An outbreak of Mycobacterium fortuitum cutaneous infection associated with mesotherapy
Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Design Descriptive epidemiology. Setting Private practice. Patients or other participants Case subjects were customers of a single beauty salon who were treated with...
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| Published in | Journal of the European Academy of Dermatology and Venereology Vol. 24; no. 5; pp. 604 - 606 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Oxford, UK
Blackwell Publishing Ltd
01.05.2010
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.
Design Descriptive epidemiology.
Setting Private practice.
Patients or other participants Case subjects were customers of a single beauty salon who were treated with mesotherapy injections.
Intervention(s) Two skin biopsies were taken from each patient.
Results Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin.
Conclusions We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. |
|---|---|
| AbstractList | AbstractObjective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.Design Descriptive epidemiology.Setting Private practice.Patients or other participants Case subjects were customers of a single beauty salon who were treated with mesotherapy injections.Intervention(s) Two skin biopsies were taken from each patient.Results Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin.Conclusions We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Descriptive epidemiology. Private practice. Case subjects were customers of a single beauty salon who were treated with mesotherapy injections. Two skin biopsies were taken from each patient. Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin. We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Design Descriptive epidemiology. Setting Private practice. Patients or other participants Case subjects were customers of a single beauty salon who were treated with mesotherapy injections. Intervention(s) Two skin biopsies were taken from each patient. Results Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin. Conclusions We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.OBJECTIVEWe describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.Descriptive epidemiology.DESIGNDescriptive epidemiology.Private practice.SETTINGPrivate practice.Case subjects were customers of a single beauty salon who were treated with mesotherapy injections.PATIENTS OR OTHER PARTICIPANTSCase subjects were customers of a single beauty salon who were treated with mesotherapy injections.Two skin biopsies were taken from each patient.INTERVENTION(S)Two skin biopsies were taken from each patient.Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin.RESULTSOver the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin.We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon.CONCLUSIONSWe identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Design Descriptive epidemiology. Setting Private practice. Patients or other participants Case subjects were customers of a single beauty salon who were treated with mesotherapy injections. Intervention(s) Two skin biopsies were taken from each patient. Results Over the designated period, 138 women received mesotherapy. Of these women, 39, or 28.3%, developed lesions ultimately thought to be caused by Mycobacterium fortuitum infection. The number of lesions per patient varied from 3 to 20 in the most severe case. Most of the lesions were indurated, erythematous or violaceous papules, some progressing to become fluctuant boils with suppuration, fistulization and scarring. The individual lesions varied in diameter from 0.5 to 6 cm. Two patients (5.1%) developed inguinal or axillary adenopathy. Two others presented with fever. One reported muscular pain. In 12 of the 39 cases, M. fortuitum was isolated from the wound cultures. The patients were all successfully treated with clarithromycin and levofloxacin. Conclusions We identified a large outbreak of rapidly growing mycobacterial lesions among women who received mesotherapy injections in a single beauty salon. |
| Author | Quiñones, C García-Morrás, P Simal, G Fernández-Vilariño, E Perucha, M Ramalle-Gómara, E Lezaun, M-E |
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| References | Sniezek PJ, Graham BS, Busch HB et al. Rapidly growing mycobacterial infections after pedicures. Arch Dermatol 2003; 139: 629-634. Vugia DJ, Jang Y, Zizek C, Ely J, Winthrop KL, Desmond E. Mycobacteria in nail salon whirlpool footbaths, California. Emerg Infect Dis 2005; 11: 616-618. Vinh DC, Rendina A, Turner R, Embil JM. Breast implant infection with Mycobacterium fortuitum group: report of case and review. J Infect 2006; 52: e63-e67. Henry F, Pierard-Franchimont C, Pierard GE. Mycobactéries atypiques et mésothérapie. Rev Med Liege 2005; 60: 7-10. Dailloux M, Laurain C, Weber M, Hartemann Ph. Water and nontuberculous mycobacteria. Water Res 1999; 33: 2219-2228. Winthrop KL, Albridge K, South D et al. The clinical management and outcome of nail salon-acquired Mycobacterium fortuitum skin infection. Clin Infect Dis 2004; 38: 38-44. Nagore E, Ramos P, Botella-Estrada R, Ramos-Niguez JA, Sanmartin O, Castejon P. Cutaneous infection with Mycobacterium fortuitum after localized microinjections (mesotherapy) treated successfully with a triple drug regimen. Acta Derm Venereol 2001; 81: 291-293. Munayco CV, Grijalva CG, Culqui DR et al. Outbreak of persistent cutaneous abscesses due to Mycobacterium chelonae after mesotherapy sessions, Lima, Peru. Rev Saude Publica 2008; 42: 146-149. Muthusami JC, Vyas