Septic Nonunion Caused by Mycobacterium canariasense: A Case Report

Matias Vicente; Mayli Lung; Carlos Gulin; María Teresa Tórtola; Pablo S. Corona

doi:10.2106/JBJS.CC.18.00033

Septic Nonunion Caused by Mycobacterium canariasense: A Case Report

Matias Vicente, Mayli Lung, Carlos Gulin, María Teresa Tórtola, Pablo S. Corona

Department of Genetics and Microbiology

Research output: Contribution to journal › Article › Research

3 Citations (Scopus)

Abstract

CASE: A 43-year-old former drug user presented with a mycobacterium-caused septic nonunion of the humeral shaft. The patient had undergone 2 previous surgeries for a hematogenous fracture-related infection due to Staphylococcus aureus. The procedures had included debridement, double-plate osteosynthesis, and placement of a gentamicin-loaded bone substitute. Culture specimens produced growth of Mycobacterium canariasense. Because the microbiological diagnosis was obtained after the patient had been discharged, no antibiotic treatment could be prescribed. Nevertheless, solid bone fusion was observed in the most recent outpatient examination. CONCLUSION: This case illustrates the importance of considering atypical pathogens in patients who are immunoincompetent. To the best of our knowledge, this is the first reported case of septic nonunion caused by M. canariasense.

Original language	English
Pages (from-to)	e90
Journal	JBJS Case Connector
Volume	8
DOIs	https://doi.org/10.2106/JBJS.CC.18.00033
Publication status	Published - 1 Oct 2018

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title = "Septic Nonunion Caused by Mycobacterium canariasense: A Case Report",

abstract = "CASE: A 43-year-old former drug user presented with a mycobacterium-caused septic nonunion of the humeral shaft. The patient had undergone 2 previous surgeries for a hematogenous fracture-related infection due to Staphylococcus aureus. The procedures had included debridement, double-plate osteosynthesis, and placement of a gentamicin-loaded bone substitute. Culture specimens produced growth of Mycobacterium canariasense. Because the microbiological diagnosis was obtained after the patient had been discharged, no antibiotic treatment could be prescribed. Nevertheless, solid bone fusion was observed in the most recent outpatient examination. CONCLUSION: This case illustrates the importance of considering atypical pathogens in patients who are immunoincompetent. To the best of our knowledge, this is the first reported case of septic nonunion caused by M. canariasense.",

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T1 - Septic Nonunion Caused by Mycobacterium canariasense: A Case Report

AU - Vicente, Matias

AU - Lung, Mayli

AU - Gulin, Carlos

AU - Tórtola, María Teresa

AU - Corona, Pablo S.

PY - 2018/10/1

Y1 - 2018/10/1

N2 - CASE: A 43-year-old former drug user presented with a mycobacterium-caused septic nonunion of the humeral shaft. The patient had undergone 2 previous surgeries for a hematogenous fracture-related infection due to Staphylococcus aureus. The procedures had included debridement, double-plate osteosynthesis, and placement of a gentamicin-loaded bone substitute. Culture specimens produced growth of Mycobacterium canariasense. Because the microbiological diagnosis was obtained after the patient had been discharged, no antibiotic treatment could be prescribed. Nevertheless, solid bone fusion was observed in the most recent outpatient examination. CONCLUSION: This case illustrates the importance of considering atypical pathogens in patients who are immunoincompetent. To the best of our knowledge, this is the first reported case of septic nonunion caused by M. canariasense.

AB - CASE: A 43-year-old former drug user presented with a mycobacterium-caused septic nonunion of the humeral shaft. The patient had undergone 2 previous surgeries for a hematogenous fracture-related infection due to Staphylococcus aureus. The procedures had included debridement, double-plate osteosynthesis, and placement of a gentamicin-loaded bone substitute. Culture specimens produced growth of Mycobacterium canariasense. Because the microbiological diagnosis was obtained after the patient had been discharged, no antibiotic treatment could be prescribed. Nevertheless, solid bone fusion was observed in the most recent outpatient examination. CONCLUSION: This case illustrates the importance of considering atypical pathogens in patients who are immunoincompetent. To the best of our knowledge, this is the first reported case of septic nonunion caused by M. canariasense.

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DO - 10.2106/JBJS.CC.18.00033

M3 - Article

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SN - 2160-3251

VL - 8

SP - e90

JO - JBJS Case Connector

JF - JBJS Case Connector

ER -

Septic Nonunion Caused by Mycobacterium canariasense: A Case Report

Abstract

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