Post-surgical atypical mycobacteriosis in 125 patients in Rio de Janeiro

• Main Authors: Patrícia Yvonne Maciel Pinheiro, Sérgio Setúbal, Solange Artimos de Oliveira
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Medicina Tropical (SBMT)
• Series: Revista da Sociedade Brasileira de Medicina Tropical
• Subjects: Post-surgical wound infection; Mycobacterium infection; Multidrug therapy
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822019000100678&lng=en&tlng=en

Abstract INTRODUCTION: The growing incidence of post-surgical atypical mycobacteriosis (PSAM) may be related to the increased use of low- and medium-complexity video-assisted surgery. METHODS: Between April 2007 and June 2009, 125 patients were referred from the State Health Department of Rio de Janeiro for the treatment of confirmed, probable, or suspected PSAM. RESULTS: Laparoscopic cholecystectomy was the most frequent surgical procedure (48.8%) among patients. Clarithromycin, ethambutol, and terizidone were used to treat 113 patients for a mean duration of 226 days. CONCLUSIONS: Despite the need for multidrug therapy and long treatment duration, most included patients adhered to treatment and experienced cure without relapse.