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Mycobacterial Infection after Cosmetic Procedure with Botulinum Toxin A
Correspondence Address :
Dr. Angel Fernandez-Flores,
Servicio de AnatomÃa Patologica, Hospital El Bierzo, Medicos sin Fronteras 7, 24411, Ponferrada, Spain.
E-mail: dermatopathonline@gmail.com
We report a case of mycobacterial infection at the sites of previous injections of botulinum toxin A in a 45-year-old woman. She presented with erythematous, swollen, warm, and tender plaques and nodules at the points of injection from which a biopsy was taken, demonstrating a deep dermal and hypodermal abscessified epithelioid granulomatous inflammatory infiltrate in which some acid-fast bacilli were identified with Ziehl-Neelsen and Fite-Faraco stains. The lesion was first treated with clarithromycin plus azithromycin, to which rifampicin was later added. A good therapeutic response was obtained.
Botox, Iatrogenic infection, Mycobacteria, Tuberculosis
DOI: 10.7860/JCDR/2015/11741.5756
Date of Submission: Oct 19, 2014
Date of Peer Review: Jan 20, 2015
Date of Acceptance: Jan 27, 2015
Date of Publishing: Apr 01, 2015
Financial OR OTHER COMPETING INTERESTS: None.
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