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01121 Journal of Nara Medical Association >
Vol.75 No.1,2,3 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/4437
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タイトル: | A case of postoperative wound infection caused by Mycobacterium wolinskyi |
著者: | Yamaguchi, Naoki Koizumi, Yosuke Inatomi, Shinichiro Ito, Wataru Sekine, Takahiro Nishihara, Yuji Furukawa, Ryutaro Nishimura, Tomoko Fukumori, Tatsuya Imakita, Natsuko Kasahara, Kei |
キーワード: | Mycobacterium wolinskyi postoperative wound infection rapidly growing mycobacterium |
発行日: | 2024年7月31日水曜日 |
出版者: | 奈良県立医科大学 奈良医学会 |
引用: | Journal of Nara Medical Association Vol.75 No.1,2,3 p.5-11 (2024.07) |
抄録: | A 69-year-old woman underwent a total hysterectomy for uterine cancer and was undergoing
postoperative chemotherapy. One month after surgery, the patient developed a postoperative
wound infection caused by methicillin-sensitive Staphylococcus aureus (MSSA) in her midline
abdominal postoperative wound and was treated with antimicrobial agents. Three months after
surgery, a fistula and serous exudate appeared in her midline abdominal postoperative wound
and the patient was treated with oral minocycline and topical sodium fusidic acid ointment. Two
weeks after starting treatment, exudate culture specimens were collected and a rapidly growing
mycobacterium was detected, but its name could not be identified by matrix-assisted laser
desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry. The rapidly growing mycobacterium
detected was identified as Mycobacterium wolinskyi by analyses of the rpoB and
hsp65 gene sequences. Based on the susceptibility, the patient was treated with minocycline and
moxifloxacin for approximately 4 months, and her symptoms improved. In postoperative wound
infections which do not respond well to treatment targeting common bacteria, it is important to
include nontuberculous mycobacterium as a causative organism and to perform appropriate culture
tests. |
URI: | http://hdl.handle.net/10564/4437 |
ISSN: | 13450069 |
出現コレクション: | Vol.75 No.1,2,3
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