Miguel Escuredo Iker, Vicario Elorduy Eduardo, Guío Carrión Laura, Elvira Segura Javier, Iraurgui Arcarazo Patricia, García Gutiérrez Juan J
Plastic, Aesthetic and Reconstructive Department, Cruces University Hospital, Bizkaia, Spain.
Infectious Disease Department, Cruces University Hospital, Bizkaia, Spain.
Plast Reconstr Surg Glob Open. 2020 Aug 19;8(8):e3063. doi: 10.1097/GOX.0000000000003063. eCollection 2020 Aug.
is a rare, non-tuberculous, rapidly growing mycobacterium. Although it has been usually associated with chronic pulmonary infections in cystic fibrosis patients, the second most frequent infection sites are the skin and subcutaneous tissue. Most of the cutaneous infections described in the literature occur secondary to cosmetic invasive procedures, many of them in the context of medical tourism. Its atypical presentation and antibiotic-resistant nature make its diagnosis and therapeutics challenging. In this case report, we present 2 cases of infections secondary to breast lipotransfer reported in the same private center. Case 1 patient underwent surgery to treat scar contracture resulting from previous quadrantectomy. Case 2 patient underwent breast augmentation with lipotransfer. Both of them developed lesions in the breast and in the donor site (abdomen). The therapeutic regimen used was amikacin (1 g/24 h) + tigecycline (50 mg/12 h). In case 1, we performed a simple mastectomy, and in case 2, periodical ultrasound-guided drainages were performed as additional procedures. To our knowledge, these are the first 2 cases that describe an infection secondary to breast lipotransfer. The aim of our report was to illustrate the presentation, diagnosis, therapeutic management, and strategies available to prevent this complication.
是一种罕见的、非结核性的、快速生长的分枝杆菌。虽然它通常与囊性纤维化患者的慢性肺部感染有关，但第二常见的感染部位是皮肤和皮下组织。文献中描述的大多数皮肤感染继发于美容侵入性手术，其中许多发生在医疗旅游背景下。其非典型表现和抗生素耐药性使其诊断和治疗具有挑战性。在本病例报告中，我们展示了在同一私人中心报告的2例乳房脂肪移植继发感染的病例。病例1患者接受手术治疗先前象限切除术后导致的瘢痕挛缩。病例2患者接受脂肪移植隆乳术。她们两人均在乳房和供区（腹部）出现病变。使用的治疗方案是阿米卡星（1克/24小时）+替加环素（50毫克/12小时）。在病例1中，我们进行了单纯乳房切除术，在病例2中，作为额外的操作进行了定期超声引导下引流。据我们所知，这是描述乳房脂肪移植继发感染的首例2例病例。我们报告的目的是说明其表现、诊断、治疗管理以及预防这种并发症的可用策略。
