PMC9309716_01
Condition of the patient's incisions. (A) It shows the incisions of the patient on admission. (B) It shows the incisions of the patient after second surgery. (C) It shows the patient's incisions after 60 days of quadruple therapy. (D) The patient's temperature and routine blood test results.
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F1
On examination, the incisions under the xiphoid process were red and swollen, the incisions were dehiscent, local tenderness, high skin temperature and a little suppuration (Figure 1A). We discovered the surgical incisions still were not healing, the skin surrounding the incisions was red, swollen and painful, and suppuration was present (Figure 1B). Since admission, the patient's body temperature and blood routine results were normal (Figure 1D). After 20 days, the patient's incisions healed well, and there was no sign of recurrence in the 60th day after quadruple therapy (Figure 1C).
(A) Abdominal B-ultrasound results show the formation of sinus tract and empyema. (B) Chest computed tomography images of the lung window show no sign of tuberculosis-related diseases.
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F2
According to the B-ultrasound results (Figure 2A), considering the formation of sinus tract under xiphoid process. Combined with the patient's chest CT (Figure 2B), tuberculosis related examination and the patient's clinical symptoms, they did not support tuberculosis-related diseases.
Polymerase chain reaction and capillary electrophoresis technique confirmed M. senegalense infection in the patient. 16S rRNA- and rpoB-specific amplified fragments are marked with red boxes.
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F3
Subsequently, the capillary electrophoresis technique (Qsep 100TM; Bioptic) also curtained the M. senegalense infection (Figure 3).