Postoperative infection mycobacterium abscessus associated with liposuction and autologous fat grafting: A narrative review

Hoang Thanh Tuan1,, Nguyen Van Luat2, Nguyen Anh Ngoc3, Luu Dang Ai3
1 Le Huu Trac National Burn Hospital
2 103 Military Hospital
3 Hoang Tuan Clinic

Nội dung chính của bài viết

Tóm tắt

Liposuction and autologous fat grafting are common aesthetic procedures these days. Although these procedures are relatively safe, some severe complications sometimes happen affecting aesthetic results and the patient’s quality of life. Postoperative infection of Mycobacterium abscessus after liposuction and autologous fat grafting is an uncommon complication along with untypical symptoms. This results in misdiagnosis and delays in proper diagnosis and treatments, prolonging the treatment period. This narrative review summarises cases of M. abscessus infection associated with liposuction and autologous fat grafting, then presents causes, diagnoses, preventive care, and treatments of such cases. This aims to enhance the awareness of this infection after aesthetic surgery and contributes to the appropriate prevention and treatment.

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Tài liệu tham khảo

1. American Society of Plastic Surgeons. Plastic surgery statistic report. 2020; https://www.plasticsurgery.org/documents/News/Statistics/2020/plastic-surgery-statistics-full-report-2020.pdf.
2. Toledo LS. Lipoplasty. Clinics in Plastic Surgery. 2006;33:xi-xii.
3. Shiffman MA, Di Giuseppe A. Liposuction. Springer; 2006.
4. Neira R, Ortiz-Neira C. Low-level laser-assisted liposculpture: clinical report of 700 cases. Aesthetic Surgery Journal. 2002;22:451-5.
5. Dixit VV, Wagh MS. Unfavourable outcomes of liposuction and their management. Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India. 2013;46:377.
6. Kaoutzanis C, Gupta V, Winocour J, Layliev J, Ramirez R, Grotting JC, et al. Cosmetic liposuction: preoperative risk factors, major complication rates, and safety of combined procedures. Aesthetic Surgery Journal. 2017;37:680-94.
7. Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU. Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plastic reconstructive surgery. 2008;121:396e-403e.
8. Torres-Coy J, Rodríguez-Castillo B, Pérez-Alfonzo R, De Waard J. Source investigation of two outbreaks of skin and soft tissue infection by Mycobacterium abscessus subsp. abscessus in Venezuela. Epidemiology Infection. 2016;144:1117-20.
9. Lin S-S, Lee C-C, Jang T-N. Soft tissue infection caused by rapid growing mycobacterium following medical procedures: two case reports and literature review. Annals of dermatology. 2014;26:236-40.
10. Cusumano LR, Tran V, Tlamsa A, Chung P, Grossberg R, Weston G, et al. Rapidly growing Mycobacterium infections after cosmetic surgery in medical tourists: the Bronx experience and a review of the literature. International Journal of Infectious Diseases. 2017;63:1-6.
11. Escuredo IM, Elorduy EV, Carrión LG, Segura JE, Arcarazo PI, Gutiérrez JJG. Mycobacterium abscessus infection after breast lipotransfer: a report of 2 cases. Plastic Reconstructive Surgery Global Open. 2020;8.
12. Yoshimura K, Coleman SR. Complications of fat grafting: how they occur and how to find, avoid, and treat them. Clinics in plastic surgery. 2015;42:383-8.
13. Cuzalina A, Guerrero AV. Complications in fat grafting. Atlas of the Oral Maxillofacial Surgery Clinics of North America. 2018;26:77-80.
14. Maurer F, Castelberg C, Von Braun A, Wolfensberger A, Bloemberg G, Böttger E, et al. Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014. Eurosurveillance. 2014;19:20905.
15. Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, et al. Centers for disease control and prevention guideline for the prevention of surgical site infection, 2017. JAMA surgery. 2017;152:784-91.
16. Organization WH. Global guidelines for the prevention of surgical site infection. World Health Organization; 2016.
17. Lee Y-H, Kim H-K, Kim M-S, You H-J, Kim D-W, Lee T-Y. Chemical Sterilization of Lipoplasty Cannula and Nontuberculous Mycobacteria Disinfection: An Experimental Study. Journal of Craniofacial Surgery. 2022;33:719-22.
18. Neira R, Toledo L, Arroyave J, Solarte E, Isaza C, Gutierrez O, et al. Low-level laser-assisted liposuction: the Neira 4 L technique. Clinics in Plastic Surgery. 2006;33:117-27.
19. Moreno-Izquierdo C, Zurita J, Contreras-Yametti F, Jara-Palacios M. Mycobacterium abscessus subspecies abscessus infection associated with cosmetic surgical procedures: Case series. IDCases. 2020;22:e00992.
20. Yang E, Hengshu Z. Clinical analysis of nontuberculous mycobacterial infection after minimally invasive plastic surgery and cosmetic surgery. Journal of Cosmetic Dermatology. 2021.
21. Motawea KR, Rabea RK, Elhalag RH, Goodloe J, Awad DM, Kaur M, et al. Cosmetic operative care abroad leads to a multidrug-resistant Mycobacterium abscessus infection in a patient: a case report. Journal of Medical Case Reports. 2022;16:1-5.
