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A rare case of postoperative Metamycoplasma hominis surgical site infection in a patient after bilateral lung transplantation

J. Kantor, J. Tkadlec, J. Hurych, M. Vaculová, M. Antušková, D. Lžičařová, V. Chrenková, P. Dřevínek, O. Melter

. 2024 ; 69 (3) : 693-696. [pub] 20240416

Status minimal Language English Country Czech Republic

Document type Case Reports, Journal Article

Persistent link   https://www.medvik.cz/link/bmc24009806

Following the COVID-19 infection, the sternum dislocation and wound dehiscence resulted in an infection complicating the recovery of an immunosuppressed patient after bilateral lung transplantation. Anaerobic culture (96 h) of milky cloudy wound secretion resulted in the growth of pinpoint haemolytic colonies identified as Metamycoplasma hominis (formerly Mycoplasma hominis). The search for the endogenous source of the infection found the bacterium exclusively in the patient's sputum, making a possible link to donor lung M. hominis colonization. Unfortunately, the donor samples were no longer available. The wound infection was successfully treated with 17 days of clindamycin despite the continuous PCR detection of M. hominis in the sputum after the end of the treatment.

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$a Following the COVID-19 infection, the sternum dislocation and wound dehiscence resulted in an infection complicating the recovery of an immunosuppressed patient after bilateral lung transplantation. Anaerobic culture (96 h) of milky cloudy wound secretion resulted in the growth of pinpoint haemolytic colonies identified as Metamycoplasma hominis (formerly Mycoplasma hominis). The search for the endogenous source of the infection found the bacterium exclusively in the patient's sputum, making a possible link to donor lung M. hominis colonization. Unfortunately, the donor samples were no longer available. The wound infection was successfully treated with 17 days of clindamycin despite the continuous PCR detection of M. hominis in the sputum after the end of the treatment.
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$a Tkadlec, Jan $u Department of Medical Microbiology, Second Faculty of Medicine, Charles University, Prague, V Úvalu 84, Prague 5 - Motol 150 06, Czech Republic
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$a Hurych, Jakub $u Department of Medical Microbiology, Second Faculty of Medicine, Charles University, Prague, V Úvalu 84, Prague 5 - Motol 150 06, Czech Republic
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$a Vaculová, Markéta $u III Department of Surgery, First Faculty of Medicine, Charles University, Prague and Motol University Hospital, Prague, Czech Republic
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$a Antušková, Milena $u Department of Medical Microbiology, Second Faculty of Medicine, Charles University, Prague, V Úvalu 84, Prague 5 - Motol 150 06, Czech Republic
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