TB Research

A Case of Multiple Skin Lesions After Lipodissolve<sup>TM</sup> Injection

Peihsuan R. Tsai, Rodolfo Alpizar-Rivas, Andrew Cameron, Harsimran Kaur, Glynis Scott, William H. Sipprell, Sonal S. Munsiff, Ted Louie

Annals of Internal Medicine Clinical Cases · 2022-12

Abstract

Mycobacterium abscessus (M. abscessus) is a rapidly growing nontuberculous mycobacterium commonly found in soil and water. It can cause localized infection when inoculated during surgical or cosmetic procedures. We describe a case of a patient who developed multiple skin nodules resulting from injection of LipodissolveTM for cosmetic purposes. We highlight the following points: M. abscessus can have inducible resistance to macrolides and may require novel agents for treatment; outbreaks can occur when injectables contaminated with M. abscessus are inoculated into the skin; and local health departments and the U.S. Food and Drug Administration should be contacted for outbreak investigation.

MeSH terms

  • Mycobacterium abscessus
  • Nontuberculous mycobacteria
  • Medicine
  • Outbreak
  • Inoculation
  • Surgery
  • Dermatology
  • Skin infection
  • Mycobacterium