Post operative Mycobacterium fortuitum infection following laparoscopic inguinal hernia repair: A case report

JOURNAL TITLE: Journal of Gastrointestinal Infections

Author
1. Suma Appannanavar
2. Meera Sharma
3. Kusum Sharma
ISSN
2277-5862
DOI
10.5005/jogi-2-1-62
Volume
2
Issue
1
Publishing Year
2012
Pages
3
Author Affiliations
    1. Department of Medical Microbiology Post Graduate Institute of Medical Education and Research Chandigarh.
    1. Department of Medical Microbiology Post Graduate Institute of Medical Education and Research Chandigarh.
  • Article keywords
    Inguinal hernia. Mycobacterium fortuitum, PCR, Post laparoscopic

    Abstract

    Rapidly growing mycobacteria (RGM) are ubiquitous in nature and are associated with opportunistic nosocomial infections requiring prolonged and multiple antibiotics. Here we report a PCR confirmed case of M. fortuitum complex infection in a post laproscopic inguinal hernia repair using prolene mesh. To the best of our knowledge we have for the first time evaluated the role of PCR using specific primers for the diagnosis of M. fortuitum complex both fromclinical samples and fromculture isolate. A 62 year old physician developed low grade fever and pain over the right iliac fossa after an inguinal hernia repair. Mycobacteriological investigation revealed M. fortuitum infection. Subsequently using specific primer, M. fortuitum complex DNAwas demonstrated both in clinical sample and culture isolate. Patient was startedwith clarithromycin, doxycycline and streptomycin. Thus, PCR is a promising tool for the rapid diagnosis of difficult to treat infections caused by M. fortuitum complex.

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