J. Holland et al., SURGICAL-MANAGEMENT OF CUTANEOUS INFECTION CAUSED BY ATYPICAL MYCOBACTERIA AFTER PENETRATING INJURY - THE HIDDEN DANGERS OF HORTICULTURE, The journal of trauma, injury, infection, and critical care, 42(2), 1997, pp. 337-340
We identified two patients in a 12-month period who presented with cut
aneous infection and secondary Lymph node involvement from atypical my
cobacterial infection after minor gardening injuries. One patient had
a coinfection with Nocardia asteroides. Both patients required multipl
e surgical interventions, despite appropriate antibiotic therapy, befo
re resolution of the disease, The course of the infection was characte
rized by chronic relapses with complete healing at 12 to 18 months aft
er the original injury. The identification and management of this clin
ical problem are reviewed.