Mycobacterium Abscessus Skin Infection Following Mesotherapy for Fat Reduction: A Case Report
Keywords:Mycobacterium abscessus, non-tuberculous mycobacteria, mesotherapy, injection lipolysis
Mesotherapy is referred to as a minimally invasive technique by using intradermal or subcutaneous injection with liquid containing a mixture of compounds for the treatment of varying medical and cosmetic conditions. Although noninvasive cosmetic procedures gain increasing popularity, mesotherapy remains a controversial treatment according to lack of scientific standpoint, standard formulas, and treatment protocol. In addition, a wide variety of side effects from mesotherapy have been reported.
We reported a case of a 30-year-old Thai male, immunocompetent patient, who underwent mesotherapy for facial fat reduction at a private clinic and developed erythematous nodules on both cheeks 3 weeks after injection. The skin biopsy was then performed and histopathology showed mixed cell granuloma in deep dermis. Tissue culture was positive for Mycobacterium abscessus. He received a combination of clarithromycin and ciprofloxacin for six months with very good response. The nodules were healed with atrophic scar and post inflammatory hyperpigmentation without recurrence until eight months follow up.
How to Cite
Users are free to share, copy, and redistribute all articles published in the Siriraj Medical Journal (SMJ) in any medium or format as long as you follow the following terms:
- Attribution — You must give appropriate credit, provide a link to the material, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the publisher endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.