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Intraoperative samples cultured <jats:italic>Mycobacterium abscessus<\/jats:italic> complex on MGIT 960 system. The patient subsequently had to undergo another debridement after 1\u2009month as there were clinical signs of persisting infection. The graft was intact even on the second debridement and after removing the implants. This case reports a rare complication of ACL reconstruction with infection by atypical mycobacterium and the clinical outcome. It also emphasises that prompt surgical intervention can save the graft.<\/jats:p>","DOI":"10.1136\/bcr-2022-253440","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T11:50:22Z","timestamp":1707306622000},"page":"e253440","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Atypical mycobacterium infection following anterior cruciate ligament reconstruction"],"prefix":"10.1136","volume":"16","author":[{"given":"Sashitemjen","family":"Aier","sequence":"first","affiliation":[{"name":"Orthopaedics, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saher","family":"Kalra","sequence":"additional","affiliation":[{"name":"Orthopaedics, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muralidhar","family":"Varma","sequence":"additional","affiliation":[{"name":"Infectious Diseases, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivek","family":"Pandey","sequence":"additional","affiliation":[{"name":"Orthopaedics, Kasturba Medical College Manipal, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,10,6]]},"reference":[{"key":"2025082722215978000_16.10.e253440.1","doi-asserted-by":"publisher","DOI":"10.1177\/1941738115618638"},{"key":"2025082722215978000_16.10.e253440.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(98)70098-2"},{"key":"2025082722215978000_16.10.e253440.3","doi-asserted-by":"crossref","first-page":"2187","DOI":"10.2106\/JBJS.19.00270","article-title":"Graft preparation with intraoperative vancomycin decreases infection after ACL reconstruction: a review of 1,640 cases","volume":"101","author":"Baron","year":"2019","journal-title":"J Bone Joint Surg Am"},{"key":"2025082722215978000_16.10.e253440.4","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-006-0224-5"},{"key":"2025082722215978000_16.10.e253440.5","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500222"},{"key":"2025082722215978000_16.10.e253440.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.09.009"},{"key":"2025082722215978000_16.10.e253440.7","doi-asserted-by":"crossref","first-page":"22","DOI":"10.52600\/2763-583X.bjcr.2021.1.4.22-30","article-title":"Mycobacterium abscessus subsp. 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