Unusual post-blepharoplasty infection: Gordonia Bronchialis case study

Area of Science:

• Microbiology
• Dermatology
• Infectious Diseases

Background:

• Post-operative infections following blepharoplasty are uncommon.
• Gordonia bronchialis is a rare human pathogen, typically associated with immunocompromised individuals.

Observation:

• A 35-year-old female developed cyst-like swellings post-upper blepharoplasty.
• Initial treatment with Kenalog was ineffective; histology revealed granulomatous inflammation.
• Culture identified Gordonia bronchialis as the causative agent.

Findings:

• The patient was treated with amoxicillin, but the infection recurred.
• A combination therapy of amoxicillin-clavulanic acid and minocycline successfully eradicated the infection.
• This case represents a rare instance of G. bronchialis infection after cutaneous surgery.

Implications:

• This case expands the spectrum of pathogens causing post-blepharoplasty infections.
• It underscores the importance of considering unusual bacteria in refractory post-surgical infections.
• Extended antibiotic courses may be necessary for treating G. bronchialis infections.