trimethoprim--sulfamethoxazole-drug-combination and Wounds--Gunshot

To report a case of retroperitoneal abscess caused by Mycobacterium chelonae and treatment.. Case report.. Private community teaching hospital.. A patient was admitted to the hospital following a gunshot to the flank. The bullet passed through the iliac crest and lodged in the abdomen.. The patient was treated with cefazolin, trimethoprim/sulfamethoxazole, and amikacin at different times.. The patient responded well to pharmacologic treatment and at 18-month follow-up, he is disease free.. Antimicrobial agents with in vitro activity against M. chelonae, especially amikacin-containing regimens, are recommended for treating M. chelonae infection.

Topics: Abscess; Adult; Amikacin; Cefazolin; Drug Therapy, Combination; Hospitals, Community; Hospitals, Teaching; Humans; Male; Mycobacterium chelonae; Mycobacterium Infections, Nontuberculous; Retroperitoneal Space; Trimethoprim, Sulfamethoxazole Drug Combination; Wounds, Gunshot