Cutaneous Mycobacterium massiliense Infection Caused by Skin Coining ‘Gua Sha’ in Korean Healthy Female

• DOI: 10.5021/ad.2021.33.6.572
• Publication Date: 2021-11-09T01:35:56Z
• Authors: Sang-Woo Park; Hyun-Bin Kwak; Sang-Kyung Lee; Eui-Sung Jung; Su-Kyung Park; Jaehyeon Lee; Hye-Soo Lee; Seok-Kweon Yun; Han-Uk Kim; Jin Park
• Keywords: Nontuberculous Mycobacteria

Nontuberculous mycobacteria are ubiquitous environmental organisms that rare pathogens in immunocompetent individuals. However, cutaneous nontuberculous infections have been increasingly associated with invasive procedures, including surgery, liposuction, filler injection, intramuscular mesotherapy, piercing, acupuncture, and cupping therapy. Herein, we report the first case of infection caused by East-Asian traditional treatment 'Gua Sha', also known as scraping, coining or spooning English. A 35-year-old healthy female presented widespread, painful skin nodules pustules on her upper lower extremities had developed after Gua Sha for body contouring. Histopathologic examination lesions revealed granulomatous inflammation dermis culture isolates were identified Mycobacterium massiliense molecular identification. The patient was successfully treated intermittent incision drainage persistent oral clarithromycin based antimicrobial susceptibility testing. We recommend implementation a standard safety protocol practitioners to minimize risk transmission.