Mycobacterium fortuitum is a ubiquitous, rapidly growing mycobacterial species that is infrequently reported in the surgical literature. Clinically im- portant infection with this organism has been described fol- lowing trauma, injections, augmentation mammoplasty, and ultrasound hydrolipoclasia1-3. In the field of orthopaedic sur- gery, Mycobacterium fortuitum infection has been encountered only following prosthetic arthroplasty or fracture surgery with internal fixation4-9.
We report the case of an otherwise healthy man who underwent patellar tendon repair that was complicated by Mycobacterium fortuitum infection. While an accurate diag- nosis was delayed by several weeks, aggressive surgical and specific antimicrobial therapy resulted in a favorable outcome. We emphasize the importance of surgeon awareness of this pathogen in order to facilitate accurate diagnosis and appro- priate treatment.
The patient was informed that data concerning the case would be submitted for publication, and he consented.