{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T06:29:50Z","timestamp":1769149790051,"version":"3.49.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>This report describes a case of a delayed diagnosis of a late-onset mesh infection due to an unexpected enteric pathogen, <jats:italic>Enterobacter cloacae.<\/jats:italic> A 62-year-old woman with a history of prior incisional hernia repair with a prosthetic mesh presented to the emergency room with signs of an abscess with surrounding cellulitis of her abdomen over a year after her hernia repair. The patient manifested minimal response to 1\u2005month of oral antibiotics. She underwent a complicated yet successful treatment course including surgical mesh removal (with a peri-operative complication), implantation of a biological mesh for the ventral hernia defect and ultimately, antibiotics tailored to the offending pathogen identified by postoperative culture of the infected mesh.<\/jats:p>","DOI":"10.1136\/bcr-2013-009123","type":"journal-article","created":{"date-parts":[[2013,8,14]],"date-time":"2013-08-14T05:09:23Z","timestamp":1376456963000},"page":"bcr2013009123","source":"Crossref","is-referenced-by-count":2,"title":["Failure to obtain microbiological culture and its consequence in a mesh-related infection"],"prefix":"10.1136","volume":"2013","author":[{"given":"Juliette M","family":"Slomka","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, National Center for Patient Safety, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Laker","sequence":"additional","affiliation":[{"name":"Department of Surgery, Henry Ford Hospital, West Bloomfield, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pranatharthi","family":"Chandrasekar","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Wayne State University, Detroit, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas E","family":"Paull","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs, National Center for Patient Safety, Ann Arbor, Michigan, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,8,13]]},"reference":[{"key":"2025082722195717000_2013.aug13_2.bcr2013009123.1","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1001\/archsurg.143.11.1068","article-title":"Impact of preoperative 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