Cutaneous Mycobacterium massiliense infection caused by skin coining ‘gua sha’ = Cutaneous Mycobacterium massiliense infection caused by skin coining ‘gua sha’

다국어 초록 (Multilingual Abstract)

Nontuberculous mycobacteria are ubiquitous environmental organism that is rare, significant human pathogen in immunocompetent individuals. Cutaneous nontuberculous mycobacteria infections have been increasing developed associated with invasive procedures including surgery, liposuction, filler injection, intramuscular injection, mesotherapy, piercing, acupuncture, or cupping therapy. Herein, we report the first of cutaneous nontuberculous mycobacteria infection caused by East-Asian traditional treatment ‘Gua Sha’, also known as scraping, coining or spooning in English speaker. A 35-year-old healthy female presented with widespread, painful, skin nodules and pustules on her both upper and lower extremities that had developed after ‘Gua-Sha’ treatment for her body contouring. Histopathologic examination of the lesions revealed granulomatous inflammation in the dermis and the culture isolates were identified as Mycobacterium massiliense using polymerase chain reaction assay. The patient was successfully treated with intermittent incision and drainage and oral clarithromycin based on antimicrobial susceptibility testing.