Clinical Management of Rapidly Growing Mycobacterial Cutaneous Infections in Patients after Mesotherapy

Régnier, S.; Cambau, Emmanuelle; Méningaud, Jean-Paul; Guihot, Amélie; Deforges, Lionel; Carbonne, A.; Bricaire, François; Caumes, Éric

doi:10.1086/606050

Cited by 67 publications

(62 citation statements)

References 22 publications

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“…Additionally, cutaneous infections caused by nontuberculous mycobacteria have been observed after mesotherapy. Although these infections are mostly reported after mesotherapy for lipolysis, physicians should keep in mind that they can be seen after hair mesotherapy [11,[25][26][27]. Moreover, multifocal scalp abscesses with subcutaneous fat necrosis and scarring alopecia have been reported as a complication of hair mesotherapy.…”

Section: Contraindications and Side Effectsmentioning

confidence: 99%

Cosmetic Procedures in the Treatment of Alopecia

Kartal¹,

Altunel²,

Gençler³

2017

Hair and Scalp Disorders

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Alopecia has a significant negative impact on the quality of life. Unfortunately, there is no satisfactory cure for most types of alopecia. Alopecia is divided into cicatricial and noncicatricial types. Androgenetic alopecia, alopecia areata, and telogen effluvium are common forms of noncicatricial alopecias. In order to treat or improve the appearance, various procedures that are being applied for different types of alopecia including mesotherapy, microneedling, platelet-rich plasma, low-level light therapy, and stem-cell therapy with variable outcomes are reviewed in this chapter.

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Section: Contraindications and Side Effectsmentioning

confidence: 99%

Cosmetic Procedures in the Treatment of Alopecia

Kartal¹,

Altunel²,

Gençler³

2017

Hair and Scalp Disorders

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“…Identification of antimicrobial susceptibility through culture is essential. 110 M chelonae is usually susceptible or intermediate in susceptibility to clarithromycin, moxifloxacin, linezolid, clofazimine, doxycycline, ciprofloxacin, or levofloxacin. 111,112 Parenteral antibiotics include tobramycin, amikacin, imipenem, and tigecycline.…”

Section: Managementmentioning

confidence: 99%

Nontuberculous Mycobacteria

Gonzalez-Santiago¹,

Drage²

2015

Dermatologic Clinics

155

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“…37e43,103,104 The use of contaminated injection materials and tap water for cleaning instruments has been associated with outbreaks of infection. 39,41,42 Similarly, the rapid growers are often involved in infections associated with liposuction. 44,105e107 Indeed, a number of novel Mycobacterium species have been described in recent years in cases of infections acquired after body modification or cosmetic procedures, such as M. cosmeticum, M. jacuzzii, M. massiliense, and M. bolletii.…”

Section: Mesotherapy Liposuction Tissue Filler Injections and Othementioning

confidence: 99%

“…117 Atypical mycobacteria can often be found in tap water, and the sole use of tap water for cleaning of mesotherapy instruments has been reported to lead to the outbreaks of cutaneous mycobacterial infections. 41,42 In many developed countries, guidelines or codes of practice are available for body art practitioners and parlors to reduce the risk of transmission of infection. 118e121 However, these regulations are not always legally binding.…”

Section: Prevention and Regulationmentioning

confidence: 99%

Infections associated with body modification

Wong

Wong²,

Yuen³

2012

Journal of the Formosan Medical Association

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Although exact statistics are lacking, body modifications for cosmetic purposes are performed in many countries. The commonest forms include tattooing, body piercing, and breast and facial augmentation using implants or injectable fillers. Liposuction and, to a lesser extent, mesotherapy are also practiced in many countries. Infective complications of these procedures include local infections, transmission of bloodborne pathogens (viral hepatitis and human immunodeficiency virus), and distant infections such as infective endocarditis. Presence of foreign bodies, long healing time of piercing wounds, and poor compliance with infection control practices of some practitioners all predispose the recipients to infections. Apart from the endogenous microbial flora of the skin and mucosae, atypical mycobacteria, especially the rapid growers, have emerged as some of the most important pathogens in such settings. Outbreaks of infection are commonly reported. We hereby review the current knowledge of the topic with specific focus on infections associated with tattooing, body piercing, breast augmentation, mesotherapy, liposuction, and tissue filler injections. Greater awareness among consumers and health-care professionals, as well as more stringent regulations by the health authorities, is essential to minimize the health risks arising from these procedures.

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Clinical Management of Rapidly Growing Mycobacterial Cutaneous Infections in Patients after Mesotherapy

Abstract: This series of rapidly growing mycobacterial cutaneous infections highlights the difficulties in treating such infections and suggests that in vitro susceptibility to antibiotics does not accurately predict their clinical efficacy.

Cited by 67 publications

References 22 publications

Cosmetic Procedures in the Treatment of Alopecia

Cosmetic Procedures in the Treatment of Alopecia

Nontuberculous Mycobacteria

Infections associated with body modification

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