Nontuberculous mycobacterial infection after fractionated CO(2) laser resurfacing.
Abstract
Nontuberculous mycobacteria are increasingly associated with cutaneous infections
after cosmetic procedures. Fractionated CO2 resurfacing, a widely used technique for
photorejuvenation, has been associated with a more favorable side effect profile than
alternative procedures. We describe 2 cases of nontuberculous mycobacterial infection
after treatment with a fractionated CO2 laser at a private clinic. Densely distributed
erythematous papules and pustules developed within the treated area within 2 weeks
of the laser procedure. Diagnosis was confirmed by histologic analysis and culture.
Both infections responded to a 4-month course of a multidrug regimen. An environmental
investigation of the clinic was performed, but no source of infection was found. The
case isolates differed from each other and from isolates obtained from the clinic,
suggesting that the infection was acquired by postprocedure exposure. Papules and
pustules after fractionated CO2 resurfacing should raise the suspicion of nontuberculous
mycobacterial infection.
Type
Journal articleSubject
Mycobacterium abscessusMycobacterium chelonae
NTM
bacteria
cosmetic techniques
fractionated CO2 laser resurfacing
nontuberculous mycobacteria
nontuberculous mycobacterial infection
tuberculosis and other mycobacteria
Anti-Bacterial Agents
Cosmetic Techniques
Drug Therapy, Combination
Female
Humans
Low-Level Light Therapy
Middle Aged
Mycobacterium Infections, Nontuberculous
Skin Diseases, Bacterial
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https://hdl.handle.net/10161/13900Published Version (Please cite this version)
10.3201/eid1903.120880Publication Info
Culton, Donna A; Lachiewicz, Anne M; Miller, Becky A; Miller, Melissa B; Mackuen,
Courteney; Groben, Pamela; ... Stout, Jason E (2013). Nontuberculous mycobacterial infection after fractionated CO(2) laser resurfacing.
Emerg Infect Dis, 19(3). pp. 365-370. 10.3201/eid1903.120880. Retrieved from https://hdl.handle.net/10161/13900.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Gary Matthew Cox
Professor of Medicine
Jason Eric Stout
Professor of Medicine
My research focuses on the epidemiology, natural history, and treatment of tuberculosis
and nontuberculous mycobacterial infections. I am also interested in the impact of
HIV infection on mycobacterial infection and disease, and in examining health disparities
as they relate to infectious diseases, particularly in immigrant populations.
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