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Nontuberculous mycobacterial infections: a potential complication of cosmetic procedures

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Interest in surgical and non-surgical cosmetic procedures has increased significantly over the last few decades. Billions of dollars are spent on these procedures annually. Although the associated risk is generally low, multiple cases of skin and soft tissue infections have been reported. Nontuberculous mycobacteria (NTM), in particular M. chelonae, M. fortuitum, and M. abscessus, have been increasingly identified as causative of numerous cosmetic procedure–related infections worldwide. This has therefore become a public health concern. Delays in diagnosis and appropriate management may occur given subtleties in diagnostic methods. The purpose of this review is to highlight the NTM-related skin and soft tissue infections associated with more common cosmetic procedures, describe methods of identification, and outline best treatment practices.

 

在过去的几十年里,人们对外科和非外科美容手术的兴趣显著增加。每年在这些程序上花费数十亿美元。尽管相关风险一般较低,但已有多例皮肤和软组织感染的报告。非结核分枝杆菌(NTM),特别是龟分枝杆菌、偶发分枝杆菌和脓肿分枝杆菌,越来越多地被认为是全世界美容手术相关感染的病因。因此,这已成为一个公共卫生问题。考虑到诊断方法的微妙之处,诊断和适当的处理可能会出现延误。本综述的目的是强调与更常见的美容手术相关的NTM相关皮肤和软组织感染,描述识别方法,并概述最佳治疗实践。

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