Mesotherapy and cutaneous Mycobacterium fortuitum infection.
BACKGROUND
Cutaneous infections caused by Mycobacterium fortuitum usually are a complication of trauma or postsurgical wounds.


METHODS
A 41-year-old woman presented with numerous dusky red nodules, abscesses and sinuses on the right buttock and on the lateral surfaces of both thighs. The lesions developed at the injection sites of mesotherapy treatment. M. fortuitum was cultured from a biopsy specimen and purulent fluid drained from lesions. The lesions had cleared completely with ciprofloxacin 500 mg b.d. for 3 weeks, and then 250 mg b.d. for another 3 weeks.


CONCLUSIONS
This case demonstrates the importance of suspecting mycobacterial etiology in patients with nodules and abscesses in the areas of mesotherapy treatment.
Difonzo
Elisa Margherita
EM
Department of Dermatology, University of Florence, Italy. elisa.difonzo@asf.toscana.it
Campanile
Grazia Lucia
GL
Vanzi
Laura
L
Lotti
Lorena
L
D000328:Adult; D031319:Aesculus; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001706:Biopsy; D002939:Ciprofloxacin / Q000627:therapeutic use; D003357:Cosmetic Techniques / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008845:Microinjections / Q000009:adverse effects; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D019907:Mycobacterium fortuitum; D008517:Phytotherapy / Q000009:adverse effects*; D017192:Skin Diseases, Bacterial / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D050151:Subcutaneous Fat
D000890:Anti-Infective Agents; D002939:Ciprofloxacin