Hakami HI, Alhazmi AA, Alrajhi AA. Mycobacterium abscessus peritonitis associated with laparoscopic gastric banding.
BMC Infect Dis 2013;
13:323. [PMID:
23855515 PMCID:
PMC3727983 DOI:
10.1186/1471-2334-13-323]
[Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2013] [Accepted: 07/10/2013] [Indexed: 11/10/2022] Open
Abstract
Background
Mycobacterium abscessus is a rapidly growing Mycobacterium that is a common water contaminant in the environment. We report a case of M. abscessus infection with band erosion following laparoscopic gastric banding.
Case presentation
A 34-year-old woman developed insidiously progressing abdominal distension over a period of 1 year associated with abdominal pain, fatigue, night sweating and anorexia 4 years after laparoscopic gastric banding for obesity. Investigation revealed significant ascites with caseating granuloma in peritoneal biopsies from which M. abscessus was isolated. Band erosion with infection and multiple abdominal adhesions were confirmed during laparoscopic removal of the gastric band. To the best of our knowledge, this is the first reported case of M. abscessus infection after laparoscopic gastric banding surgery. We discuss the possible sources of infection, its indolent presentation, and therapeutic challenges.
Conclusion
It is important to consider environmentally acquired infection in patients with signs and symptoms of infection in the presence of surgical prosthesis.
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