Post-surgical atypical mycobacteriosis in 125 patients in Rio de Janeiro

Rev Soc Bras Med Trop. 2019 Jul 18:52:e20190039. doi: 10.1590/0037-8682-0039-2019.

Abstract

Introduction: The growing incidence of post-surgical atypical mycobacteriosis (PSAM) may be related to the increased use of low- and medium-complexity video-assisted surgery.

Methods: Between April 2007 and June 2009, 125 patients were referred from the State Health Department of Rio de Janeiro for the treatment of confirmed, probable, or suspected PSAM.

Results: Laparoscopic cholecystectomy was the most frequent surgical procedure (48.8%) among patients. Clarithromycin, ethambutol, and terizidone were used to treat 113 patients for a mean duration of 226 days.

Conclusions: Despite the need for multidrug therapy and long treatment duration, most included patients adhered to treatment and experienced cure without relapse.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Brazil / epidemiology
  • Clarithromycin / therapeutic use
  • Drug Therapy, Combination
  • Ethambutol / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mycobacterium Infections, Nontuberculous
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology*
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / etiology*
  • Video-Assisted Surgery / adverse effects*
  • Young Adult

Substances

  • Ethambutol
  • Clarithromycin