FL, Mukundan U, Jesudason MR, Govil S, Jesudason SR. Mycobacterium fortuitum: an iatrogenic cause of soft tissue infection in surgery. ANZ J Surg 2004; 74: 662-666. Rivera-Olivero IA, Guevara A, Escalona A et al. Infecciones en tejidos blandos por micobacterias no tuberculosas secundarias a mesoterapia. Cuánto vale la belleza? Enferm Infecc Microbiol Clin 2006; 24: 302-306. Park SH, Kim DW, Lee MA et al. Effectiveness of mesotherapy on body contouring. Plast Reconstr Surg 2008; 121: 179e-185e. Porte L, Bonnet E, Massip P, Marchou B, Sailler L, Bauriand R. Abcès des parties molles àMycobacterium fortuitum par inoculation iatrogène chez une patiente immunocompétente. Méd Mal Infect 2002; 32: 525-526. Centers for Disease Control and Prevention. Outbreak of mesotherapy-associated skin reactions - District of Columbia area, January-February 2005. MMWR Morb Mortal Wkly Rep 2005; 54: 1127-1130. Del Solar M, Salomón M, Bravo F et al. Infección cutánea por micobacterias atípicas de crecimiento rápido (MACR) debido a mesoterapia cosmética. Reporte de casos y revisión de la literatura. Folia Dermatol Peru 2008; 16: 127-135. Murillo J, Torres J, Bofill L et al. Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group. Arch Dermatol 2000; 136: 1347-1352. 2001; 81 2004; 74 2006; 52 2003; 139 2006; 24 2000; 136 2004; 38 2002; 32 2008; 16 1999; 33 2005; 54 2005; 60 2008; 42 2008; 121 2005; 11 e_1_2_6_8_2 e_1_2_6_7_2 e_1_2_6_9_2 e_1_2_6_4_2 e_1_2_6_3_2 e_1_2_6_5_2 e_1_2_6_12_2 Del Solar M (e_1_2_6_10_2) 2008; 16 e_1_2_6_13_2 e_1_2_6_11_2 e_1_2_6_16_2 Henry F (e_1_2_6_2_2) 2005; 60 e_1_2_6_14_2 Centers for Disease Control and Prevention (e_1_2_6_6_2) 2005; 54 e_1_2_6_15_2 |
| References_xml | – reference: Sniezek PJ, Graham BS, Busch HB et al. Rapidly growing mycobacterial infections after pedicures. Arch Dermatol 2003; 139: 629-634. – reference: Vinh DC, Rendina A, Turner R, Embil JM. Breast implant infection with Mycobacterium fortuitum group: report of case and review. J Infect 2006; 52: e63-e67. – reference: Henry F, Pierard-Franchimont C, Pierard GE. Mycobactéries atypiques et mésothérapie. Rev Med Liege 2005; 60: 7-10. – reference: Park SH, Kim DW, Lee MA et al. Effectiveness of mesotherapy on body contouring. Plast Reconstr Surg 2008; 121: 179e-185e. – reference: Murillo J, Torres J, Bofill L et al. Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group. Arch Dermatol 2000; 136: 1347-1352. – reference: Centers for Disease Control and Prevention. Outbreak of mesotherapy-associated skin reactions - District of Columbia area, January-February 2005. MMWR Morb Mortal Wkly Rep 2005; 54: 1127-1130. – reference: Vugia DJ, Jang Y, Zizek C, Ely J, Winthrop KL, Desmond E. Mycobacteria in nail salon whirlpool footbaths, California. Emerg Infect Dis 2005; 11: 616-618. – reference: Munayco CV, Grijalva CG, Culqui DR et al. Outbreak of persistent cutaneous abscesses due to Mycobacterium chelonae after mesotherapy sessions, Lima, Peru. Rev Saude Publica 2008; 42: 146-149. – reference: Nagore E, Ramos P, Botella-Estrada R, Ramos-Niguez JA, Sanmartin O, Castejon P. Cutaneous infection with Mycobacterium fortuitum after localized microinjections (mesotherapy) treated successfully with a triple drug regimen. Acta Derm Venereol 2001; 81: 291-293. – reference: Dailloux M, Laurain C, Weber M, Hartemann Ph. Water and nontuberculous mycobacteria. Water Res 1999; 33: 2219-2228. – reference: Porte L, Bonnet E, Massip P, Marchou B, Sailler L, Bauriand R. Abcès des parties molles àMycobacterium fortuitum par inoculation iatrogène chez une patiente immunocompétente. Méd Mal Infect 2002; 32: 525-526. – reference: Winthrop KL, Albridge K, South D et al. The clinical management and outcome of nail salon-acquired Mycobacterium fortuitum skin infection. Clin Infect Dis 2004; 38: 38-44. – reference: Muthusami JC, Vyas FL, Mukundan U, Jesudason MR, Govil S, Jesudason SR. Mycobacterium fortuitum: an iatrogenic cause of soft tissue infection in surgery. ANZ J Surg 2004; 74: 662-666. – reference: Del Solar M, Salomón M, Bravo F et al. Infección cutánea por micobacterias atípicas de crecimiento rápido (MACR) debido a mesoterapia cosmética. Reporte de casos y revisión de la literatura. Folia Dermatol Peru 2008; 16: 127-135. – reference: Rivera-Olivero IA, Guevara A, Escalona A et al. Infecciones en tejidos blandos por micobacterias no tuberculosas secundarias a mesoterapia. Cuánto vale la belleza? 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| Snippet | Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.
Design Descriptive... Objective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Design Descriptive... We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain. Descriptive epidemiology. Private... We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.OBJECTIVEWe describe an outbreak of... AbstractObjective We describe an outbreak of Mycobacterium fortuitum cutaneous infections associated with mesotherapy in La Rioja, Spain.Design Descriptive... |
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| SubjectTerms | Biopsy Complementary Therapies/adverse effects Cosmetic Techniques - adverse effects Disease Outbreaks Female Humans Injections Mycobacterium Mycobacterium fortuitum Mycobacterium fortuitum - pathogenicity Mycobacterium Infections - epidemiology Mycobacterium Infections - etiology Mycobacterium Infections - microbiology Skin Diseases/epidemiology/etiology Spain - epidemiology Subcutaneous/standards |
| Title | An outbreak of Mycobacterium fortuitum cutaneous infection associated with mesotherapy |
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