Abstract

GARCIA, Luz Mary et al. Nontuberculous Mycobacteria Associated to Mesotherapy Treatment in Colombia, 2004-2007. Infect. [online]. 2010, vol.14, n.2, pp.93-96. ISSN 0123-9392.

Introduction: Mesotherapy is an aesthetic treatment widely used in our country; therefore, surveillance of subcutaneous infection after mesotherapy is required. The purpose of this study is to describe the presence of nontuberculous mycobacteria associated with mesotherapy treatments. Material and methods: Samples of purulent material, biopsies and isolates from 80 patients with skin lesions caused by mesotherapy were processed according to protocols approved by the Laboratorio Nacional de Referencia, LNR, (National Reference Laboratory) of Instituto Nacional de Salud (Health National Institute.) Results: Nontuberculous mycobacterial infection in 33 (41.2%) patients was confirmed. The sample type where it was most frequently isolated was skin lesion secretion in 31 (93.9%) patients. Mycobacteria species identified were: Mycobacterium chelonae 19 (57.5%), Mycobacterium fortuitum 8 (24.2%) and Mycobacterium abscessus 6 (18.2%). Discussion: Clinical diagnosis of mycobacteriosisis difficult; it is established by the patient´s history and his/her clinical manifestations. The presence of nontuberculous mycobacteria as a disease agent is very frequent; for that reason, it is important to perform sample cultures for diagnosis and species identification. Special attention must be paid to possible mycobacterial infection when there is previous report of mesotherapy treatment injections, presence of painful abscesses in injection sites, and aninadequate clinical outcome from antibiotic conventional therapies. It has been confirmed that, in case of skin lesions caused after this kind of treatment, the sample obtained from purulent material shows higher positivity than the biopsies.

Keywords : Mesotherapy; mycobacteriosis.

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