Mycobacterium chelonae facial infections following injection of dermal filler

Jan M. Rodriguez, Yingda L. Xie, Kevin L. Winthrop, Sean Schafer, Paul Sehdev, Joel Solomon, Bette Jensen, Nadege C. Toney, Paul F. Lewis

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


A cluster of 3 facial Mycobacterium chelonae infections occurred after cosmetic dermal filler injections at a plastic surgery clinic. Pulsed-field gel electrophoresis showed that M chelonae isolated from the clinic tap water were identical to the patient wound isolates. Review of injection procedures identified application of nonsterile ice to the skin prior to injection as a possible source of M chelonae. Surveys of regional laboratories and a national plastic surgery listserv identified no other cases related to the injection of this brand of dermal filler. This is the first report of cutaneous M chelonae infections following the injection of dermal fillers. It adds to a growing body of literature on postinjection M chelonae infections and reinforces the importance of optimal skin disinfection steps prior to percutaneous procedures.

Original languageEnglish (US)
Pages (from-to)265-269
Number of pages5
JournalAesthetic Surgery Journal
Issue number2
StatePublished - Feb 2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery


  • chelonae
  • cosmetic medicine
  • dermal filler
  • hyaluronic acid
  • infection
  • mycobacterium
  • tap water


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