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J Hand Microsurg 2021; 13(04): 252-254
DOI: 10.1055/s-0040-1709215
Case Report

Mycobacterium szulgai Infection after Carpal Tunnel Release Requiring Extensive Debridement and ALT Flap Reconstruction

Ayman Saeed 
1   Department of Plastic and Reconstructive Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom
,
Nitisha Narayan
2   Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, United Kingdom
,
Nikos Karmiris
3   Department of Plastic and Reconstructive Surgery, Salisbury NHS Foundation Trust, United Kingdom
,
Luigi Troisi 
4   University Department of Hand Surgery and Rehabilitation, San Giuseppe Hospital, IRCCS MultiMedica Group, Milan, Italy
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Abstract

Nontuberculous mycobacteria (NTM) refer to all mycobacteria species not associated with the Mycobacterium tuberculosis complex. NTM have been shown to cause superficial and deep tissue infections of the hand, the vast majority of which are attributed to Mycobacterium marinum. There have been only eight cases of Mycobacterium szulgai-associated infections of the hand described in the English literature, none requiring surgical reconstruction. We describe a severe case of M. szulgai-associated carpal tunnel infection reported in an immunocompetent patient requiring extensive soft tissue debridement and reconstruction. This case illustrates the importance of a multidisciplinary team approach with microbiology specialists when managing severe soft tissue infections of the hand.

Keywords

Mycobacterium - nontuberculous - ALT - reconstruction - infection


Publication History

Article published online:
28 April 2020

© 2020. Society of Indian Hand & Microsurgeons. All rights reserved.

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