Cochlear Implant Complicated by Nontuberculous Mycobacteria Infection: Report and Literature Review.

IF 0.4 Q4 OTORHINOLARYNGOLOGY
Case Reports in Otolaryngology Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI:10.1155/crot/5973005
Haidee Chen, Erik B Vanstrum, Rodell Santuray, Adam Xiao, Akira Ishiyama
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引用次数: 0

Abstract

Objective: Nontuberculosis mycobacteria (NTM) infection of cochlear implants are exceedingly rare. Here, we report one such case and review the literature surrounding previous reports. Methods: Case report. Case Report: A 76-year-old female underwent right cochlear implantation. Her course was complicated by wound dehiscence, three surgical debridements, and ultimately explantation. Cultures ultimately grew Mycobacterium abscessus, which was effectively treated with Azithromycin, Omadacycline, and 3 months of injectable Cefoxitin. At the latest follow-up, the patient is without evidence of further infection and pending reimplantation. Conclusion: NTM is a rare cause of postsurgical infections following cochlear implantation. It is especially important to consider this in cases of indolent, antibiotic-resistant infections to optimize patient treatment.

人工耳蜗合并非结核分枝杆菌感染:报告及文献复习。
目的:人工耳蜗非结核分枝杆菌(NTM)感染极为罕见。在这里,我们报告了一个这样的病例,并回顾了以前报告的文献。方法:病例报告。病例报告:76岁女性行右侧人工耳蜗植入术。她的疗程因伤口裂开、三次手术清创术和最终的手术切除而变得复杂。最终培养出脓肿分枝杆菌,阿奇霉素、奥马达环素和3个月注射头孢西丁有效治疗。在最近的随访中,患者没有进一步感染的迹象,等待重新植入术。结论:NTM是一种罕见的人工耳蜗植入术后感染原因。尤其重要的是,在惰性,抗生素耐药感染的情况下,考虑到这一点,以优化患者的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
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审稿时长
13 weeks
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