Bacterial infections following non-ablative fractional laser treatment: a case series and discussion.
Identifieur interne : 000939 ( Ncbi/Curation ); précédent : 000938; suivant : 000940Bacterial infections following non-ablative fractional laser treatment: a case series and discussion.
Auteurs : Lisa Y. Xu ; Suzanne L. Kilmer ; E Victor Ross ; Mathew M. AvramSource :
- Lasers in surgery and medicine [ 1096-9101 ] ; 2015.
Descripteurs français
- KwdFr :
- Acinetobacter baumannii, Adulte, Adulte d'âge moyen, Femelle, Humains, Infections cutanées à staphylocoques (), Infections cutanées à staphylocoques (diagnostic), Infections cutanées à staphylocoques (étiologie), Infections à Acinetobacter (), Infections à Acinetobacter (diagnostic), Infections à Acinetobacter (étiologie), Lasers à solide (effets indésirables), Staphylococcus aureus, Sujet âgé, Sujet âgé de 80 ans ou plus, Thérapie laser (effets indésirables).
- MESH :
- diagnostic : Infections cutanées à staphylocoques, Infections à Acinetobacter.
- effets indésirables : Lasers à solide, Thérapie laser.
- étiologie : Infections cutanées à staphylocoques, Infections à Acinetobacter.
- Acinetobacter baumannii, Adulte, Adulte d'âge moyen, Femelle, Humains, Infections cutanées à staphylocoques, Infections à Acinetobacter, Staphylococcus aureus, Sujet âgé, Sujet âgé de 80 ans ou plus.
English descriptors
- KwdEn :
- Acinetobacter Infections (diagnosis), Acinetobacter Infections (etiology), Acinetobacter Infections (therapy), Acinetobacter baumannii, Adult, Aged, Aged, 80 and over, Female, Humans, Laser Therapy (adverse effects), Lasers, Solid-State (adverse effects), Middle Aged, Staphylococcal Skin Infections (diagnosis), Staphylococcal Skin Infections (etiology), Staphylococcal Skin Infections (therapy), Staphylococcus aureus.
- MESH :
- adverse effects : Laser Therapy, Lasers, Solid-State.
- diagnosis : Acinetobacter Infections, Staphylococcal Skin Infections.
- etiology : Acinetobacter Infections, Staphylococcal Skin Infections.
- therapy : Acinetobacter Infections, Staphylococcal Skin Infections.
- Acinetobacter baumannii, Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Staphylococcus aureus.
Abstract
Non-ablative fractional laser procedures have become increasingly popular since their introduction in 2004. The fractional 1,927 nm thulium laser is a non-ablative device that penetrates up to 300 μm in the skin and the 1,550 nm erbium:glass laser penetrates up to 1,400 μm. These procedures are considered minimally invasive with a high safety profile; therefore, infectious complications are exceedingly rare. However, we report five recent cases of bacterial infection with both gram-positive and gram-negative organisms following treatment with the fractional 1550/1927 nm laser approximately 1 day to 1 week post-procedure. One patient had a rapidly progressing pustular eruption with symptoms of sepsis. These patients were seen immediately, cultures were obtained and empiric antibiotic therapy was initiated. They recovered without long-term complications. Rapid-onset bacterial infections following non-ablative laser resurfacing with the 1550/1927 nm laser have not been previously reported in the literature. The infections can progress quickly and lead to serious sequelae, including systemic illness and severe scarring, if not identified and appropriately treated. We present these cases to highlight the importance of close surveillance and when appropriate, rapid intervention, following non-ablative fractional procedures, especially when patients present with atypical symptoms and signs.
DOI: 10.1002/lsm.22315
PubMed: 25586939
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Lisa Y. Xu<affiliation><nlm:affiliation>Department of Dermatology, Johns Hopkins University, 1550 Orleans Street, Suite 207, Baltimore, Maryland, 21231.</nlm:affiliation><wicri:noCountry code="subField">21231</wicri:noCountry></affiliation>Le document en format XML
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Avram</name></author></analytic><series><title level="j">Lasers in surgery and medicine</title><idno type="eISSN">1096-9101</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acinetobacter Infections (diagnosis)</term><term>Acinetobacter Infections (etiology)</term><term>Acinetobacter Infections (therapy)</term><term>Acinetobacter baumannii</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Laser Therapy (adverse effects)</term><term>Lasers, Solid-State (adverse effects)</term><term>Middle Aged</term><term>Staphylococcal Skin Infections (diagnosis)</term><term>Staphylococcal Skin Infections (etiology)</term><term>Staphylococcal Skin Infections (therapy)</term><term>Staphylococcus aureus</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Acinetobacter baumannii</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Infections cutanées à staphylocoques ()</term><term>Infections cutanées à staphylocoques (diagnostic)</term><term>Infections cutanées à staphylocoques (étiologie)</term><term>Infections à Acinetobacter ()</term><term>Infections à Acinetobacter (diagnostic)</term><term>Infections à Acinetobacter (étiologie)</term><term>Lasers à solide (effets indésirables)</term><term>Staphylococcus aureus</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thérapie laser (effets indésirables)</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Laser Therapy</term><term>Lasers, Solid-State</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Acinetobacter Infections</term><term>Staphylococcal Skin Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections cutanées à staphylocoques</term><term>Infections à Acinetobacter</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lasers à solide</term><term>Thérapie laser</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Acinetobacter Infections</term><term>Staphylococcal Skin Infections</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Acinetobacter Infections</term><term>Staphylococcal Skin Infections</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infections cutanées à staphylocoques</term><term>Infections à Acinetobacter</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acinetobacter baumannii</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Staphylococcus aureus</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Acinetobacter baumannii</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Infections cutanées à staphylocoques</term><term>Infections à Acinetobacter</term><term>Staphylococcus aureus</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Non-ablative fractional laser procedures have become increasingly popular since their introduction in 2004. The fractional 1,927 nm thulium laser is a non-ablative device that penetrates up to 300 μm in the skin and the 1,550 nm erbium:glass laser penetrates up to 1,400 μm. These procedures are considered minimally invasive with a high safety profile; therefore, infectious complications are exceedingly rare. However, we report five recent cases of bacterial infection with both gram-positive and gram-negative organisms following treatment with the fractional 1550/1927 nm laser approximately 1 day to 1 week post-procedure. One patient had a rapidly progressing pustular eruption with symptoms of sepsis. These patients were seen immediately, cultures were obtained and empiric antibiotic therapy was initiated. They recovered without long-term complications. Rapid-onset bacterial infections following non-ablative laser resurfacing with the 1550/1927 nm laser have not been previously reported in the literature. The infections can progress quickly and lead to serious sequelae, including systemic illness and severe scarring, if not identified and appropriately treated. We present these cases to highlight the importance of close surveillance and when appropriate, rapid intervention, following non-ablative fractional procedures, especially when patients present with atypical symptoms and signs.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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