Retroperitoneal cold abscess caused by mycobacteria chelonae abscessus after percutaneous nephrolithotomy in India: strategies for detection, management, and prevention in the United States.
Atypical, nontuberculous, mycobacteria (NTM) are emerging as significant pathogens in nosocomial infections. Historically, such outbreaks have been limited to developing countries, and clinicians in the United States have not been exposed to the nuances of diagnosing and treating such infections. With an increasing prevalence worldwide, all clinicians should be able to recognize and treat NTM infections. We report a case of a patient who developed a retroperitoneal cold abscess caused by NTM after percutaneous stone surgery in India. Through a comprehensive review of published reports, we offer strategies for the treatment and prevention of such outbreaks.
Nguyen
Carvell T
CT
Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
Tomford
J Walton
JW
Desai
Mihir M
MM
D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D000328:Adult; D006801:Humans; D007194:India; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D016926:Mycobacterium chelonae; D009403:Nephrostomy, Percutaneous / Q000009:adverse effects*; D012187:Retroperitoneal Space; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D014481:United States