Mycobacterium Chelonae Infection Following Silicone Arthroplasty of the Metacarpophalngeal Joints: A Case Report

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 rheumathoid arthritis. This is the first report of an infection caused by nontuberculous Mycobacteria in flexible sil...

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Bibliographic Details
Published in:Hand (New York, N.Y.) N.Y.), 2009-06, Vol.4 (2), p.129-133
Main Authors: Iordache, Sorin Daniel, Daneman, Nick, Axelrod, Terry S.
Format: Article
Language:English
Subjects:
Medicine
Medicine & Public Health
Orthopedics
Plastic Surgery
Surgery
Surgical Orthopedics
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Summary: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 rheumathoid 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.
ISSN:1558-9447
1558-9455
DOI:10.1007/s11552-008-9138-7