Multi-drug resistant Mycobacterium chelonae scleral buckle infection

Daniel S. Churgin, Kimberly D. Tran, Ninel Z. Gregori, Ryan C. Young, Chrisfouad Alabiad, Harry W. Flynn

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Purpose: To describe a case of Multi-drug resistant Mycobacterium chelonae scleral buckle infection. Observations: A 56 year-old male with history of retinal detachment repair with scleral buckle 20 years prior presented with 8 months of intermittent pain and redness in the left eye. The patient was diagnosed with scleral buckle infection, the buckle was removed, and cultures revealed multi-drug resistant Mycobacterium chelonae. The postoperative course included orbital cellulitis treated with systemic linezolid, clarithromycin, and imipenem. All systemic antibiotics were discontinued on post-operative day 25, visual acuity improved to 20/25, the retina remained attached, and no recurrence occurred over 3 years of follow-up. Conclusions and importance: NTM infections are typically chronic and often require lengthy treatment. SB infection is rare, but often associated with biofilm and antibiotic resistance. In spite of removing the SB, anchoring sutures, sheath surrounding the buckle and associated biofilm, a prolonged course of systemic antibiotics may be necessary in some patients.

Original languageEnglish (US)
Pages (from-to)276-278
Number of pages3
JournalAmerican Journal of Ophthalmology Case Reports
Volume10
DOIs
StatePublished - Jun 2018
Externally publishedYes

Keywords

  • Non-tuberculous mycobacterium
  • Orbital cellulitis
  • Scleral buckle

ASJC Scopus subject areas

  • Ophthalmology

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