Mycobacterium fortuitum infection developing after liposuction

Ayd�ng�z, �kbal Esen; Kocaayan, Nurhan; Mansur, T�lin; G�nd�z, Sevil; Ta���o�lu, Jale

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Mycobacterium fortuitum infection developing after liposuction [Turkderm-Turk Arch Dermatol Venereol]

Turkderm-Turk Arch Dermatol Venereol. 2003; 37(3): 202-205

Mycobacterium fortuitum infection developing after liposuction

�kbal Esen Ayd�ng�z¹, Nurhan Kocaayan¹, T�lin Mansur¹, Sevil G�nd�z¹, Jale Ta��o�lu²

Rapidly growing mycobacteria (RGM), are widespread saprophytes which may cause opportunistic infections in skin, soft tissue, bone and lungs. The infection usually spreads from contaminated medical equipment or environmental resources like water, earth and dust. In this article a 37-year old, otherwise healthy female patient with a cutaneous RGM infection, appearing with suppurating nodules 4 months after liposuction, has been presented. Histopathological and microbiological investigations led to the diagnosis of Mycobacterium fortuitum infection. A treatment of Amikacin 1g/day produced complete resolution of lesions leaving atrophic scars within 2 months. During follow-up for 1 year, there was no recurrence. The diagnosis of RGM infections is quite difficult
due to the lack of distinguishing clinical findings and the requirements for extra work-up microbiologically. Today cosmetic surgery is increasingly in use. One should think of RGM infections and explore the probable resources, in the skin and soft tissue infections which could develop months after the surgical procedures.

Keywords: Atypical mycobacteria, mycobacterium fortuitum, lipectomy, abscess

Vakumla ya� aspirasyonu sonras� geli�en mycobacterium fortuitum enfeksiyonu

�kbal Esen Ayd�ng�z¹, Nurhan Kocaayan¹, T�lin Mansur¹, Sevil G�nd�z¹, Jale Ta��o�lu²
¹Haydarpa�a Numune E�itim ve Ara�t�rma Hastanesi Deri ve Z�hrevi Hastal�klar Klini�i
²Haydarpa�a Numune E�itim ve Ara�t�rma Hastanesi Mikrobiyoloji B�l�m�

Do�ada s�kl�kla saprofit olarak bulunan, h�zl� �reyen mikobakteri (H�M)'ler deri, yumu�ak doku, kemik ve akci�erde f�rsat�� enfeksiyonlara neden olabilmektedir. Enfeksiyon, genellikle bula�l� t�bbi ara� gere� veya su, toz ve toprak gibi kaynaklardan yay�l�r. Bu makalede sa�l�kl�, 37 ya��nda, bir kad�n hastada vakumla ya� aspirasyonu (VYA)'ndan 4 ay sonra, apsele�en nod�llerle ortaya ��kan, yap�lan histopatolojik ve mikrobiyolojik incelemeler sonucunda Mycobacterium fortuitum izole edilen, bir k�tan�z H�M olgusu sunulmaktad�r. Amikasin 1 gr/g�n ile 2 ay s�reyle tedavi edilen hastan�n lezyonlar� atrofik skarlarla tamamen iyile�ti. Bir y�ll�k takip s�resinde n�ks g�r�lmedi. H�zl� �reyen mikobakteri enfeksiyonlar�nda gerek ay�rt ettirici klinik bulgular�n olmay�� gerekse mikroorganizmaya �zg� ek i�lemlere ihtiya� duyulmas� nedenleriyle tan�y� koyabilmek olduk�a g��t�r. G�n�m�zde kozmetik cerrahi giderek daha geni� uygulama alan� bulmaktad�r. Bu i�lemlerden aylar sonra geli�ebilen deri ve yumu�ak doku enfeksiyonlar�nda, H�M gibi nadir patojenler de ay�r�c� tan�da d��n�lmeli ve buna y�nelik ayr�nt�l� mikrobiyolojik incelemeler yan�nda olas� enfeksiyon kaynaklar� da ara�t�r�lmal�d�r.

Anahtar Kelimeler: Atipik mikobakteriler, mycobacterium fortuitum, lipektomi, abse

�kbal Esen Ayd�ng�z, Nurhan Kocaayan, T�lin Mansur, Sevil G�nd�z, Jale Ta��o�lu. Mycobacterium fortuitum infection developing after liposuction. Turkderm-Turk Arch Dermatol Venereol. 2003; 37(3): 202-205

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