title: Ventriculoperitoneal shunt infection with Mycobacterium fortuitum: a rare offending organism.
abstract: Postsurgical infection is one of the greatest potential morbidities of ventriculoperitoneal shunt surgery. The majority of infections can be linked to contamination with skin flora at the time of surgery, a phenomenon that has been well described. However, there is a paucity of literature regarding infection with nontuberculous mycobacteria. The authors report a case of postoperative ventriculoperitoneal shunt infection with Mycobacterium fortuitum and review the available neurosurgical literature and treatment strategies.
authors.affiliation: Departments of 1 Neurological Surgery and.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Cadena
authors.forename: Jean
authors.initials: J
authors.lastname: Wiedeman
authors.forename: James E
authors.initials: JE
authors.lastname: Boggan
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D020878:Device Removal; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000209:etiology* / Q000382:microbiology / Q000628:therapy; D019907:Mycobacterium fortuitum / Q000302:isolation & purification*; D016896:Treatment Outcome; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000008:administration & dosage; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
chemical_list: D000900:Anti-Bacterial Agents; D015662:Trimethoprim, Sulfamethoxazole Drug Combination
keywords: EVD = external ventricular drain; MIC = minimum inhibitory concentration; Mycobacterium fortuitum; NTM = nontuberculous mycobacteria; RGM = rapidly growing mycobacteria; TMPSMZ = trimethoprim-sulfamethoxazole; VP = ventriculoperitoneal; WBC = white blood cell; atypical mycobacteria; nontuberculous mycobacteria; shunt infection; ventriculoperitoneal shunt