Surgical site infection due to Mycobacterium peregrinum: a case report and literature review.
OBJECTIVE
Mycobacterium peregrinum is a species included in the Mycobacterium fortuitum complex, a member of the group of rapidly growing non-tuberculous mycobacteria (RGM). Only a few cases of infection with M. peregrinum have been reported, and no relevant review has been published.


METHODS
Following the treatment of a patient with M. peregrinum infection after plastic surgery, we undertook a review of the literature of previously reported cases of M. peregrinum infection.


RESULTS
Ten previously reported cases were identified. Like other cases of the M. fortuitum complex infections, the majority of M. peregrinum infections were related to surgical site infections and catheter-related infections. In the literature, most of the antibiotic regimens were based on a combination of quinolones with various antibiotics, and the duration of treatment ranged from 6 weeks to 4 months.


CONCLUSIONS
The fact that the optimal treatment for M. peregrinum infection has not yet been established has resulted in the use of a diverse range of therapies. It is important that clinicians carefully review each case so that a more appropriate treatment for M. peregrinum infections can be determined.
Department of Infection Control and Prevention, Kyoto University Hospital, Shogoin Kawahara-cho 54, Sakyo-ku, Kyoto 606-8507, Japan. mnagao@kuhp.kyoto-u.ac.jp
Miki
M
Nagao
Makoto
M
Sonobe
Toru
T
Bando
Takashi
T
Saito
Michinori
M
Shirano
Aki
A
Matsushima
Naoko
N
Fujihara
Shunji
S
Takakura
Yoshitsugu
Y
Iinuma
Satoshi
S
Ichiyama
D005260:Female; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000382:microbiology*; D019907:Mycobacterium fortuitum / Q000145:classification* / Q000302:isolation & purification*; D013518:Surgery, Plastic / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000382:microbiology*