title: Nontuberculous mycobacterial infection related to nasal implant.
abstract: Nontuberculous mycobacteria (NTM) are important pathogens for cutaneous infections related to contaminated environments and invasive procedures.A 43-year-old woman presented with swelling of the forehead. Ten years ago, she underwent augmentation rhinoplasty using silicone implant. In response to the swelling, an incision was made, pus-like discharge was drained, and the nasal silicone implant was removed. Although routine culture and NTM culture showed negative results, NTM polymerase chain reaction detected NTM infection. After continued clarithromycin medication for 3 months, the patient recovered without recurrence of infection.Mycobacteria are rarely detected with routine bacterial culture and are often resistant to empiric antibacterial agents. Therefore, the possibility of NTM infection should always be included in differential diagnosis, when evaluating skin lesions, regardless of the immune status of the patient.
authors.affiliation: Department of Plastic and Reconstructive Surgery, The Catholic University of Korea, Seoul, South Korea.
authors.forename: Jong Won
authors.initials: JW
authors.lastname: Rhie
authors.forename: Yeon Jin
authors.initials: YJ
authors.lastname: Jeong
authors.forename: Sang Wha
authors.initials: SW
authors.lastname: Kim
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000382:microbiology / Q000635:transmission*; D009170:Nontuberculous Mycobacteria / Q000235:genetics / Q000302:isolation & purification / Q000502:physiology; D016133:Polymerase Chain Reaction; D019736:Prostheses and Implants / Q000009:adverse effects* / Q000382:microbiology*; D012225:Rhinoplasty / Q000009:adverse effects / Q000295:instrumentation; D012828:Silicones / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000382:microbiology*
chemical_list: D012828:Silicones