Document Detail

Nontuberculous mycobacteria infection after mesotherapy: preliminary report of 15 cases.
MedLine Citation:
PMID:  17550571     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Mesotherapy is an increasingly used technique which is currently causing several mycobacterial infections owing to contaminated substances being injected, and also to poor aseptic measures being held by nonprofessional practitioners. PATIENTS AND METHODS: We collected 15 cases of nontuberculous mycobacteria (NTM) infection after mesotherapy in a 6-month period. RESULTS: All patients were female with ages ranging from 19 to 52 years; the main substances injected were procaine and lecithin, and the time between mesotherapy and the appearance of the lesions varied between 1 and 12 weeks. Clinical lesions were mostly nodules and abscesses, which were localized in the abdomen and buttocks in the majority of cases. The main patient complaint was local pain but some presented with systemic symptoms such as fever and malaise. Biopsies reported granulomatous chronic inflammation in the majority of cases. Skin cultures were positive for NTM and Mycobacterium chelonae. DISCUSSION AND CONCLUSIONS: Mesotherapy not performed with quality controlled substances can be a predisposing factor for NTM infection.
Alejandra Sañudo; Fernando Vallejo; Martha Sierra; Juan G Hoyos; Sandra Yepes; Juan Carlos Wolff; Luis A Correa; Carlos Montealegre; Pilar Navarro; Elina Bedoya; Gloria Sanclemente
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of dermatology     Volume:  46     ISSN:  0011-9059     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-06     Completed Date:  2007-08-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  649-53     Citation Subset:  IM    
Department of Internal Medicine, Dermatology Section, School of Medicine, San Vicente de Paul Hospital, Medellín, Colombia.
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MeSH Terms
Cosmetic Techniques / adverse effects
Drug Contamination*
Injections / adverse effects*
Middle Aged
Mycobacteria, Atypical / isolation & purification*
Mycobacterium Infections, Atypical / etiology*,  pathology
Mycobacterium chelonae / isolation & purification
Skin Diseases, Bacterial / etiology*,  pathology

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