Outbreak of persistent cutaneous abscesses due to Mycobacterium chelonae after mesotherapy sessions, Lima, Peru.

Munayco CV, Grijalva CG, Culqui DR, Bolarte JL, Suárez-Ognio LA, Quispe N, Calderon R, Ascencios L, Del Solar M, Salomón M, Bravo F, Gotuzzo E
Rev Saude Publica. 2008 42 (1): 146-9

PMID: 18200353 · DOI:10.1590/s0034-89102008000100020

Outbreaks of rapidly growing mycobacteria have been occasionally described. The article reports an outbreak of cutaneous abscesses due to Mycobacterium chelonae following mesotherapy in Lima, Peru. From December 2004 through January 2005, 35 subjects who had participated in mesotherapy training sessions presented with persistent cutaneous abscesses. Thirteen (37%) of these suspected cases consented to undergo clinical examination. Skin punch-biopsies were collected from suspicious lesions and substances injected during mesotherapy were analyzed. Suspected cases were mainly young women and lesions included subcutaneous nodules, abscesses and ulcers. Mycobacterium chelonae was isolated from four patients and from a procaine vial. In conclusion, it is important to consider mesotherapy as a potential source of rapidly growing mycobacteria infections.

MeSH Terms (14)

Abscess Adult Complementary Therapies Cosmetic Techniques Disease Outbreaks Drug Contamination Female Humans Injections Middle Aged Mycobacterium chelonae Mycobacterium Infections, Nontuberculous Peru Skin Diseases, Bacterial

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