Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap
Summary:. Mycobacterium mageritense is a rare, rapidly growing, nontuberculosis mycobacterium that belongs to type IV of the rapidly growing mycobacteria. These bacteria are found in soil and water, and cause localized skin and soft tissue infections; however, they are challenging to culture, leadin...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006823 |
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| author | Anna Suzuki, MD Takako Komiya, MD, PhD Hiroaki Fujita, MD, PhD Kazuki Shimada, MD, PhD Masahito Nonaka, MD Mai Hanano, MD Meisei Takeishi, MD, PhD Takashi Ishikawa, MD, PhD Hajime Matsumura, MD, PhD |
| author_facet | Anna Suzuki, MD Takako Komiya, MD, PhD Hiroaki Fujita, MD, PhD Kazuki Shimada, MD, PhD Masahito Nonaka, MD Mai Hanano, MD Meisei Takeishi, MD, PhD Takashi Ishikawa, MD, PhD Hajime Matsumura, MD, PhD |
| author_sort | Anna Suzuki, MD |
| collection | DOAJ |
| description | Summary:. Mycobacterium mageritense is a rare, rapidly growing, nontuberculosis mycobacterium that belongs to type IV of the rapidly growing mycobacteria. These bacteria are found in soil and water, and cause localized skin and soft tissue infections; however, they are challenging to culture, leading to diagnostic delays. To our knowledge, there have been 12 reported cases of surgical site infections (SSIs) caused by M. mageritense, with only 2 cases following breast reconstruction. A 51-year-old woman underwent nipple-sparing mastectomy and immediate breast reconstruction using a deep inferior epigastric perforator flap for invasive ductal carcinoma of the left breast. One month after surgery, she developed an SSI caused by M. mageritense. Despite initial outpatient treatment, the infection persisted, requiring multiple hospitalizations, administration of intravenous antibiotics, and several debridements under general anesthesia. Negative pressure wound therapy and a coordinated approach among various medical specialties are essential for managing infections. The patient experienced side effects from prolonged antibiotic use but eventually exhibited no signs of infection recurrence. This case highlights the challenges in diagnosing and treating M. mageritense SSIs, emphasizing the need for comprehensive surgical and medical management, together with patient-centered care, to effectively manage long-term treatment. |
| format | Article |
| id | doaj-art-87c9fcdef267403cabc3b81ae79a1112 |
| institution | OA Journals |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-87c9fcdef267403cabc3b81ae79a11122025-08-20T02:10:28ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e682310.1097/GOX.0000000000006823202506000-00010Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator FlapAnna Suzuki, MD0Takako Komiya, MD, PhD1Hiroaki Fujita, MD, PhD2Kazuki Shimada, MD, PhD3Masahito Nonaka, MD4Mai Hanano, MD5Meisei Takeishi, MD, PhD6Takashi Ishikawa, MD, PhD7Hajime Matsumura, MD, PhD8From the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan† Department of Infection Prevention and Control, Tokyo Medical University, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, JapanFrom the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, Japan‡ Department of Breast Surgery, Tokyo Medical University, Tokyo, Japan.From the * Department of Plastic and Reconstructive Surgery, Tokyo Medical University, Tokyo, JapanSummary:. Mycobacterium mageritense is a rare, rapidly growing, nontuberculosis mycobacterium that belongs to type IV of the rapidly growing mycobacteria. These bacteria are found in soil and water, and cause localized skin and soft tissue infections; however, they are challenging to culture, leading to diagnostic delays. To our knowledge, there have been 12 reported cases of surgical site infections (SSIs) caused by M. mageritense, with only 2 cases following breast reconstruction. A 51-year-old woman underwent nipple-sparing mastectomy and immediate breast reconstruction using a deep inferior epigastric perforator flap for invasive ductal carcinoma of the left breast. One month after surgery, she developed an SSI caused by M. mageritense. Despite initial outpatient treatment, the infection persisted, requiring multiple hospitalizations, administration of intravenous antibiotics, and several debridements under general anesthesia. Negative pressure wound therapy and a coordinated approach among various medical specialties are essential for managing infections. The patient experienced side effects from prolonged antibiotic use but eventually exhibited no signs of infection recurrence. This case highlights the challenges in diagnosing and treating M. mageritense SSIs, emphasizing the need for comprehensive surgical and medical management, together with patient-centered care, to effectively manage long-term treatment.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006823 |
| spellingShingle | Anna Suzuki, MD Takako Komiya, MD, PhD Hiroaki Fujita, MD, PhD Kazuki Shimada, MD, PhD Masahito Nonaka, MD Mai Hanano, MD Meisei Takeishi, MD, PhD Takashi Ishikawa, MD, PhD Hajime Matsumura, MD, PhD Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap Plastic and Reconstructive Surgery, Global Open |
| title | Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap |
| title_full | Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap |
| title_fullStr | Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap |
| title_full_unstemmed | Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap |
| title_short | Surgical Site Infection Owing to Mycobacterium mageritense After Immediate Breast Reconstruction Using a Deep Inferior Epigastric Perforator Flap |
| title_sort | surgical site infection owing to mycobacterium mageritense after immediate breast reconstruction using a deep inferior epigastric perforator flap |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006823 |
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