M #chelonae #NTM keratitis treatment: 1st: topical steroid cessation, prolonged combo topical abx (FQ, AG, macrolide). 2nd: Systemic abx (macrolide & tetracycline). Refractory cases: Surgery (debridement, corneal transplant or enucleation). Relapse high, vision loss 20-50%

https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6441a4.htm

#mycobacterium #chelonae infection post LASIK t.co/gDzOzCeV35

#chelonae 25% strains show susceptibility to doxy and FQ including moxifloxacin. Clarithro is doc for localized dz but not for disseminated dz. Generally 2 active agensts for 4 months for SSTI

#mycobacterium #chelonae #NTM #SSTI culture or tissue biopsy. Only Amikacin, cefoxitin, tigecycline, tobramycin, clarithromycin and sometimes linezolid, moxifloxacin and doxycyline has activity against #chelonae

Mycobacterium chelonae Facial Infections Following Injection of Dermal Filler A cluster of 3 facial Mycobacterium chelonae infections occurred after cosmetic dermal filler injections at a plastic surgery clinic. Pulsed-field gel electrophoresis showed that M chelonae isolated f...

#mycobacterium #chelonae #NTM ice from non-sterile water used prior to injection Ref pmc.ncbi.nlm.nih.gov/articles/PMC...