title: Peritonitis due to Mycobacterium fortuitum infection following gastric cancer surgery.
abstract: Mycobacterium fortuitum is a well-documented cause of nosocomial infection. However, no studies have reported peritonitis with M. fortuitum as a postoperative complication. We describe a case of peritonitis with M. fortuitum biovariant peregrinum following gastric cancer surgery. Gram-positive bacterial infection coexisted. Although the source of the infection was unclear, the patient was successfully treated with drainage tube exchange and combination therapy consisting of sparfloxacin, clarithromycin, and imipenem/cilastatin sodium. Thus for postoperative infectious pathogens, not only bacteria but also nontuberculous mycobacteria should be considered.
authors.affiliation: First Department of Internal Medicine, Matsushita Memorial Hospital, Osaka.
authors.forename: Y
authors.initials: Y
authors.lastname: Kasamatsu
authors.forename: N
authors.initials: N
authors.lastname: Nakagawa
authors.forename: K
authors.initials: K
authors.lastname: Inoue
authors.forename: Y
authors.initials: Y
authors.lastname: Kawahito
authors.forename: N
authors.initials: N
authors.lastname: Hiraoka
authors.forename: K
authors.initials: K
authors.lastname: Yoshioka
authors.forename: S
authors.initials: S
authors.lastname: Yokoo
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D001419:Bacteria / Q000302:isolation & purification; D003131:Combined Modality Therapy; D003428:Cross Infection / Q000382:microbiology* / Q000628:therapy; D004322:Drainage; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D005770:Gastrointestinal Neoplasms / Q000601:surgery*; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000209:etiology* / Q000628:therapy; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D010538:Peritonitis / Q000382:microbiology* / Q000628:therapy; D011183:Postoperative Complications / Q000382:microbiology* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents