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Nontuberculous Mycobacterial Infections after Aesthetic Procedures: Comparison of Clinical Features and Treatment
Izabella Picinin Safe1,2,3, Viviane Macedo1,2,3, Wuelton Marcelo1,2,3
1Drs. Safe, Macedo, Baia-da-Silva, Santana, Spener, Moraes, de Jesus, Lacerda, and Cordeiro-Santos are with the Fundação de Medicina Tropical Doutor Heitor Vieira Dourado in Manaus, Amazonas, Brazil.
Abstract:
Nontuberculous mycobacteria (NTM) have been increasingly identified as causative of numerous cosmetic procedure related infections worldwide. This manuscript reports clinical aspects and antimicrobial resistance profiles of NTM infections associated with aesthetic procedures diagnosed in a private infectious disease clinic in the Brazilian Amazon. Four patients developed skin and soft tissue infections between August 2015 and August 2019. Clinical, microbiological, and epidemiological data were collected. M. conceptionense, M. abscessus and M. fortuitum were isolated. The histopathology showed dermal granulomatous inflammation. All patients were treated with a combination of antimycobacterial regimens, mainly with moxifloxacin and clarithromycin.
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