title: [Soft-tissue infection with Mycobacterium abscessus subsp. abscessus after liposuction and panniculectomy in the Caribbean].
abstract: We report the case of a 36-year-old woman who presented with a surgical site infection with atypical mycobacteria several months after liposuction in the Caribbean. Postoperative wound infections with Mycobacterium abscessus present as subcutaneous nodular abscesses with partly putrid secretion. Due to the necessity of specific diagnostic measures, diagnosis is often delayed. Treatment is difficult because Mycobacterium abscessus is resistant to conventional tuberculostatics and many other antibiotics. Clarithromycin combined with amikacin is the commonly used empirical treatment. Treatment duration is several months.
authors.affiliation: Universitätsklinik für Infektiologie und Reisemedizin, Inselspital Bern, Polikliniktrakt 2, 3010, Bern, Schweiz. miriam.vazquez@insel.ch.|Abteilung für Infektiologie und Spitalhygiene, Kantonsspital Aarau, Aarau, Schweiz. miriam.vazquez@insel.ch.
authors.forename: M
authors.initials: M
authors.lastname: Vázquez
authors.affiliation: Abteilung für Infektiologie und Spitalhygiene, Kantonsspital Aarau, Aarau, Schweiz.
authors.forename: C A
authors.initials: CA
authors.lastname: Fux
authors.affiliation: Dermatologische Abteilung, Kantonsspital Aarau, Aarau, Schweiz.
authors.forename: M
authors.initials: M
authors.lastname: Streit
mesh_terms: D061645:Abdominoplasty / Q000009:adverse effects*; D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000009:adverse effects*; D009164:Mycobacterium Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D018461:Soft Tissue Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D014195:Travel; D016896:Treatment Outcome; D014900:West Indies
chemical_list: D000935:Antifungal Agents
keywords: Mycobacterium; Postoperative soft tissue infection; Skin abscesses; Treatment; Wound infection