Nontuberculous Mycobacterial Infections After Silicone Breast Implant Reconstruction Emphasize a Diversity of Infecting Mycobacteria. (2nd September 2017)

• Record Type: Journal Article
• Authors: Romero, Fabian A; Powell, Eleanor A; Babady, N Esther; Kaltsas, Anna; Figueroa, Cesar J; Pulitzer, Melissa; Mehrara, Babak J; Glickman, Michael S; Morjaria, Sejal
• Is Part Of: Open forum infectious diseases. Volume 4:Number 4(2017)
• Publication Date: 2017-09-02
• Subjects: breast cancer -- molecular identification -- Non- tuberculous mycobacterial infection -- skin and soft tissue infection -- surgical site infections; Communicable diseases -- Periodicals; Medical microbiology -- Periodicals; Infection -- Periodicals; 616.9
• DOI: 10.1093/ofid/ofx189
• Languages: English
• ISSNs: 2328-8957

Abstract

Abstract: Postsurgical skin and soft tissue infections (SSTIs) caused by nontuberculous mycobacteria (NTM) are uncommon, indolent, difficult to treat, and often mimic pyogenic bacterial infections. Here we present 3 cases of NTM infections following placement of silicone implants for reconstructive breast surgery. These cases emphasize the importance of a high index of suspicion for NTM in patients with SSI after a prosthetic reconstruction refractory to conventional antibiotic therapy and the importance of early investigation with mycobacterial-specific diagnostics.