Nontuberculous Mycobacterial Infection after Fractionated CO2 Laser Resurfacing

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Culton, Donna A. ; Lachiewicz, Anne M. ; Miller, Becky A. ; Miller, Melissa B. ; MacKuen, Courteney ; Groben, Pamela ; White, Becky ; Cox, Gary M. ; Stout, Jason E.
• Description:
  Nontuberculous mycobacteria are increasingly associated with cutaneous infections after cosmetic procedures. Fractionated CO2 resurfacing, a widely used technique for photorejuvenation, has been associated with a more favorable side effect profile than alternative procedures. We describe 2 cases of nontuberculous mycobacterial infection after treatment with a fractionated CO2 laser at a private clinic. Densely distributed erythematous papules and pustules developed within the treated area within 2 weeks of the laser procedure. Diagnosis was confirmed by histologic analysis and culture. Both infections responded to a 4-month course of a multidrug regimen. An environmental investigation of the clinic was performed, but no source of infection was found. The case isolates differed from each other and from isolates obtained from the clinic, suggesting that the infection was acquired by postprocedure exposure. Papules and pustules after fractionated CO2 resurfacing should raise the suspicion of nontuberculous mycobacterial infection.
• Subjects:
  Anti-Bacterial Agents Bacteria Cosmetic Techniques Drug Therapy, Combination Female Fractionated CO2 Laser Resurfacing Humans Laser Therapy, Low-Level Middle Aged Mycobacterium Abscessus Mycobacterium Chelonae Mycobacterium Infections, Nontuberculous Nontuberculous Mycobacteria Nontuberculous Mycobacterial Infection NTM Skin Diseases, Bacterial Synopsis Tuberculosis And Other Mycobacteria

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• Source:
  Emerg Infect Dis. 19(3):365-370.
• Document Type:
  Journal Article
• Volume:
  19
• Issue:
  3
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:917739019cd776c2f8b20eed0a3e0774e2b12f9df9348a5066ec988770a581c2
• Download URL:
  https://stacks.cdc.gov/view/cdc/18914/cdc_18914_DS1.pdf
• File Type:
  [PDF - 1.40 MB ]