Mixed infection of an atypical mycobacterium and aspergillus following a cryopreserved fat graft to a face

Title
Mixed infection of an atypical mycobacterium and aspergillus following a cryopreserved fat graft to a face
Authors
황건
Keywords
Mycobacterium infections, nontuberculous, Aspergillus fumigatus, transplant, lipectomy, cryopreservation
Issue Date
2013
Publisher
JOURNAL OF CRANIOFACIAL SURGERY
Series/Report no.
JOURNAL OF CRANIOFACIAL SURGERY ; Vol.24 no.5 Startpage 1676 Endpage 1678
Abstract
We report a chronic infection of a patient who received a cryopreserved fat graft on her face. A 22-year-old female patient presented with multiple abscesses of her face. Four months previously, she received a second fat graft with the fat harvested at a previous surgery which was cryopreserved for 2 months. On examination, she had tender erythematous nodules on both cheeks. A computed tomography of her neck showed multiple peripheral enhancing nodular lesions. In an open pus fungus culture, Aspergillus fumigatus growth was observed. On the Mycobacterium Other Than Tuberculosis identification PCR, Mycobacterium fortuitum was found. She was treated with levofloxacin, clarithromycin, and minocycline for 11 months, and finally the symptoms subsided. To avoid infection after the fat graft, cryopreserved fat should not be used as a possible grafting material. In cases of persistent infection, or in cases of waxes and gains after drainage of pus and short-term antibiotics therapy, atypical Mycobacterium or Aspergillus should be suspected and a PCR for them should be carried out.
URI
http://dspace.inha.ac.kr/handle/10505/31615
ISSN
1049-2275
Appears in Collections:
Medical School/College of Medicine (의학전문대학원/의과대학) > Medical Science (의학) > Journal Papers, Reports(의학 논문, 보고서)

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