Post percutaneous nephrolithotripsy nephrostomy site tuberculosis: A report of six cases

Abstract

With the increase in endoscopic surgery, there is a growing concern about the effectiveness of sterilizing reusable equipment by immersion in 2% glutaraldehyde. Although reports of port site tuberculosis (post laparoscopy) are there in the literature, those of nephrostomy site post percutaneous nephrolithotripsy are not available. We describe the clinical features and treatment of six patients who presented with biopsy-proven skin tuberculosis at the nephrostomy-site for non-healing wound.

An insight into outbreak of atypical mycobacterial infection following percutaneous nephrolithotomy - Role of cleaning and sterilization techniques inspected

“…27 Further, workup revealed a disinfectant plastic tray responsible for infections. In our study, inadequate cleaning of small-sized facial dilators (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), 18G initial puncture needle, and Amplatz sheath was probably the inciting factor for NTM outbreak. Author also recommended use of metal surface, autoclaving, or use of OPA over Glutaraldehyde to prevent infections.…”

“…8 Wound infection in PCNL is usually seen less frequently but is associated with long-term morbidity with seropurulent discharge, unsightly appearance, continuous discomfort, and taking months to get resolved ultimately. 9 Many factors have been found to be associated with these infections include the presence of external catheter such as percutaneous nephrostomy (PCN), inadequate sterilization, or high-level disinfection of the nephroscope and its accessory instruments, especially with glutaraldehyde alone. 9 PCNL procedure involves the use of an initial puncture needle, guide wires, facial dilators, nephroscope, and amplatz sheath etc., in order to reach inside the renal system accurately from flank.…”

Port side tubercular abscess in women after lap-diagnosis for infertility

“…6 However, port-site tuberculosis following diagnostic laparoscopy has not been reported. Ramesh et al reported eight patients with biopsy-proven tuberculosis at the port site unassociated with other clinical features of tuberculosis following cholecystectomy.…”