Post Operative Persistent Discharging Sinus: A case report of Non-tuberculous Mycobacteria infection in Dhaka Medical College and Hospital

Abstract

Nontuberculous Mycobacteria (NTM) are ubiquitous in nature can usually cause diseases in skin and soft tissue, post-surgical wound infection, pneumonia, infective endocarditis in healthy individual. A patient from neurosurgery department of Dhaka Medical College Hospital was referred to the Department of Microbiology, Dhaka Medical College with the complaints of chronic serous discharge from a pre-auricular sinus after 3 months of craniectomy operation. To detect the causative organism microbiological evaluation was done thoroughly including Gram stain, Zeihl-Neelsen stain, microscopy for fungus, culture and GeneXpert. NTM was identified and antibiotic combination of different classes was used which included clarithromycin, ciprofloxacin, linezolid and amikacin for extended duration. Regular follow-up was taken and patient improved gradually and completely cured.

Bangladesh Journal of Medical Microbiology, January 2024;18(1):56-60