Nontuberculous Mycobacterium Eyelid Infection after Cosmetic Blepharoplasty: a Case Report

Objective: To report a rare nontuberculous mycobacterium eyelid infection after cosmetic blepharoplasty. Material and method: A case report of a 40-year-old Cambodian woman who came for an examination with red, swollen lumps and slight pain on both eyelids after undergoing cosmetic blepharoplasty one month previously. The patient was managed with urgent incision and curettage. Result: Pus culture was positive for Mycobacterium abscessus. The patient was admitted to the hospital for antibiotics and nonabsorbable sutures were removed on the eyelid. After more than a month of treatment in the hospital, the patient was discharged. A month later, the red, swollen lump recurred on the right eyelid, and the patient was admitted for antibiotics and incision and curettage After the hospital admission, the patient was given a different dose of antibiotics and recovered wellwithin a month. The patient was then released from the hospital and was followed up a month later. There were no abnormal symptoms, and the lumps were not found on the eyelid. Conclusions: Nontuberculous mycobacterium eyelid infection after cosmetic blepharoplasty is rarely found. The symptom needs complex and prolonged treatment because the bacteria grows slowly and responds to various medicines. Incision and curettage and microbiological analysis were the initial management methods, as well as a timely consult from infectious diseases specialists. the appropriate treatment.