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Treatment of a Chronic Multidrug-Resistant Cutaneous Mycobacterium chelonae Infection of the Hand with Wide Debridement and Skin-Grafting

A Case Report

Wang, Mark L., MD, PhD1; Vosbikian, Michael M., MD2; Abboudi, Jack, MD1; Beredjiklian, Pedro K., MD1

doi: 10.2106/JBJS.CC.N.00067
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Case: We present a case of a healthy thirty-seven-year-old woman with a chronic cutaneous Mycobacterium chelonae infection of the hand recalcitrant to antibiotics and excisional biopsies. She was treated with wide excision of the lesion and staged full-thickness skin-grafting. At the sixth-month follow-up, she reported no activity limitations and demonstrated full painless digital motion without evidence of recurrent infection.

Conclusion: The technique presented offers the advantage of early digital range of motion with temporary soft-tissue coverage prior to definitive coverage with a full-thickness skin graft while laboratory analysis is performed.

1Rothman Institute at Thomas Jefferson University Hospital, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107

2Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, 1025 Walnut Street, Room 516 College, Philadelphia, PA 19107. E-mail address: michael.vosbikian@gmail.com

Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated
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