Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics
Mycobacterium abscessus (M. abscessus) is a nontuberculous mycobacterium that causes skin and soft tissue infections. Treatment methods for these infections, including the type and duration of antimicrobial agents, have not been established. The function of surgery is also unknown. We report a case...
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Japan Society of Plastic and Reconstructive Surgery
2024-10-01
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| Series: | Journal of Plastic and Reconstructive Surgery |
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| Online Access: | https://www.jstage.jst.go.jp/article/jprs/3/4/3_2023-0055/_pdf/-char/en |
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| _version_ | 1850285206766878720 |
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| author | Atsuki Yamada Ken Yukawa Tomoaki Eguchi |
| author_facet | Atsuki Yamada Ken Yukawa Tomoaki Eguchi |
| author_sort | Atsuki Yamada |
| collection | DOAJ |
| description | Mycobacterium abscessus (M. abscessus) is a nontuberculous mycobacterium that causes skin and soft tissue infections. Treatment methods for these infections, including the type and duration of antimicrobial agents, have not been established. The function of surgery is also unknown. We report a case of skin and soft tissue infection of the left upper arm in a healthy 47-year-old Japanese man who was treated with complete surgical excision and antimicrobial therapy as feasible on an outpatient basis, which resulted in relapse <1 month later. Given the possibility of developing antibiotic-resistant bacteria, insufficient antimicrobial treatment should not be administered without careful consideration. There are currently few effective oral antimicrobial agents against M. abscessus, so careful antimicrobial therapy along with hospitalization (at least during the early treatment phase) is preferred, regardless of the use/nonuse of surgical treatment. |
| format | Article |
| id | doaj-art-8d2104ea7e1d4b68aa5df43cd1da3574 |
| institution | OA Journals |
| issn | 2436-259X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Japan Society of Plastic and Reconstructive Surgery |
| record_format | Article |
| series | Journal of Plastic and Reconstructive Surgery |
| spelling | doaj-art-8d2104ea7e1d4b68aa5df43cd1da35742025-08-20T01:47:22ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2024-10-01341681742023-0055Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient AntibioticsAtsuki Yamada0Ken Yukawa1Tomoaki Eguchi2Department of Plastic Surgery, Toranomon HospitalDepartment of Plastic Surgery, Toranomon HospitalDepartment of Plastic Surgery, Toranomon HospitalMycobacterium abscessus (M. abscessus) is a nontuberculous mycobacterium that causes skin and soft tissue infections. Treatment methods for these infections, including the type and duration of antimicrobial agents, have not been established. The function of surgery is also unknown. We report a case of skin and soft tissue infection of the left upper arm in a healthy 47-year-old Japanese man who was treated with complete surgical excision and antimicrobial therapy as feasible on an outpatient basis, which resulted in relapse <1 month later. Given the possibility of developing antibiotic-resistant bacteria, insufficient antimicrobial treatment should not be administered without careful consideration. There are currently few effective oral antimicrobial agents against M. abscessus, so careful antimicrobial therapy along with hospitalization (at least during the early treatment phase) is preferred, regardless of the use/nonuse of surgical treatment.https://www.jstage.jst.go.jp/article/jprs/3/4/3_2023-0055/_pdf/-char/enmycobacterium abscessusskin and soft tissue infectionsurgeryantibiotics |
| spellingShingle | Atsuki Yamada Ken Yukawa Tomoaki Eguchi Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics Journal of Plastic and Reconstructive Surgery mycobacterium abscessus skin and soft tissue infection surgery antibiotics |
| title | Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics |
| title_full | Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics |
| title_fullStr | Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics |
| title_full_unstemmed | Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics |
| title_short | Refractory Infection of Mycobacterium abscessus: Skin and Soft Tissue Infection Recurred under Combination Therapy of Surgery and Outpatient Antibiotics |
| title_sort | refractory infection of mycobacterium abscessus skin and soft tissue infection recurred under combination therapy of surgery and outpatient antibiotics |
| topic | mycobacterium abscessus skin and soft tissue infection surgery antibiotics |
| url | https://www.jstage.jst.go.jp/article/jprs/3/4/3_2023-0055/_pdf/-char/en |
| work_keys_str_mv | AT atsukiyamada refractoryinfectionofmycobacteriumabscessusskinandsofttissueinfectionrecurredundercombinationtherapyofsurgeryandoutpatientantibiotics AT kenyukawa refractoryinfectionofmycobacteriumabscessusskinandsofttissueinfectionrecurredundercombinationtherapyofsurgeryandoutpatientantibiotics AT tomoakieguchi refractoryinfectionofmycobacteriumabscessusskinandsofttissueinfectionrecurredundercombinationtherapyofsurgeryandoutpatientantibiotics |