V Idemyor1, C E Cherubin. 1. Department of Pharmaceutical Services, Mercy Hospital and Medical Center, Chicago, IL 60616.
Abstract
OBJECTIVE: To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment. DESIGN: Case report. SETTING: Private community teaching hospital. PATIENTS: A patient was admitted to the hospital following a gunshot to the flank. The bullet passed through the iliac crest and lodged in the abdomen. INTERVENTION: The patient was treated with cefazolin, trimethoprim/sulfamethoxazole, and amikacin at different times. OUTCOME: The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free. CONCLUSIONS: Antimicrobial agents with in vitro activity against M. chelonae, especially amikacin-containing regimens, are recommended for treating M. chelonae infection.
OBJECTIVE: To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment. DESIGN: Case report. SETTING: Private community teaching hospital. PATIENTS: A patient was admitted to the hospital following a gunshot to the flank. The bullet passed through the iliac crest and lodged in the abdomen. INTERVENTION: The patient was treated with cefazolin, trimethoprim/sulfamethoxazole, and amikacin at different times. OUTCOME: The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free. CONCLUSIONS: Antimicrobial agents with in vitro activity against M. chelonae, especially amikacin-containing regimens, are recommended for treating M. chelonaeinfection.