title: [Chronic fistulating wound infection after Lichtenstein repair of inguinal hernia, caused by a small colony variant of Staphylococcus aureus].
abstract: We report a case of chronic wound infection (abscess, fistula) after a Lichtenstein repair of inguinal hernia. After surgical treatment (mesh explantation), a small-colony variant (SCV) of Staphylococcus aureus was cultured microbiologically. SCV represent subpopulations of Staphylococcus aureus which are associated with chronic infections and which respond poorly to usual treatment regimes. In this case surgery and specific antibiotic treatment with flucloxacillin and rifampicin were successful.
authors.affiliation: Abteilung für Allgemein- und Visceralchirurgie, Städtisches Krankenhaus München Schwabing.
authors.forename: H
authors.initials: H
authors.lastname: Göring
authors.forename: H
authors.initials: H
authors.lastname: Waldner
authors.forename: P
authors.initials: P
authors.lastname: Emmerling
authors.forename: M
authors.initials: M
authors.lastname: Abele-Horn
mesh_terms: D000038:Abscess / Q000601:surgery; D002908:Chronic Disease; D003131:Combined Modality Therapy; D017577:Cutaneous Fistula / Q000601:surgery*; D005436:Floxacillin / Q000008:administration & dosage; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012293:Rifampin / Q000008:administration & dosage; D013203:Staphylococcal Infections / Q000601:surgery*; D013211:Staphylococcus aureus / Q000145:classification; D013530:Surgical Wound Infection / Q000601:surgery*
chemical_list: D005436:Floxacillin; D012293:Rifampin