Brazilian butt lift gone wrong: a case of non-$$$tuberculous mycobacterial gluteal infection in an HIV infected woman

Bies, JJ; Gyabaah, F; Hassan, M; Prakash, S; Ho, C; Salazar, SR; Cartagena, J; Murguia, AR; Sharma, Santosh Kumar; Brockman, Michael J; Peralta, DP

doi:10.1016/s0002-9629(23)00284-7

Cited by 1 publication

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“… 25 The infection is most likely caused by a lack of proper surgical equipment sterilization or poor sterile technique by the surgeon. 26 Although, in our three cases, M. abscessus was not isolated from the environment of the cosmetic institution, it is suspected that the infection was a result of inadequate disinfection of medical equipment or contaminated sterile saline, based on their epidemiological history.…”

Section: Discussionmentioning

confidence: 74%

Cutaneous Mycobacterium Abscessus Infection Following Plastic Surgery: Three Case Reports

Shen,

Zhang,

Peng

et al. 2024

CCID

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Aim Mycobacterium abscessus is ubiquitous in the environment and seldom causes infections in immunocompetent individuals. However, skin and soft tissue infections caused by M. abscessus have been reported in recent years. Additionally, the cutaneous infections or outbreaks post cosmetic surgery caused by M. abscessus have been increasing due to the popularity of plastic surgery. The main modes of transmission are through contaminated saline, disinfectants, or surgery equipment, as well as close contact between patients. This article describes three patients who were admitted to our hospital between November 2019 and October 2020. They presented with long-term non-healing wounds caused by M. abscessus infection after undergoing plastic surgery. Symptoms presented by the three patients included swelling, ulceration, secretion, and pain. After identification of M. abscessus with Ziehl-Neelsen staining and MALDI-TOF MS system, the patients were treated with surgical debridement and clarithromycin. Conclusion It is important to note that a long-term wound that does not heal, especially after plastic surgery, should raise suspicion for M. abscessus infection. The infection mechanism in these three patients may have been due to exposure to surgical equipment that was not properly sterilized or due to poor sterile technique by the plastic surgeon. To prevent such infections, it is important to ensure proper sterilization of surgical equipment and saline.

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Section: Discussionmentioning

confidence: 74%