Mycobacterium bollettii, a subset of the group M. abscessus, is a slow-growing, nontuberculous mycobacterium that was first characterized in
the early 2000s. We report a case of M. bollettii infection in an otherwise healthy 49-year-old man who sustained an open fracture
of the right distal radius. After his initial surgery, the patient presented 1 month
later with wound drainage requiring hardware removal and was treated with intravenous
antibiotics. However, there was a persistent infection. We treated his osteomyelitis
with debridement and placement of amikacin antibiotic beads. We selected this particularly
uncommon antibiotic cement specifically to address the nontuberculous mycobacterium.
The purpose of this report is to alert treating providers to the possibility of nontuberculous
mycobacterium infections when an inflammatory process persists and to provide guidelines
for the use of amikacin solution to produce antibiotic beads.
Key words
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Article info
Publication history
Published online: March 29, 2020
Accepted:
January 31,
2020
Received:
March 31,
2019
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2020 by the American Society for Surgery of the Hand. All rights reserved.
