title: Atypical Mycobacterial Infection after Abdominoplasty Overseas: A Case Report and Literature Review.
abstract: Increasing number of medical tourists travel internationally for cosmetic procedures.Lipotourismis a form of medical tourism becoming popular among patients of developed countries due to the cost efficiency of cosmetic procedures when performed in developing nations. There is a paucity of data on quality, safety, and risks involved with these surgeries. Many cases of infections have been documented in patients following cosmetic surgeries in developing countries. We present a case of a 34-year-old female who underwent abdominoplasty in Dominican Republic that was complicated with development of multiple abdominal wall abscesses due to infection from rapidly growing mycobacteria (RGM). In the absence of clear treatment guidelines, she was treated with a combination of intermittent surgical drainage and prolonged antibiotic course. This case is of interest as more than one species of RGM was isolated from the same patient. Our case highlights the fact that identification of these organisms can be difficult requiring referral of samples to specialized laboratories and treatment duration can last several months, which is determined by clinical and microbiological response.
authors.affiliation: Department of Internal Medicine, Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT 06610, USA.
authors.forename: Prabin
authors.identifier: 0000-0002-8674-6828
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Internal Medicine, Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT 06610, USA.
authors.forename: Laia Jimena
authors.initials: LJ
authors.lastname: Vazquez Guillamet
authors.affiliation: Department of Infectious Diseases, Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT 06610, USA.
authors.forename: Goran
authors.initials: G
authors.lastname: Miljkovic