Mycobacterium chelonae facial infections following injection of dermal filler

Jan M. Rodriguez, Yingda L. Xie, Kevin L. Winthrop, Sean Schafer, Paul Sehdev, Joel Solomon, Bette Jensen, Nadege C. Toney, Paul F. Lewis

    Research output: Contribution to journalArticlepeer-review

    27 Scopus citations

    Abstract

    A cluster of 3 facial Mycobacterium chelonae infections occurred after cosmetic dermal filler injections at a plastic surgery clinic. Pulsed-field gel electrophoresis showed that M chelonae isolated from the clinic tap water were identical to the patient wound isolates. Review of injection procedures identified application of nonsterile ice to the skin prior to injection as a possible source of M chelonae. Surveys of regional laboratories and a national plastic surgery listserv identified no other cases related to the injection of this brand of dermal filler. This is the first report of cutaneous M chelonae infections following the injection of dermal fillers. It adds to a growing body of literature on postinjection M chelonae infections and reinforces the importance of optimal skin disinfection steps prior to percutaneous procedures.

    Original languageEnglish (US)
    Pages (from-to)265-269
    Number of pages5
    JournalAesthetic surgery journal
    Volume33
    Issue number2
    DOIs
    StatePublished - Feb 2013

    Keywords

    • chelonae
    • cosmetic medicine
    • dermal filler
    • hyaluronic acid
    • infection
    • mycobacterium
    • tap water

    ASJC Scopus subject areas

    • Surgery

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