Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Case Report Volume 7 Issue 9

Mycobacterium Abscessus Infection Following Injections of Botulinum Toxin: A Report of Two Cases

Luisa Machado Barin1*, Kathleen Jarmendia Costa2 and Isabela Reginaldo2

1Professor, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil
2Graduate, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil

*Corresponding Author: Luisa Machado Barin, Professor, Department of Dentistry, Federal University of Santa Catarina, Florianópolis, SC, Brazil.

Received: August 04, 2023; Published: August 23, 2023


Botulinum Toxin A has become popular worldwide and is considered a safe treatment protocol. The complications are usually transient and minimal. Injection site infections or long-term reactions are rare. Here, we report 2 cases of Mycobacterium abscessus infection following injection of botulinum toxin of dramatic clinical repercussions and prolonged treatment. Case 1, a 61-year-old woman after receiving botulinum injections presented papules and nodules in her forehead and periorbital areas and diffuse frontal edema. Papules became erythematous nodules, and purulent drainage occurred. The lesions did not show any alleviation after the prescription of corticosteroids and broad-band antibiotics. The incisional biopsy of skin tissue showed inflammatory cell infiltration. Afterward, the puncture on the abscess was performed and Mycobacterium abscessus was successfully isolated. The patient was treated with the strategy of linezolid, cefoxitin, and amikacin, according to the result of the drug sensitivity test. The treatment lasted five months and led to an aesthetic sequel. Case 2, a 31-year-old woman after three days of receiving facial botulinum injections presented violaceous and fibrous nodules. Laboratory tests also showed Mycobacterium abscessus. The patient was treated with linezolid, tigecycline, and amikacin and got complete remission of the lesions after four months. The consequences caused by aesthetic procedures are rarely discussed and can significantly impact the patient's self-esteem and physical and psychological status.

Keywords: Botulinum Toxin; Infection; Mycobacterium Abscessus; Nontuberculous Mycobacterium


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Citation: Luisa Machado Barin., et al. “Mycobacterium Abscessus Infection Following Injections of Botulinum Toxin: A Report of Two Cases".Acta Scientific Dental Sciences 7.9 (2023): 91-94.


Copyright: © 2023 Luisa Machado Barin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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