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Case Reports in Infectious Diseases
Volume 2016, Article ID 3642567, 4 pages
http://dx.doi.org/10.1155/2016/3642567
Case Report

Atypical Mycobacterial Infection after Abdominoplasty Overseas: A Case Report and Literature Review

1Department of Internal Medicine, Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT 06610, USA
2Department of Infectious Diseases, Yale New Haven Health System, Bridgeport Hospital, Bridgeport, CT 06610, USA

Received 26 July 2016; Accepted 12 December 2016

Academic Editor: Jean-François Faucher

Copyright © 2016 Prabin Sharma et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Increasing number of medical tourists travel internationally for cosmetic procedures. Lipotourism is a form of medical tourism becoming popular among patients of developed countries due to the cost efficiency of cosmetic procedures when performed in developing nations. There is a paucity of data on quality, safety, and risks involved with these surgeries. Many cases of infections have been documented in patients following cosmetic surgeries in developing countries. We present a case of a 34-year-old female who underwent abdominoplasty in Dominican Republic that was complicated with development of multiple abdominal wall abscesses due to infection from rapidly growing mycobacteria (RGM). In the absence of clear treatment guidelines, she was treated with a combination of intermittent surgical drainage and prolonged antibiotic course. This case is of interest as more than one species of RGM was isolated from the same patient. Our case highlights the fact that identification of these organisms can be difficult requiring referral of samples to specialized laboratories and treatment duration can last several months, which is determined by clinical and microbiological response.