:00Z |
publishDate | 2020-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Family Medicine and Primary Care |
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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