Nontuberculous mycobacterial infection after fractionated CO(2) laser resurfacing.
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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.
fractionated CO2 laser resurfacing
nontuberculous mycobacterial infection
tuberculosis and other mycobacteria
Drug Therapy, Combination
Low-Level Light Therapy
Mycobacterium Infections, Nontuberculous
Skin Diseases, Bacterial
Published Version (Please cite this version)10.3201/eid1903.120880
Publication InfoCox, GM; Culton, DA; Groben, P; Lachiewicz, Anne M; Mackuen, C; Miller, BA; ... White, B (2013). Nontuberculous mycobacterial infection after fractionated CO(2) laser resurfacing. Emerg Infect Dis, 19(3). pp. 365-370. 10.3201/eid1903.120880. Retrieved from http://hdl.handle.net/10161/13900.
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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.