Mycobacterium chelonae infection following silicone arthroplasty of the metacarpophalangeal joints: a case report.
We present a case of infection caused by an uncommon pathogen, Mycobacterium chelonae, in a patient that underwent Swanson silicone arthroplasty of the metacarpophalangeal joints for rheumatoid arthritis. This is the first report of an infection caused by nontuberculous Mycobacteria in flexible silicone implants in the hand. The patient was successfully treated with implant removal, debridement, and antimicrobials tailored to the results of in vitro susceptibility testing.
Upper Limb Surgery, Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, MG 301, Toronto, ON, Canada M4N 3M5. sdiordache@gmail.com
Sorin Daniel
SD
Iordache
Nick
N
Daneman
Terry S
TS
Axelrod