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Infection with nontuberculous mycobacterium after injection of adulterated silicone fluid

Kevin R Knox, Mark S Granick, Alfred T Mitchell

    Aesthetic Surgery Journal
    |April 2, 2009
    PubMed

    Insights

    A woman developed a buttock infection after silicone injections. Doctors identified rapidly growing mycobacteria, highlighting the need for surgical treatment and understanding risk factors.

    Area of Science:

    • Plastic Surgery
    • Infectious Diseases
    • Dermatology

    Background:

    • Silicone injections are increasingly used for cosmetic buttock augmentation.
    • Subcutaneous infections following cosmetic procedures can be challenging to manage.
    • Rapidly growing mycobacteria pose a significant diagnostic and therapeutic challenge.

    Purpose of the Study:

    • To report a case of subcutaneous infection with rapidly growing mycobacteria after silicone buttock injections.
    • To discuss the surgical management and identify etiologic factors associated with this complication.
    • To review existing literature on mycobacterial infections following cosmetic procedures.

    Main Methods:

    • Case presentation of a 57-year-old female patient.
    • Clinical examination and diagnostic workup for cellulitis.
    • Identification of the causative microorganism through laboratory analysis.
    • Surgical intervention and literature review.

    Main Results:

    • The patient presented with a cellulitic area on her buttock post-silicone injection.
    • Subcutaneous infection with rapidly growing mycobacteria was diagnosed.
    • Successful surgical management was performed.

    Conclusions:

    • Rapidly growing mycobacteria can cause serious subcutaneous infections after silicone buttock augmentation.
    • Prompt surgical intervention is crucial for managing such infections.
    • Awareness of potential etiologic factors is essential for prevention and treatment.

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