Localised fungal infection in a prosthetic mesh treated conservatively.
Infection remains one of the most challenging complications of mesh hernioplasty. The authors report a case of a 28-year-old male with no known comorbidities who underwent reversal of ileostomy and prolene mesh hernioplasty. His wound was left open for delayed primary closure, although daily dressing started from second postoperative day. He developed fungal infection of prolene mesh on fifth postoperative day which was successfully treated with irrigation and daily wound dressing with amphotericin B avoiding the complications associated with mesh excision. He made an uneventful recovery and on last follow-up his wound was granulating well with no signs of infection.
Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan. drmehwash7@gmail.com
Mehwash
M
Nadeem
Hasnain
H
Zafar
Muhammad Shahrukh
MS
Effendi
D000328:Adult; D001228:Aspergillosis / Q000209:etiology*; D001231:Aspergillus flavus; D006801:Humans; D008297:Male; D016459:Prosthesis-Related Infections / Q000209:etiology* / Q000628:therapy; D013526:Surgical Mesh / Q000009:adverse effects*