• Soft-tissue Infections caused by rapidly growing mycobacterla may follow penetrating trauma. We present four immunologically normal patients in whom soft-tissue infections with Mycobacterium fortuitum developed after they stepped on nails. Their presentations were clinically indistinguishable from puncture wound Infections caused by Pseudomonas aeruginosa and Staphylococcus aureus. The acid-fast organisms grew on standard bacteriologic media within three to five days. Speciation and antimicrobial susceptibility testing was performed. The primary mode of therapy was surgical; adjunctive antimicrobial therapy is recommended only for extensive or chronic infections and in immunocompromised hosts. All four of our patients had good outcomes after therapy.
Subbarao EK, Tarpay MM, Marks MI. Soft-Tissue Infections Caused by Mycobacterium fortuitum Complex Following Penetrating Injury. Am J Dis Child. 1987;141(9):1018-1020. doi:10.1001/archpedi.1987.04460090095037