Treatment of the Mycobacterium chelonae Infection after Fat Injection

Kim, Seok-Kwun; Choi, Ji-An; Kim, Myung-Hoon; Kim, Min-Su; Lee, Keun-Cheol

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자료유형: 학술저널

저자정보: Kim, Seok-Kwun (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Choi, Ji-An (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Kim, Myung-Hoon (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Kim, Min-Su (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine) Lee, Keun-Cheol (Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제1호

발행연도: 2015.1

수록면: 68 - 72 (5page)

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For recent years, use of autologous fat injection has increased significantly in facial contouring surgery. Along with such increase in use, complications like atypical mycoplasma infection have been also on the increasing trend. The authors report two cases of Mycobacterium chelonae infection that occurred after autologous fat injection. Patients were treated as infection that resistant to common antibiotics and results were negative to routine culture and Gram staining. Acid-fast bacillus stain, polymerase chain reaction (PCR) test and mycobacterial cultures were conducted for diagnosis under suspicion of atypical mycoplasma infection. Then, combination antibiotics therapy, surgical treatment, and steroid injection were performed for treatment. Both patients were diagnosed with Mycobacterium chelonae in PCR test. They were positive to mycobacterial cultures. Combination antibiotics therapy was repeated to improvement of symptom. However, they could not be free from side effects such as deformation in facial contour, scar and pigmentation even after full recovery. When chronic wound infections after autologous fat injection, we must suspect atypical or mycobacterial infection and conduct examinations for a early diagnosis and proper antibiotic therapy that is effective to the nontuberculous mycobacteria.

#Minimally invasive surgical procedures #Mycoplasma infections #Wound infection

참고문헌 (10)

참고문헌 신청

Dessy LA / 2006 / Conservative management of local Mycobacterium chelonae infection after combined liposuction and lipofilling / Aesthetic Plast Surg 30:717~722

김정태 / 2009 / 냉동보존한 자가지방의 오염률에 대한 임상적 고찰 / Archives of Plastic Surgery 36(6):685~690

김홍일 / 2011 / 지방주입술 후 발생한 표피 낭종 - 1례 보고 - / Archives of Aesthetic Plastic Surgery 17(3):181~183

Lee BS / 1991 / A clinical analysis of nosocomial coagulase negative staphylococcal bacteremia / Korean J Intern Med 40:240~249

Kaufman MR / 2007 / Autologous fat transfer for facial recontouring: is there science behind the art? / Plast Reconstr Surg 119:2287~2296

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