Tubercular Infection After Arthroscopic Anterior Cruciate Ligament Reconstruction

Nag, Hira Lal; Neogi, Devdatta Suhas; Nataraj, A. R.; Kumar, Vijay; Yadav, Chandra Shekhar; Singh, Urvashi

doi:10.1016/j.arthro.2008.09.009

Cited by 31 publications

(31 citation statements)

References 15 publications

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“… 1) Mycobacterium infections following ACL reconstructions are rare, with only 9 reported cases in the literature. 2 , 3) To our knowledge, there are no previous reports citing Mycobacterium abscessus as the culprit pathogen.…”

mentioning

confidence: 91%

Lessons Learnt from an AtypicalMycobacteriumInfection Post-Anterior Cruciate Ligament Reconstruction

Han

2015

Clin Orthop Surg

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Infections following anterior cruciate ligament reconstruction are rare, with no previous reports citing Mycobacterium abscessus as the culprit pathogen. A 22-year-old man presented twice over three years with a painful discharging sinus over his right tibia tunnel site necessitating repeated arthroscopy and washout, months of antibiotic therapy, and ultimately culminating in the removal of the implants. In both instances, M. abscessus was present in the wound cultures, along with a coinfection of Staphyloccocus aureus during the second presentation. Though rare, M. abscessus is an important pathogen to consider in postoperative wounds presenting with chronic discharging sinuses, even in healthy non-immunocompromised patients. This case illustrates how the organism can cause an indolent infection, and how the removal of implants can be necessary to prevent the persistence of infection. Coinfection with a second organism is not uncommon and necessitates a timely change in treatment regime as well.

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confidence: 91%

Lessons Learnt from an AtypicalMycobacteriumInfection Post-Anterior Cruciate Ligament Reconstruction

Han

2015

Clin Orthop Surg

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“…For the diagnosis of tubercular infection during screening, the tuberculin test is the only tool currently available [7,12]. However, with such a high rate of prevalence of mycobacterial infection, as well as routine BCG immunization, routine screening of patients with tuberculin testing in our population is not recommended.…”

Section: Discussionmentioning

confidence: 99%

Skeletal muscle tuberculosis simultaneously involving multiple sites

Neogi¹,

Bandekar²,

Chawla³

2013

Journal of Pediatric Orthopaedics B

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Tuberculosis (TB) continues to be a public health problem in both developing and industrialized countries. TB of the skeletal muscle is very rare. We present a case of the simultaneous involvement of skeletal muscles in multiple sites in an 11-year-old immune-competent female patient. All physicians should have adequate knowledge of TB and awareness of its atypical presentations to ensure the proper management of such patients.

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“…Few reports on the application of PCR in the diagnosis of joint TB have been published, most of them having been clinical case-reports or clinical observations with small sample sizes. These reports have indicated that PCR also possesses outstanding advantages in regard to the early and rapid diagnosis and differential diagnosis of joint TB [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] , yet, to the best of our knowledge, a systematic clinical appraisal of PCR in the diagnosis of joint TB, especially with large sample sizes, had not yet been published.…”

Section: The Clinical Evaluation Of Polymerase Chain Reaction For Detmentioning

confidence: 99%

Clinical value of polymerase chain reaction in the diagnosis of joint tuberculosis by detecting the DNA ofMycobacterium tuberculosis

Sun

Lou

Wen

et al. 2011

Orthopaedic Surgery

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Tubercular Infection After Arthroscopic Anterior Cruciate Ligament Reconstruction

Cited by 31 publications

References 15 publications

Lessons Learnt from an AtypicalMycobacteriumInfection Post-Anterior Cruciate Ligament Reconstruction

Lessons Learnt from an AtypicalMycobacteriumInfection Post-Anterior Cruciate Ligament Reconstruction

Skeletal muscle tuberculosis simultaneously involving multiple sites

Clinical value of polymerase chain reaction in the diagnosis of joint tuberculosis by detecting the DNA ofMycobacterium tuberculosis

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