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Post-Facelift Infection Due to Mycobacterium Fortuitum: A Case Report.

Mycobacterium fortuitum, postfacelift complication, nontuberculous mycobacteria (NTM), rapidly growing mycobacteria (RGM) IMAJ 2018; 20: 524–525 signs of infection: no fever, peripheral white blood cell (WBC) count 9380 cells/mm3, neutrophils 57.7%, erythrocyte sedimentation rate (ESR) 45 mm in the first hour, and C-reactive protein (CRP) 1.2 mg/L. The patient was treated with ciprofloxacin. Two weeks later, the secretion had decreased, yet there were new areas of swelling with induration and some fluctuation, without signs of cellulitis around the lesions, which had spread bilaterally along the neck and cheeks [Figure 1]. On examination, there were no systemic signs of infection, such as fever. A complete blood count (CBC) was within normal ranges, but there was an increase in CRP (11.6 mg/L). A thick fluid sample was obtained by needle aspiration from several lesions and sent for bacterial, fungal, and Mycobacterium culture, as well as polymerase chain reaction (PCR). All four samples grew M. fortuitum and one sample was also PCR positive for the same isolate. By antibiogram, the pathogen was sensitive to amikacin, clarithromycin, ciprofloxacin, doxycycline, and imipenem, M ycobacterium fortuitum complex belongs to a group of rapidly growing mycobacteria (RGM). Very few cases of infections with M. fortuitum have been reported after a facelift.