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What additional treatment strategies would you recommend for a patient with a Mycobacterium chelonae and Mycobacterium abscessus infection following bilateral prophylactic mastectomies and implant insertion, who has undergone multiple surgeries and an extended course of IV antibiotics selected based on sensitivities?

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2 Answers
Mednet Member
Mednet Member
Infectious Disease · Infectious Disease Consultants of South Broward

I assume the implants have been removed. I have had no success trying to treat with retention of the implants (because the patients all want a trial of antibiotics first at the suggestion of the surgeon). If the implants are out, all you can do is continue long courses of antibiotics based on sensit...

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Mednet Member
Mednet Member
Infectious Disease · Cooperman Barnabas Medical Center

I am a little confused. I too assume that the implants have been removed and surgical debridement has been performed. I still have a couple of questions.

  1. Is the patient's infection caused by a single NTM the M. chelonae-abscessus group?
  2. Is the isolate or isolates clari-resistant?
  3. What are the signs ...

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