Outbreak of persistent cutaneous abscesses due to Mycobacterium chelonae after mesotherapy sessions, Lima, Peru.
Outbreaks of rapidly growing mycobacteria have been occasionally described. The article reports an outbreak of cutaneous abscesses due to Mycobacterium chelonae following mesotherapy in Lima, Peru. From December 2004 through January 2005, 35 subjects who had participated in mesotherapy training sessions presented with persistent cutaneous abscesses. Thirteen (37%) of these suspected cases consented to undergo clinical examination. Skin punch-biopsies were collected from suspicious lesions and substances injected during mesotherapy were analyzed. Suspected cases were mainly young women and lesions included subcutaneous nodules, abscesses and ulcers. Mycobacterium chelonae was isolated from four patients and from a procaine vial. In conclusion, it is important to consider mesotherapy as a potential source of rapidly growing mycobacteria infections.
Munayco
César V
CV
Dirección General de Epidemiología, Ministerio de Salud, Lima, Perú cmunayco@dge.gob.pe
Grijalva
Carlos G
CG
Culqui
Dante R
DR
Bolarte
José L
JL
Suárez-Ognio
Luis A
LA
Quispe
Neyda
N
Calderon
Roger
R
Ascencios
Luis
L
Del Solar
Manuel
M
Salomón
Martín
M
Bravo
Francisco
F
Gotuzzo
Eduardo
E
D000038:Abscess / Q000453:epidemiology* / Q000382:microbiology; D000328:Adult; D000529:Complementary Therapies / Q000009:adverse effects; D003357:Cosmetic Techniques; D004196:Disease Outbreaks; D004340:Drug Contamination; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000453:epidemiology* / Q000209:etiology; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D010568:Peru / Q000453:epidemiology; D017192:Skin Diseases, Bacterial / Q000453:epidemiology* / Q000209:etiology