International Journal of Medical Laboratory Research (IJMLR)

A CASE OF NON-HEALING HERNIORRHAPHY: COMMON PROBLEM, UNCOMMON CAUSE

 

Rohini Sharma, Binit Kumar Singh, ChaitenyaVerma, Prahalad Kumar, Pankaj Jorwal

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ABSTRACT: Post-operative wound infection, mesh site infection and delayed healing due to Nontuberculous mycobacteria (NTM) is scarcely reported in literature and hence they not recognized as a common cause for these. Generally, wound infections due to atypical mycobacteria shows delayed/non-healing because they do not respond to conventional antibiotics. Rapid identification of rapidly growing mycobacteria (RGM) like M.abscessus can be done by molecular methods using DNA probe hybridization. We report a case of non-healing herniorrhaphy due to wound infection by M. abscessus which was later identified by Line probe assay (CM/AS kit) and treated successfully. This case report emphasizes the importance of comprehensive evaluation of any non-healing postoperative wound by staining, cartridge based nucleic acid amplification test, liquid culture or by any other techniques extensively, in order to detecting an elusive cause such as M.abscessus.

KEYWORDS: Herniorraphy, Nontuberculous mycobacteria ,Atypical mycobacteria

 

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