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

2008; UNIVERSIDADE DE SÃO PAULO; Volume: 42; Issue: 1 Linguagem: Inglês

10.1590/s0034-89102008000100020

1518-8787

César V. Munayco, Carlos G. Grijalva, Dante R. Culqui, José L Bolarte, Luis Suárez, Neyda Quispe, Roger Calderón, Luis Ascencios, Manuel del Solar, Martín Salomón, Francisco Bravo, Eduardo Gotuzzo,

Fungal Infections and Studies

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 underwent 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.