Mycobacterial Infection after Cosmetic Procedure with Botulinum Toxin A
Published: April 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5756
Marcela Saeb-Lima, Gerardo-Victor Solis-Arreola, Angel Fernandez-Flores
1. Consultant Dermatologist, Department of Pathology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán,
Hospital Angeles Lomas, Centro Medico ABC, Mexico City, Mexico.
2. Dermatology, Private Practice.
3. Dermatopathologist, Department of Cellular Pathology, Hospital El Bierzo, Ponferrada, Spain.
Correspondence
Dr. Angel Fernandez-Flores,
Servicio de Anatomía Patologica, Hospital El Bierzo, Medicos sin Fronteras 7, 24411, Ponferrada, Spain.
E-mail: dermatopathonline@gmail.com
We report a case of mycobacterial infection at the sites of previous injections of botulinum toxin A in a 45-year-old woman. She presented with erythematous, swollen, warm, and tender plaques and nodules at the points of injection from which a biopsy was taken, demonstrating a deep dermal and hypodermal abscessified epithelioid granulomatous inflammatory infiltrate in which some acid-fast bacilli were identified with Ziehl-Neelsen and Fite-Faraco stains. The lesion was first treated with clarithromycin plus azithromycin, to which rifampicin was later added. A good therapeutic response was obtained.
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