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Scleral Buckle Infection Caused by Mycobacterium chelonae: A Case Report

Authors Kusaka M, Kagitani Y, Hama S, Kita M

Received 18 December 2020

Accepted for publication 15 January 2021

Published 5 February 2021 Volume 2021:14 Pages 51—53


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Supplementary video of "Mycobacterium chelonae buckle infection" [ID 294627].

Views: 446

Mami Kusaka, Yu Kagitani, Sachiyo Hama, Mihori Kita

Department of Ophthalmology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan

Correspondence: Mihori Kita
Department of Ophthalmology, National Hospital Organization Kyoto Medical Center, 1-1 Mukaihata-Cho, Fukakusa, Fushimi-Ku, Kyoto-city, Kyoto, 612-8555, Japan
Tel +81-75-641-9161
Fax +81-75-643-4325

Abstract: A 63-year-old female with a history of retinal detachment repair with scleral buckle from 28 years prior presented with exposure of the buckle in her right eye. After removing the buckle and anchoring sutures, the operation field was washed with 0.25% polyvinyl alcohol-iodine, vancomycin, and ceftazidime. Cultures revealed Mycobacterium chelonae. Systemic meropenem was discontinued on postoperative day 5. The retina remained attached, and there was no recurrence over a 1-year follow-up. We report a case of NTM buckle infection that responded well to thorough washings with polyvinyl alcohol-iodine and antibiotic solutions instead of using a prolonged course of systemic antibiotics.

Keywords: scleral buckle, infection, Mycobacterium chelonae, nontuberculous mycobacteria, NTM, polyvinyl alcohol-iodine, artificial device

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