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Soft-Tissue Infections Caused by Mycobacterium fortuitum Complex Following Penetrating Injury

E. Kanta Subbarao, MBBS; Martha M. Tarpay, MD; Melvin I. Marks, MD
Am J Dis Child. 1987;141(9):1018-1020. doi:10.1001/archpedi.1987.04460090095037.
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• Soft-tissue Infections caused by rapidly growing mycobacterla may follow penetrating trauma. We present four immunologically normal patients in whom soft-tissue infections with Mycobacterium fortuitum developed after they stepped on nails. Their presentations were clinically indistinguishable from puncture wound Infections caused by Pseudomonas aeruginosa and Staphylococcus aureus. The acid-fast organisms grew on standard bacteriologic media within three to five days. Speciation and antimicrobial susceptibility testing was performed. The primary mode of therapy was surgical; adjunctive antimicrobial therapy is recommended only for extensive or chronic infections and in immunocompromised hosts. All four of our patients had good outcomes after therapy.

(AJDC 1987;141:1018-1020)

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