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Mycobacterial Infection after Cosmetic Procedure with Botulinum Toxin A

机译:肉毒杆菌毒素A整容后的分枝杆菌感染

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We report a case of mycobacterial infection at the sites of previous injections of botulinum toxin A in a 45-year-old woman. She presented with erythematous, swollen, warm, and tender plaques and nodules at the points of injection from which a biopsy was taken, demonstrating a deep dermal and hypodermal abscessified epithelioid granulomatous inflammatory infiltrate in which some acid-fast bacilli were identified with Ziehl-Neelsen and Fite-Faraco stains. The lesion was first treated with clarithromycin plus azithromycin, to which rifampicin was later added. A good therapeutic response was obtained.
机译:我们报道了一名45岁妇女先前注射肉毒杆菌毒素A的部位发生分支杆菌感染的情况。她在注射点出现红斑,肿胀,温暖和柔软的斑块和结节,并进行了活检,表明存在深层真皮和皮下脓肿的上皮样肉芽肿性炎性浸润,其中通过Ziehl-Neelsen鉴定出了一些耐酸杆菌和Fite-Faraco污渍。病变首先用克拉霉素加阿奇霉素治疗,随后加入利福平。获得了良好的治疗反应。

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