Retroperitoneal abscess caused by Mycobacterium chelonae and treatment.
OBJECTIVE
To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment.


METHODS
Case report.


METHODS
Private community teaching hospital.


METHODS
A patient was admitted to the hospital following a gunshot to the flank. The bullet passed through the iliac crest and lodged in the abdomen.


METHODS
The patient was treated with cefazolin, trimethoprim/sulfamethoxazole, and amikacin at different times.


RESULTS
The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free.


CONCLUSIONS
Antimicrobial agents with in vitro activity against M. chelonae, especially amikacin-containing regimens, are recommended for treating M. chelonae infection.
Idemyor
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Department of Pharmaceutical Services, Mercy Hospital and Medical Center, Chicago, IL 60616.
Cherubin
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D000038:Abscess / Q000188:drug therapy / Q000382:microbiology*; D000328:Adult; D000583:Amikacin / Q000627:therapeutic use; D002437:Cefazolin / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D006764:Hospitals, Community; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000382:microbiology*; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D012187:Retroperitoneal Space; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014948:Wounds, Gunshot / Q000382:microbiology
D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin; D002437:Cefazolin