Grand Rapids Medical Education Partners/Michigan State University Plastic and Reconstructive Surgery Program, Grand Rapids, Michigan, USA.
Aesthet Surg J. 2010 Jul-Aug;30(4):542-8. doi: 10.1177/1090820X10380543.
Reduction mammaplasty is one of the most common plastic surgery procedures performed in the US, with the goal of correcting symptomatic macromastia. More than 70,000 cases were performed in 2009, with few complications and low infection rates. The authors present two cases of breast infections with Mycobacterium fortuitum and one with Mycobacterium chelonei following bilateral reduction mammaplasty. Infection with these organisms is exceptionally rare following breast surgery in the absence of a prosthetic implant. All of the patients had a delayed presentation following complete wound healing and were refractory to first-line antibiotic therapy. All three required long-term antibiotics in consultation with an infectious disease specialist. The patients all required surgical drainage, and two patients also required formal operative debridement. All three patients eventually went on to complete wound healing.
乳房缩小术是美国最常见的整形手术之一，其目的是矫正有症状的巨乳症。2009 年进行了超过 7 万例手术，并发症很少，感染率低。作者报告了两例双侧乳房缩小术后感染分枝杆菌 fortuitum 和一例分枝杆菌 chelonei 的病例。在没有假体植入的情况下，乳房手术后感染这些病原体的情况非常罕见。所有患者在完全愈合后出现延迟表现，对一线抗生素治疗均无反应。所有这 3 名患者都需要在感染病专家的咨询下长期使用抗生素。所有患者均需要手术引流，2 名患者还需要进行正式的清创术。最终，这 3 名患者均完全愈合。
