title: Mycobacterium chelonae-abscessus Complex Infection After Flatfoot Reconstruction.
abstract: Mycobacterium infections involving tuberculosis in the foot are rare but cases are readily available in published studies. Atypical or nontuberculosis mycobacterium foot infections are rare, especially those involving the soft tissue and bone, and have been infrequently reported. To date, no case reports involving atypical mycobacterium infection after elective foot surgery have been reported. We present the case of a 49-year-old female who underwent flatfoot reconstruction, with a resultant Mycobacterium chelonae-abscessus infection and osteomyelitis postoperatively. The patient ultimately underwent hardware removal with multiple debridements. The patient was treated ultimately with a 6-week course of intravenous antibiotics and 5 months of oral antibiotics for the mycobacterium infection and osteomyelitis. At the last follow-up examination, the patient remained healed with a satisfactory outcome. We also provide a literature review of mycobacterium infections in the foot.
authors.affiliation: Resident, Orthopedics Department, Inova Fairfax Hospital, Fairfax, VA. Electronic address: jalickiss@gmail.com.
authors.forename: Jessica
authors.initials: J
authors.lastname: Lickiss
authors.affiliation: Resident, Orthopedics Department, Inova Fairfax Hospital, Fairfax, VA.
authors.forename: Ansgar
authors.initials: A
authors.lastname: Olsen
authors.affiliation: Attending Surgeon, Inova Fairfax Hospital, Private Practice, Fairfax, VA.
authors.forename: Jay D
authors.initials: JD
authors.lastname: Ryan
mesh_terms: D005260:Female; D005413:Flatfoot / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D016926:Mycobacterium chelonae; D010019:Osteomyelitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy
keywords: atypical mycobacterium infection; flatfoot reconstruction; nontuberculosis mycobacterium infection; osteomyelitis