Published on:
    Journal of Cardiovascular Disease Research, 2011; 2(1):80-82
    CLINICAL CASE REPORT BASED STUDY | doi:10.4103/0975-3583.78604

    Mycobacterium abscessus bacteremia in an immunocompetent patient following a coronary artery bypass graft

    Authors:

    Smita Sarma, Sunil Sharma1, Usha K Baweja1, Yatin Mehta2

    Departments of Microbiology and, 1Clinical Lab,

    2Medanta Institute of Critical Care and Anaesthesiology,Medanta - The Medicity, Gurgaon, Haryana, India

     

    Abstract:

    Sternal osteomyelitis with bacteremia due to Mycobacterium abscessus is rarely seen in immunocompetent hosts. Routine pyogenic cultures in these cases are often negative causing a delay in diagnosis and treatment. Clinicians and microbiologists should rule out the possibility of infection due to nontuberculous mycobacteria while managing cases of nonhealing culture-negative wounds with conventional antibiotic therapy. We report a case of bacteremia secondary to a nonhealing sternal wound due to M. abscessus. A combination of radical debridement and prolonged antimicrobial therapy helped in the complete eradication of the infection.

    Key words: Bacteremia, Mycobacterium abscessus, nontuberculous mycobacteria, sternal osteomyelitis