Mycobacterium abscessus peritonitis associated with laparoscopic gastric banding

BMC Infectious Diseases

Abdulrahman A Alrajhi¹  Alaa A Alhazmi²  Hanan I Hakami¹ 

[1]Section of Infectious Diseases, Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

[2]Section of General and Minimal Invasive Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

关键词: Peritonitis;    Mycobacterium;    Laparoscopic gastric banding;   

Others  :  1147053
DOI  :  10.1186/1471-2334-13-323

 received in 2013-04-13, accepted in 2013-07-10,  发布年份 2013

【 摘 要 】

Background

Mycobacterium abscessus is a rapidly growing Mycobacterium that is a common water contaminant in the environment. We report a case of M. abscessus infection with band erosion following laparoscopic gastric banding.

Case presentation

A 34-year-old woman developed insidiously progressing abdominal distension over a period of 1 year associated with abdominal pain, fatigue, night sweating and anorexia 4 years after laparoscopic gastric banding for obesity. Investigation revealed significant ascites with caseating granuloma in peritoneal biopsies from which M. abscessus was isolated. Band erosion with infection and multiple abdominal adhesions were confirmed during laparoscopic removal of the gastric band. To the best of our knowledge, this is the first reported case of M. abscessus infection after laparoscopic gastric banding surgery. We discuss the possible sources of infection, its indolent presentation, and therapeutic challenges.

Conclusion

It is important to consider environmentally acquired infection in patients with signs and symptoms of infection in the presence of surgical prosthesis.

【 授权许可】

   
2013 Hakami et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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