Mycobacterium chelonae Scleral Abscess After Removal of a Scleral Buckle

Pope, John B.; Sternberg, Paul; McLane, Nicholas J.; Potts, David W.; Stulting, R. Doyle

doi:10.1016/0002-9394(89)90511-4

Cited by 32 publications

(13 citation statements)

References 4 publications

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“…5 At least six other M. chelonae infections associated with a scleral buckle have been reported in the literature. 5,6,7 Our case, along with these others, demonstrates that severe scleral thinning and ulceration are hallmarks of this infection. The thinning was so severe that globe perforation occurred in two of these six patients.…”

Section: Commentsupporting

confidence: 61%

Clinicopathologic case report: scleral buckle associated nontuberculous mycobacterial scleritis

Nielsen

Blatt

Perlman

et al. 2004

Seminars in Ophthalmology

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Nontuberculous mycobacterial (NTM) infections have become increasingly important in ophthalmology, particularly with keratorefractive surgery. We report a case of scleral buckle associated NTM scleritis occurring in a 69-year-old male after silicone sponge explant removal. Purulent scleral ulceration with nodule formation persisted despite topical antimicrobial therapy, buckle removal, and surgical debridement. Eventually, tissue biopsy revealed noncasseating granulomas with acid-fast bacilli that were identified in culture as Mycobacterium chelonae. The infection resolved only after administration of systemic antibiotics. NTM are important pathogens in scleral buckle associated scleritis and should be considered in persistent cases. Surgical therapy remains the cornerstone of therapy, but antimicrobials, particularly newer fourth generation fluoroqunilones, may have an important role in treating scleral buckle associated NTM scleritis.

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Section: Commentsupporting

confidence: 61%

Clinicopathologic case report: scleral buckle associated nontuberculous mycobacterial scleritis

Nielsen

Blatt

Perlman

et al. 2004

Seminars in Ophthalmology

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“…23,24 In fact, a wide spectrum of minor ophthalmologic and ear, nose, and throat surgical procedures have been complicated by M fortuitum-M chelonae complex infection, particularly when chemical methods are used to sterilize surgical instruments. 25,26 Quaternary ammonium compounds are considered low-level disinfectants 27 that cannot be relied on to destroy bacterial spores and Mycobacteria and have very little place in modern high-or intermediate-level disinfectant strategies. Nonetheless, it has become common among local surgical groups performing minor ambulatory or cosmetic surgery to clean delicate instruments, such as the cannulas used in liposuction, by rinsing them with water and soap and then sterilizing by submerging them into a commercial solution of a quaternary ammonium for several hours.…”

Section: Methodsmentioning

confidence: 99%

Skin and Wound Infection by Rapidly Growing Mycobacteria<subtitle>An Unexpected Complication of Liposuction and Liposculpture</subtitle>

Murillo¹

2000

Arch Dermatol

139

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“…In most cases, it was still unclear whether the authors actually differentiated between M. chelonae and M. abscessus. Several reports of keratitis due to M. abscessus were described (65,105,132,142,158), and the organism was identified to species. Other authors only identified their isolates as M. chelonae (or the former term M. chelonei), but from the text (susceptibility patterns), we were able to differentiate the organisms as M. abscessus (23,103,108).…”

Section: Corneal Infections (Keratitis)mentioning

confidence: 99%

Clinical and Taxonomic Status of Pathogenic Nonpigmented or Late-Pigmenting Rapidly Growing Mycobacteria

2002

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The history, taxonomy, geographic distribution, clinical disease, and therapy of the pathogenic nonpigmented or late-pigmenting rapidly growing mycobacteria (RGM) are reviewed. Community-acquired disease and health care-associated disease are highlighted for each species. The latter grouping includes health care-associated outbreaks and pseudo-outbreaks as well as sporadic disease cases. Treatment recommendations for each species and type of disease are also described. Special emphasis is on the Mycobacterium fortuitum group, including M. fortuitum, M. peregrinum, and the unnamed third biovariant complex with its recent taxonomic changes and newly recognized species (including M. septicum, M. mageritense, and proposed species M. houstonense and M. bonickei). The clinical and taxonomic status of M. chelonae, M. abscessus, and M. mucogenicum is also detailed, along with that of the closely related new species, M. immunogenum. Additionally, newly recognized species, M. wolinskyi and M. goodii, as well as M. smegmatis sensu stricto, are included in a discussion of the M. smegmatis group. Laboratory diagnosis of RGM using phenotypic methods such as biochemical testing and high-performance liquid chromatography and molecular methods of diagnosis are also discussed. The latter includes PCR-restriction fragment length polymorphism analysis, hybridization, ribotyping, and sequence analysis. Susceptibility testing and antibiotic susceptibility patterns of the RGM are also annotated, along with the current recommendations from the National Committee for Clinical Laboratory Standards (NCCLS) for mycobacterial susceptibility testing

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Mycobacterium chelonae Scleral Abscess After Removal of a Scleral Buckle

Cited by 32 publications

References 4 publications

Clinicopathologic case report: scleral buckle associated nontuberculous mycobacterial scleritis

Clinicopathologic case report: scleral buckle associated nontuberculous mycobacterial scleritis

Skin and Wound Infection by Rapidly Growing Mycobacteria<subtitle>An Unexpected Complication of Liposuction and Liposculpture</subtitle>

Clinical and Taxonomic Status of Pathogenic Nonpigmented or Late-Pigmenting Rapidly Growing Mycobacteria

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