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免疫功能正常患者在进行美容溶脂注射后下颌下区发生原发性毛霉菌病感染:一例报告

Primary Mucormycosis Infection in the Submandibular Area After Esthetic Lipolytic Injection in An Immunocompetent Patient: A Case Report.

作者信息

Kim Hyeon Seok, Kim Woo Seob, Kim Han Koo, Kang Shin Hyuk, Lee Tae Jin, Hong Soon Auck, Bae Tae Hui

机构信息

Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, 102, Heuksuk-Ro, Dongjak-Gu, Seoul, Republic of Korea.

Department of Pathology, Chung-Ang University Hospital, 102, Heuksuk-Ro, Dongjak-Gu, Seoul, Republic of Korea.

出版信息

Indian J Dermatol. 2022 Jan-Feb;67(1):58-61. doi: 10.4103/ijd.ijd_469_21.

DOI:10.4103/ijd.ijd_469_21
PMID:35656277
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9154164/
Abstract

As the popularity of injection lipolysis increases, several side effects of injection lipolysis have been reported. In this case, A 53-year-old woman visited our outpatient clinic with a new round-shaped protruding mass (size: 5.0 cm × 3.0 cm) in the submental area. The patient had received the injection lipolysis treatment before the visit. She had received injections in the submental area at 1-week intervals (i.e., 4, 5, and 6 weeks). We performed contrast-enhanced computed tomography of the neck for differential diagnosis and found a 5.0 cm × 3.7 cm × 2.1 cm rim-enhanced fluid-density lesion in the submental. Hence, surgical removal of the lesion was planned based on the diagnosis of unspecified complicated fluid collection. The removed mass was a 3.0 cm × 2.0 cm × 2.0 cm whitish fibrous tissue. Histological examination revealed mucormycosis infection. Although several side effects of lipolysis have been reported to date, mucormycosis infection in the submental area has not been reported before.

摘要

随着注射溶脂术的普及,已有报道称注射溶脂术存在多种副作用。在此病例中,一名53岁女性因颏下区域出现一个新的圆形突出肿物(大小:5.0厘米×3.0厘米)前来我院门诊就诊。该患者在就诊前接受过注射溶脂治疗。她每隔1周在颏下区域进行一次注射(即第4、5和6周)。我们对颈部进行了增强计算机断层扫描以进行鉴别诊断,结果在颏下发现一个5.0厘米×3.7厘米×2.1厘米的边缘强化液性密度病变。因此,基于未明确的复杂液体积聚的诊断,计划对该病变进行手术切除。切除的肿物为一个3.0厘米×2.0厘米×2.0厘米的白色纤维组织。组织学检查显示为毛霉菌感染。尽管迄今为止已报道了溶脂术的多种副作用,但颏下区域的毛霉菌感染此前尚未见报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/834adf47d130/IJD-67-58-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/a83854f5f7e9/IJD-67-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/12c631e4a0f3/IJD-67-58-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/834adf47d130/IJD-67-58-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/a83854f5f7e9/IJD-67-58-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/12c631e4a0f3/IJD-67-58-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70fd/9154164/834adf47d130/IJD-67-58-g003.jpg

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J Fungi (Basel). 2019 Mar 21;5(1):26. doi: 10.3390/jof5010026.
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Injection Lipolysis: A Systematic Review of Literature and Our Experience with a Combination of Phosphatidylcholine and Deoxycholate over a Period of 14 Years in 1269 Patients of Indian and South East Asian Origin.
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