Infecção por Mycobacterium abscessus após procedimento cirúrgico estético

Infections caused by Mycobacterium abscessus are uncommon, however, cases are emerging, especially associated with trauma and infections related to health care after aesthetic surgical procedures. The diagnosis is difficult and the treatment is long time. Although mortality rates are low, it is associated with significant morbidity, The authors describe a case of Mycobacterium abscessus infection with myocutaneous manifestation, after abdominal liposuction and gluteal graft with diffuse ulcer-crusted lesions, subcutaneous and myofascial collections, fasciitis and constitutional symptoms. The diagnosis was obtained by culture of secretion. The treatment was started with amikacin, tigecycline, clarithromycin and ertapenem and the maintenance with amikacin, clarithromycin and clofazimine, with regresson of the lesions.