title: Mycobacterium chelonae facial infections following injection of dermal filler.
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.
  
  
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authors: Clackamas County Community Health, 2051 SE Kaen Rd, Oregon City, OR 97045, USA Janrod@co.clackamas.or.us
authors: Jan M
authors: JM
authors: Rodriguez
authors: Yingda L
authors: YL
authors: Xie
authors: Kevin L
authors: KL
authors: Winthrop
authors: Sean
authors: S
authors: Schafer
authors: Paul
authors: P
authors: Sehdev
authors: Joel
authors: J
authors: Solomon
authors: Bette
authors: B
authors: Jensen
authors: Nadege C
authors: NC
authors: Toney
authors: Paul F
authors: PF
authors: Lewis
mesh_terms: D003357:Cosmetic Techniques / Q000009:adverse effects* / Q000592:standards; D016521:Electrophoresis, Gel, Pulsed-Field; D005145:Face; D005260:Female; D006801:Humans; D007053:Ice / Q000592:standards; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D016926:Mycobacterium chelonae / Q000302:isolation & purification*; D014871:Water Microbiology; D014881:Water Supply
chemical_list: D007053:Ice