Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Nontuberculous Mycobacterial Infection after Body Contouring Procedure, Case Report

체형 교정 시술 후 발생한 비정형 마이코박테리아 감염, 증례 보고

  • Jeong, Jae-Yeon (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine) ;
  • Lim, So-Young (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine) ;
  • Pyon, Jai-Kyong (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine) ;
  • Mun, Goo-Hyun (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine) ;
  • Bang, Sa-Ik (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine) ;
  • Oh, Kap-Sung (Samsung Medical Center, Department of Plastic Surgery, Sungkyunkwan University School of Medicine)
  • 정재연 (성균관대학교 의과대학 성형외과학교실) ;
  • 임소영 (성균관대학교 의과대학 성형외과학교실) ;
  • 변재경 (성균관대학교 의과대학 성형외과학교실) ;
  • 문구현 (성균관대학교 의과대학 성형외과학교실) ;
  • 방사익 (성균관대학교 의과대학 성형외과학교실) ;
  • 오갑성 (성균관대학교 의과대학 성형외과학교실)
  • Received : 2009.12.30
  • Accepted : 2010.03.23
  • Published : 2010.05.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: NTM (non tuberculous mycobacteria) is rare cause of surgical site infection after plastic surgery in immunocompetent patients. There are some reports about NTM infection after body contouring procedure from Latin America. But, there is no report in Korea. The purpose of this article is to report 2 patients with soft tissue infection caused by NTM after body contouring procedure. Methods: Two young female patients exhibited signs of inflammation and abscess after body contouring procedure. One patient underwent liposuction. The other underwent HPL (hypotonic pharmacologic lipo-dissolution) injection. Results: The result of tissue cultures were positive for NTM. All patients responded to the combined therapeutic approach. Conclusion: The goal of this article is to raise awareness among plastic surgeons who may encounter such patients in their practice. NTM should be included in the differential diagnosis of surgical site infection after body contouring surgery.

Keywords

References

  1. Jarzembowski JA, Young MB: Nontuberculous mycobacterial infections. Arch Pathol Lab Med 132: 1333, 2008
  2. Murillo J, Torres J, Bofill L, Rios-Fabra A, Irausquin E, Isturiz R, Guzman M, Castro J, Rubino L, Cordido M: Skin and wound infection by rapidly growing mycobacteria: An unexpected complication of liposuction and liposculpture the venezuelan collaborative infectious and tropical diseases study group. Arch Dermatol 136: 1347, 2000 https://doi.org/10.1001/archderm.136.11.1347
  3. Furuya EY, Paez A, Srinivasan A, Cooksey R, Augenbraun M, Baron M, Brudney K, Della-Latta P, Estivariz C, Fischer S, Flood M, Kellner P, Roman C, Yakrus M, Weiss D, Granowitz EV: Outbreak of mycobacterium abscessus wound infections among "lipotourists" from the United States who underwent abdominoplasty in the dominican republic. Clin Infect Dis 46: 1181, 2008 https://doi.org/10.1086/529191
  4. Sanudo A, Vallejo F, Sierra M, Hoyos JG, Yepes S, Wolff JC, Correa LA, Montealegre C, Navarro P, Bedoya E, Sanclemente G: Nontuberculous mycobacteria infection after mesotherapy: Preliminary report of 15 cases. Int J Dermatol 46: 649, 2007 https://doi.org/10.1111/j.1365-4632.2007.02976.x
  5. Newman MI, Camberos AE, Ascherman J: Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter. Ann Plast Surg 55: 107, 2005 https://doi.org/10.1097/01.sap.0000168030.87804.93
  6. Tappeiner G, Wolff K: Tuberculosis and other mycobacterial infections. In Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM, Austin KF (eds): Dermatology in General Medicine. 6th ed, New York, McGraw-Hill, 2003, p1949
  7. [No authors listed]: From the centers for disease control and prevention. Rapidly growing mycobacterial infection following liposuction and liposculpture-caracas, venezuela, 1996-1998. JAMA 281: 504, 1999 https://doi.org/10.1001/jama.281.6.504
  8. Sastry V, Brennan PJ: Cutaneous infections with rapidly growing mycobacteria. Clin Dermatol 13: 266, 1995