A clinical case and a review of Mycobacterium fortuitum infections direct diagnosis approach and treatment in a patient with leg fractures

Jun Wang; Jing Huang; Shijie Peng; Lianbao Li; Kaijing Zhong; Taigui Chen

doi:10.3855/jidc.16635

A clinical case and a review of Mycobacterium fortuitum infections direct diagnosis approach and treatment in a patient with leg fractures

Authors

Jun Wang Affiliated hospital of Panzhihua University, Panzhihua, China https://orcid.org/0000-0001-9148-145X
Jing Huang Affiliated hospital of Panzhihua University, Panzhihua, China https://orcid.org/0000-0002-2904-5478
Shijie Peng Affiliated hospital of Panzhihua University, Panzhihua, China https://orcid.org/0000-0003-1252-1164
Lianbao Li Panzhihua Central Hospital, Panzhihua, China https://orcid.org/0000-0003-4262-0358
Kaijing Zhong Affiliated hospital of Panzhihua University, Panzhihua, China https://orcid.org/0000-0002-2904-5478
Taigui Chen Affiliated hospital of Panzhihua University, Panzhihua, China https://orcid.org/0000-0003-1252-1164

DOI:

https://doi.org/10.3855/jidc.16635

Keywords:

Femur amputation, M. fortuitum, infections

Abstract

Mycobacterium fortuitum infections of the musculoskeletal system are commonly missed, given their rarity and the absence of systemic symptoms. In this study, we isolated the M. fortuitum from the skin sinus tract of a traffic accident patient's right medial knee surgical incision (over the open fracture wound), and confirmed by Morphological analysis, MALDI-TOF MS, 16S rRNA gene sequencing, and mNGS. Then we adjusted the treatment plan and treated the patient with cefoxitin, amikacin, and doxycycline. At three months follow-up review, his wound had completely healed. This report may provide a reference for the clinical treatment of Mycobacterium fortuitum infection in patients with open fractures.

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Published

2022-10-31

How to Cite

Wang J, Huang J, Peng S, Li L, Zhong K, Chen T (2022) A clinical case and a review of Mycobacterium fortuitum infections direct diagnosis approach and treatment in a patient with leg fractures. J Infect Dev Ctries 16:1650–1654. doi: 10.3855/jidc.16635

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Issue

Vol. 16 No. 10: October 2022

Section

Case Reports

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