Sepsis after Autologous Fat Grafting: Role of Atypical Mycobacteria

Kanjoor, James Roy

doi:10.1097/prs.0b013e31820e942a

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…This is partially attributed to the increased frequency of surgical procedures. There are several reports of Mycobacterium abscessus complicating plastic surgery procedures, such as augmentation mammoplasty, breast reduction, breast implants, abdominoplasty, and liposuction [13][14][15][16]. It cannot be ignored in plastic surgey because it can cause serious deformities.…”

Section: Discussionmentioning

confidence: 99%

Treatment for Mycobacterium abscessus Infection Associated with Fat Grafting

Chen¹,

Song²,

Xu³

et al. 2020

Surgical Infections

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Background: Fat grafting is a standard method for soft augmentation. However, occasionally Mycobacterium abscessus infection can be seen secondary to fat grafting. The aim of this study was to report experience with and propose standard treatment. Patients and Methods: From 2006 to 2018, 12 women who had received fat grafting for facial soft augmentation in different Chinese private clinics were reviewed. Results: The patients presented with local swelling and skin ulceration. They patients received primary infusion of antibiotic agents; however, the results were poor. After being admitted to our hospital, cultures were taken and sent to the specialized examination center. Mycobacterium abscessus was diagnosed in all of the patients. According to drug sensitivity results, targeted antibiotic agent treatment was implemented for 12 months. Local proper conservative debridement was conducted as needed. When the patients were discharged from the hospital, they were advised to continual oral medication for six months. After three to nine years of follow-up, no recurrence was found. On the basis of this, a corresponding standard treatment was proposed. Conclusions: Mycobacterium abscessus infection after fat grafting should be diagnosed and treated accurately. Our experience and proposed treatment may be beneficial.

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Section: Discussionmentioning

confidence: 99%

Treatment for Mycobacterium abscessus Infection Associated with Fat Grafting

Chen¹,

Song²,

Xu³

et al. 2020

Surgical Infections

View full text Add to dashboard Cite

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Mixed Infection of an Atypical Mycobacterium and Aspergillus Following a Cryopreserved Fat Graft to a Face

Kim

Hwang

2013

Journal of Craniofacial Surgery

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We report a chronic infection of a patient who received a cryopreserved fat graft on her face. A 22-year-old female patient presented with multiple abscesses of her face. Four months previously, she received a second fat graft with the fat harvested at a previous surgery which was cryopreserved for 2 months. On examination, she had tender erythematous nodules on both cheeks. A computed tomography of her neck showed multiple peripheral enhancing nodular lesions. In an open pus fungus culture, Aspergillus fumigatus growth was observed. On the Mycobacterium Other Than Tuberculosis identification PCR, Mycobacterium fortuitum was found. She was treated with levofloxacin, clarithromycin, and minocycline for 11 months, and finally the symptoms subsided. To avoid infection after the fat graft, cryopreserved fat should not be used as a possible grafting material. In cases of persistent infection, or in cases of waxes and gains after drainage of pus and short-term antibiotics therapy, atypical Mycobacterium or Aspergillus should be suspected and a PCR for them should be carried out.

show abstract

Sepsis after Autologous Fat Grafting: Role of Atypical Mycobacteria

Cited by 2 publications

References 5 publications

Treatment for Mycobacterium abscessus Infection Associated with Fat Grafting

Treatment for Mycobacterium abscessus Infection Associated with Fat Grafting

Mixed Infection of an Atypical Mycobacterium and Aspergillus Following a Cryopreserved Fat Graft to a Face

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