Mycobacterium chelonae infection following silicone arthroplasty of the metacarpophalangeal joints: a case report.

Hand (N Y)

Upper Limb Surgery, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, MG 301, Toronto, ON, Canada M4N 3M5.

Published: June 2009

We present a case of infection caused by an uncommon pathogen, Mycobacterium chelonae, in a patient that underwent Swanson silicone arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis. This is the first report of an infection caused by nontuberculous Mycobacteria in flexible silicone implants in the hand. The patient was successfully treated with implant removal, debridement, and antimicrobials tailored to the results of in vitro susceptibility testing.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2686783PMC
http://dx.doi.org/10.1007/s11552-008-9138-7DOI Listing

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