Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 14 , ISSUE 2 ( March-April, 2022 ) > List of Articles

CASE REPORT

An Interesting Case of a Nonhealing Obstetric Surgical Site Infection of a Concomitant Rare Fungal and Tuberculous Origin

Aditya R Nimbkar, Shruti A Panchbudhe, Prasad Deshmukh

Keywords : Kodamaea ohmeri, Mycobacterium tuberculosis, Nonhealing, Other, Surgical site infection

Citation Information : Nimbkar AR, Panchbudhe SA, Deshmukh P. An Interesting Case of a Nonhealing Obstetric Surgical Site Infection of a Concomitant Rare Fungal and Tuberculous Origin. J South Asian Feder Obs Gynae 2022; 14 (2):207-209.

DOI: 10.5005/jp-journals-10006-2009

License: CC BY-NC 4.0

Published Online: 21-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To understand an algorithmic approach toward a nonhealing surgical site infection (SSI) and broaden our diagnostic outlook toward its uncommon infective etiologies. Background: Nonhealing wound causes significant morbidity and mortality of patients. One of the rare causes behind nonhealing wound infection is Mycobacterium tuberculosis which often remains undiagnosed and increases financial, psychological, and physical burden of the patient and hospital. Case description: Twenty-five-year-old female with a refractory nonhealing lower segment cesarean section wound infection which did not respond to higher antibiotics was later found to be of tubercular and fungal etiology. Conclusion: Optimal involvement of a multidisciplinary team and a precise diagnostic algorithmic approach to treat a refractory SSI with a high degree of suspicion for unusual causes of refractory SSI. Clinical significance: This case report recommends having high degree of clinical suspicion of wound tuberculosis and concomitant infections and sending wound biopsies in all the patients with delayed/nonhealing at earliest.


PDF Share
  1. WHO. Global tuberculosis control. WHO report. WHO/HTM/TB/2006.362. Geneva: World Health Organization; 2006. Available from: https://apps.who.int/iris/bitstream/handle/10665/144567/9241563141_eng.pdf?sequence=1.
  2. Sengupta M, Dasgupta A, Santra D, et al. Clinical manifestations and challenges in management of tuberculosis in pregnancy in a rural setting in Eastern India. J South Asian Feder Obst Gynae 2018;10(1):15–22. DOI: 10.5005/jp-journals-10006-1551.
  3. Bergman MM, Gagnon D, Doern GV. Pichia ohmeri fungemia. Diagn Microbiol Infect Dis 1998;30(3):229–231. DOI: 10.1016/s0732-8893(97)00233-2.
  4. Ekanem EE, Oniya O, Saleh H, et al. Surgical site infection in obstetrics and gynaecology: prevention and management. Obstet Gynaecol 2021;23:124–137. DOI: 10.1111/tog.12730.
  5. Metgud MC, Kataria A, Nadipally SR, et al. Incidence of wound dehiscence following obstetric and gynecological surgeries at a Tertiary Care Hospital: a retrospective study. J South Asian Feder Obst Gynae 2020;12(2):73–78. DOI: 10.5005/jp-journals-10006-1763.
  6. Zhou M, Li Y, Kudinha T, et al. Kodamaea ohmeri as an emerging human pathogen: a review and update. Front Microbiol 2021;12:736582. DOI: 10.3389/fmicb.2021.736582.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.