Unusual post-blepharoplasty infection: Gordonia Bronchialis case study
https://doi.org/10.4081/dr.2024.9865
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Introduction: Post-procedure infections following in-office blepharoplasty are rare. Gordonia bronchialis is a weakly acid-fast, gram-positive, aerobic Actinomyces that rarely causes infections in humans. Case: A 35-year-old female presented two weeks after an upper blepharoplasty with cyst-like swellings near the incision site. Injection with Kenalog did not resolve the cyst. Histology of the cyst showed benign fibroadipose tissue with noncaseating granulomatous inflammation alongside occasional foreign body giant cells. Anaerobic culture yielded Gordonia Bronchialis. Amoxicillin 750mg QID was prescribed. The infection regressed but reappeared after tapering. A CT scan showed a small retention cyst in the right sphenoid sinus. The patient was then put on amoxicillin and clavulanic acid combination 875 mg BID and Minocycline 100mg BID for 3-4 weeks. After two months of treatment, the infection was cleared. Discussion: Most commonly, post-blepharoplasty infections these infections are due to Mycobacterium. We report a case of G. bronchialis infection following a cutaneous surgery performed in the office.
Tsukamura, M. (1971). Proposal of a new genus, Gordona, for slightly acid-fast organisms occurring in sputa of patients with pulmonary disease and in soil. J. Gen. Microbiol., 68, 15-26. DOI: https://doi.org/10.1099/00221287-68-1-15
Richet, H., Craven, P., Brown, J., Lasker, B., Cox, C., McNeil, M. et al. (1991). A cluster of Rhodococcus bronchialis sternal-wound infections after coronary-artery bypass surgery. N. Engl J. Med., 324, 104-109. DOI: https://doi.org/10.1056/NEJM199101103240206
Siddiqui, N., Toumeh, A., & Georgescu, C. (2012). Tibial osteomyelitis caused by Gordonia bronchialis in an immunocompetent patient. J Clin Mincrobiol, 50, 3119-3121. DOI: https://doi.org/10.1128/JCM.00563-12
Sng, L., Koh, T., Toney, S., Floyd, M., Butler, W., & Tan, B. (2004). Bacteremia caused by Gordonia bronchialis in a patient with sequestrated lung. J. Clin. Microbiol., 42, 2870-2871. DOI: https://doi.org/10.1128/JCM.42.6.2870-2871.2004
Choi, M., Jung, C., Won, C., Chang, S., Lee, M., Choi, J., & Lee, W. (2019). Case report of cutaneous nodule caused by Gordonia bronchialis in an immunocompetent patient after receiving acupuncture. J Dermatol, 46(4), 343-346. DOI: https://doi.org/10.1111/1346-8138.14785
Bartolome-Alvarez, J., Saez-Nieto, J., Escudero-Jimenez, A., Barba-Rodriguez, N., Galan-Ros, J., Carrasco, G., & Munoz-Izquierdo, M. (2016). Cutaneous abscess due to Gordonia bronchialis: case report and literature review. Rev Esp Quimioter, 29(3), 170-173.
Shin, H., Song, J. K., Hong, J. G., Yoo, G., Baek, S. O., & Lee, J. Y. (2020). Surgical Site Infection Caused by Mycobacterium Septicum Following Blepharoplasty. The Journal of craniofacial surgery, 31(3), e228–e230. https://doi.org/10.1097/SCS.0000000000006096 DOI: https://doi.org/10.1097/SCS.0000000000006096
Zhan, S., Hoang, A., Escaravage, G. K., Jr, & Oester, A. E., Jr (2019). Preventing Postoperative Atypical Mycobacterial Infection. Ophthalmic plastic and reconstructive surgery, 35(3), 235–237. https://doi.org/10.1097/IOP.0000000000001212 DOI: https://doi.org/10.1097/IOP.0000000000001212
Wang, D., & Shinder, R. (2023). Comparison of Postoperative Infection Rates After Office-based Oculoplastic Procedures Using Sterile and Clean Gloves. Ophthalmic plastic and reconstructive surgery, 39(2), 146–149. https://doi.org/10.1097/IOP.0000000000002266 DOI: https://doi.org/10.1097/IOP.0000000000002266
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