22. Tung-Chen Y, Carballo-Cardona C. Nontuberculous mycobacteria infection after aesthetic surgery. Medicina Clinica. 2017;149:227-8.
23. Galea L, Nicklin S. Mycobacterium abscessus infection complicating hand rejuvenation with structural fat grafting. Journal of Plastic, Reconstructive Aesthetic Surgery. 2009;62:e15-e6.
24. Ruegg E, Cheretakis A, Modarressi A, Harbarth S, Pittet-Cuénod B. Multisite Infection with Mycobacterium abscessus after Replacement of Breast Implants and Gluteal Lipofilling. Case reports in infectious diseases. 2015;2015:361340.
25. Lee RA, Wigmore R. A case of lipotourism-associated multidrug-resistant Mycobacterium abscessus infection. Journal of Global Infectious Diseases. 2019;11:83.
26. Newman MI, Camberos AE, Ascherman J. Mycobacteria abscessus outbreak in US patients linked to offshore surgicenter. Annals of plastic surgery. 2005;55:107-10.
27. Yang P, Lu Y, Liu T, Zhou Y, Guo Y, Zhu J, et al. Mycobacterium abscessus infection after facial injection with autologous fat: a case report. Annals of Plastic Surgery. 2017;78:138-40.
28. Chang PY, Wu TL, Tsao KC, Sun CF, Wu LL, Wu JT. Cosmetic liposuction causes only transient elevation of acute inflammatory response and does not advance to oxidative and nitrosative stress. Journal of Clinical Laboratory Analysis. 2007;21:418-25.
29. Hong YG, Kim HT, Seo SW, Chang CH, Rhee EJ, Lee WY. Impact of large-volume liposuction on serum lipids in orientals: a pilot study. Aesthetic plastic surgery. 2006;30:327-32.
30. Gibas-Dorna M, Szulińska M, Turkowski P, Kupsz J, Sowińska A, Mikrut K, et al. The effect of VASER abdominal liposuction on metabolic profile in overweight males. American Journal of Men's Health. 2017;11:284-93.
31. Esposito K, Giugliano G, Giugliano D. Metabolic effects of liposuction—yes or no. N Engl J Med. 2004;351:1354-7.
32. Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, et al. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget. 2018;9:7204.
33. Jovanović Z, Ilić M, Janković S. Pathogenic mechanisms in the development of surgical site infections. Medicinski pregled. 2007;60:343-50.
34. Chang C-H, Chang Y-Y, Lu P-H. Non-tuberculous mycobacteria infection following autologous fat grafting on the face. Aesthetic surgery journal. 2018;38:NP1-NP5.
35. Tan L-C, Li X-Y, Lu Y-G. Nontuberculous mycobacteria infection after autologous fat grafting for cosmetic breast augmentation. Annals of Plastic Surgery. 2020;85:358-62.
36. Hui SH, Noonan L, Chavada R. Post liposuction Mycobacterium abscessus surgical site infection in a returned medical tourist complicated by a paradoxical reaction during treatment. Infectious Disease Reports. 2015;7:6304.
37. Su C, Cowper SE, Ramachandran S, Little AJ. Erythema nodosum due to Mycobacterium abscessusinfection complicating autologous fat transfer. International Journal of Women's Dermatology. 2020;6:340-1.
38. Safe IP, Macedo V, Marcelo W, Baia-Da-Silva D, Freitas M, Spener R, et al. Nontuberculous mycobacterial infections after aesthetic procedures: Comparison of clinical features and treatment. Journal of Clinical and Aesthetic Dermatology. 2021;14:46-9.
39. Cai SS, Chopra K, Lifchez SD. Management of Mycobacterium abscessus infection after medical tourism in cosmetic surgery and a review of literature. Annals of plastic surgery. 2016;77:678-82.
40. Furuya EY, Paez A, Srinivasan A, Cooksey R, Augenbraun M, Baron M, et al. Outbreak of Mycobacterium abscessus wound infections among “lipotourists” from the United States who underwent abdominoplasty in the Dominican Republic. Clinical infectious diseases. 2008;46:1181-8.
41. Yeh J-P, Tsai Y-J. Nontuberculosis Mycobacteria Infection After Liposuction and Fat Grafting for Augmentation Mammoplasty: A Case Report and Literature Review. Annals of Plastic Surgery. 2022:10.1097.
42. Tuan HT, Ngoc NA, Ai LD, Van Luat N. Complicated Surgical Site Infection with Mycobacterium Abscessus After Liposuction and Affections of Corticosteroids in the Treatment Regimen: Three Cases Report and a Systematic Review. Aesthetic Plastic Surgery. 2023:1-21.
43. Murillo J, Torres J, Bofill L, Ríos-Fabra A, Irausquin E, Istúriz R, et al. Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. Archives of Dermatology. 2000;136:1347-52.
44. Chen B, Song H, Xu M, Gao Q, Wang F, Wang J, et al. Treatment for mycobacterium abscessus infection associated with fat grafting. Surgical infections. 2020;21:639-44.
45. Akers JO, Mascaro JR, Baker SM. Mycobacterium abscessus infection after facelift surgery: A case report. Journal of Oral and Maxillofacial Surgery. 2000;58:572-4.
46. Engdahl R, Cohen L, Pouch S, Rohde C. Management of Mycobacterium abscessus Post Abdominoplasty. Aesthetic Plastic Surgery. 2014;38:1138-42.
47. Hill M, Weissman AS, Franzetti M, Allen P. Novel, sensitivity-based antibiotic regimen for multidrug-resistant Mycobacterium abscessus infection following cosmetic surgery. JAAD Case Reports. 2023;36:18-20.
48. Novosad SA, Beekmann SE, Polgreen PM, Mackey K, Winthrop KL. Treatment of Mycobacterium abscessus infection. Emerging infectious diseases. 2016;22:511.