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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(05): 604-607
DOI: 10.1055/s-0042-1756287
Breast/Trunk: Case Report

Multidisciplinary Treatment of Persistent Nontuberculous Mycobacterial Spinal Hardware Infection with a Pedicled Superior Gluteal Artery Perforator Flap

Krystle R. Tuano 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
Jerry H. Yang 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
Christopher J. Kleck
2   Department of Orthopedic Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
David W. Mathes 
1   Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colorado
,
Tae W. Chong 
3   Division of Plastic and Reconstructive Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, Virginia
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Abstract

Nontuberculous mycobacterial hardware infections are extremely challenging to treat. Multidisciplinary care involving removal of infected hardware, thorough debridement, and durable soft tissue coverage in conjunction with antibiotic therapy is essential for successful management. This case report presents a patient with chronic mycobacterial spinal hardware infection that underwent successful treatment with aggressive serial debridements and reconstruction with a large pedicled superior gluteal artery perforator flap coverage.

Keywords

SGAP flaps - implant-associatedinfections - Mycobacterium massiliense - debridement

Authors' Contributions

Conceptualization: T.W.C.

Data curation: K.R.T., J.H.Y., C.J.K., D.W.M., T.W.C.

Methodology: K.R.T., J.H.Y., C.J.K., D.W.M., T.W.C.

Project administration: K.R.T., T.W.C.

Writing – original draft: K.R.T., J.H.Y.

Writing – review & editing: K.R.T., J.H.Y., C.J.K., D.W.M., T.W.C.


Ethical Approval

Patient consent was obtained for publication.




Publication History

Received: 27 October 2021

Accepted: 23 December 2021

Article published online:
23 September 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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