title: Retroperitoneal abscess caused by Mycobacterium chelonae and treatment.
abstract: 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.
authors.affiliation: Department of Pharmaceutical Services, Mercy Hospital and Medical Center, Chicago, IL 60616.
authors.forename: V
authors.initials: V
authors.lastname: Idemyor
authors.forename: C E
authors.initials: CE
authors.lastname: Cherubin
mesh_terms: 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
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D000583:Amikacin; D002437:Cefazolin