注射溶脂针导致的免疫原分枝杆菌感染1例  

Injection lipolysis induced Mycobacterium immunogenum infection

作　　者：黄倩 周永生 马寅涛 李双萍 郭超 Huang Qian;Zhou Yongsheng;Ma Yintao;Li Shuangping;Guo Chao(Department of Anorectal Burns,the Fourth People’s Hospital of Chenzhou,Chenzhou 423000,China)

机构地区：[1]郴州市第四人民医院肛肠烧伤科,郴州423000

出　　处：《中华整形外科杂志》2022年第5期546-548,共3页Chinese Journal of Plastic Surgery

摘　　要：注射溶脂针是近年来兴起的非手术整形方式, 其作为一种有创治疗本身存在一定的风险。目前对于注射溶脂针引起的非结核分枝杆菌感染报道较为少见。2020年10月, 郴州市第四人民医院肛肠烧伤科收治1例在美容院行溶脂针注射术后注射部位出现感染的患者。患者右上臂、腹部、腰部及背部有多处包块, 大小约3 cm×4 cm, 皮肤色红, 皮温高, 有明显波动感, 有触痛。经检查诊断为皮肤脓肿, 行脓肿清创术, 彻底清除脓腔内坏死组织并予以持续负压引流。病理活检为慢性肉芽肿病变。行分泌物培养为快速生长型非结核分枝杆菌。微生物基因检测为免疫原分枝杆菌。内科治疗选用阿米卡星静脉滴注1个月, 口服克拉霉素6个月, 服用药物期间无特殊不适, 停药半年后复查, 患者病灶已完全愈合, 无复发。Injection lipolysis is emerging as an non-surgical cosmetic procedure in recent years.However related risks should be noted.Non-tuberculous mycobacterium infection caused by Injection lipolysis was rarely reported so far.In October 2020,a patient who developed infection at the injection site after receiving lipolysis injection in a beauty salon was admitted to the Fourth People’s Hospital of Chenzhou.The patient had multiple masses on his right upper arm,abdomen,waist and back,with a size of about 3 cm×4 cm.The local masses was red with high skin temperature,and there was obvious fluctuation and tenderness.Skin abcess was diagnosed.Abscess debridement was performed,the necrotic tissue in the abscess cavity was completely removed and continuous negative pressure drainage was performed.The biopsy showed chronic granulomatous lesions.The secretions were cultured and the results showed rapid growth of non-tuberculous mycobacteria.A microbial genetic test was carried out,and the result was Mycobacterium immunogenun.The medical treatment was amikacin for 1 month and clarithromycin for 6 months.No special discomfort was found during drug administration,and the affected skin was completely healed without recurrence after withdrawal of the drug for half a year.

关 键 词：感染 非结核分枝杆菌 注射剂 美容业 并发症 

分 类 号：R62[医药卫生—整形外科]