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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?
Answer from: at Community Practice
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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Answer from: at Community Practice
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.
Is the pt's infection caused by a single NTM the M. chelonae-abscessus group?
Is the isolate or isolates clari-resistant?
What are the signs ...