CASE Study 1

Threadlift
 Seorang wanita berusia 45
tahun dengan keluhan
wajah seperti pada gambar
pada hari ke-3 dan ke-7
paska pemasangan cog
thread

Bagiaman tatalaksana dan

apa kira-kira penyebabnya?

Hari ke-3 Hari ke-7

The species was isolated to contaminated sinks,
instruments, and water in the hospital.
1. The incidence and prevalence of non-tuberculous mycobacterial
(NTM) infections have been increasing worldwide and lately led to an
emerging public health problem
2. Among rapidly growing NTM, Mycobacterium abscessus is the most
pathogenic and drug resistant opportunistic germ, responsible for
disease manifestations ranging from “curable” skin infections to only
“manageable” pulmonary disease
3. Macrolides are among the most successful antibiotics in the world and
are highly prescribed for infections caused by non-tuberculous
mycobacteria. A multidrug regimen recommended for M.
abscessus infections almost always includes macrolides, particularly
clarithromycin or azithromycin
CASE Study 2
Dermal Filler
 Hari ke-3

Hari ke-1 Hari ke-2

Seorang wanita, 40 tahun, dengan keluhan seperti pada gambar paska injeksi dermal filler hidung
dan nasolabial fold dengan menggunakan jarum tajam
Sign of Vascular Occlusion

 Venous occlusion  Arterial occlusion

 Does not produce immediate pain or  Immediate pain
blanching
 Blanching, followed by darkening of
 Process is slower tissue
 Venous Congestion (intradermal
bleeding)
 Gradual area of darkening; dusky
appearance
Causes of Necrosis

 Pressure occlusion of cutaneous vessels

 Direct injection into vessels resulting in
occlusion and ischemia
CASE Study 3
Botulinum Toxin A
5 hari sesudah

sebelum

Seorang wanita berusia 35 tahun mengeluh mata sebelah kiri ”sulit” diangkat
setelah 5 hari injeksi botulinum toxin dengan tujuan menghilangkan kerutan di antara mata
dan dahi
WHAT HAPPENED?