Outbreak of Rapidly Growing Nontuberculous Mycobacteria Among Patients Undergoing Cosmetic Surgery in the Dominican Republic

Annals of Plastic Surgery
Daniel A GreenDiane Hamele-Bena

Abstract

Rapidly growing nontuberculous mycobacteria (RG-NTM), which can contaminate inadequately sterilized medical instruments, have been known to cause serious postsurgical skin and soft tissue infections that often are characterized by a prolonged incubation period and a disfiguring clinical course. Historically, these infections have been associated with surgical procedures performed outside the United States. The Centers for Disease Control and Prevention recently reported an outbreak of RG-NTM infections among women who underwent cosmetic surgery in the Dominican Republic. Because of the large Dominican American community in upper Manhattan, we have recently observed a number of these cases at NewYork-Presbyterian Hospital/Columbia University Medical Center. We highlight the case of a 55-year-old woman who developed a postsurgical RG-NTM infection after bilateral breast reduction in the Dominican Republic; she experienced progressive deformity of her left breast until the causative pathogen was identified 20 months after her initial surgery. To assist in the timely diagnosis and treatment of these infections, we aim to promote greater awareness among physicians who are likely to encounter such patients. We present the pathologic ...Continue Reading

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Citations

Feb 10, 2017·Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række·Kristine BøArne Broch Brantsæter
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Apr 21, 2021·Aesthetic Plastic Surgery·Susan McCrossanChristopher Hill
Aug 6, 2021·Infection and Drug Resistance·Chengan XuHongying Pan

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