Primary mucormycosis infection in the submandibular area after esthetic lipolytic injection in an immunocompetent patient: A case report

• Main Authors: Hyeon Seok Kim (Author), Woo Seob Kim (Author), Han Koo Kim (Author), Shin Hyuk Kang (Author), Tae Jin Lee (Author), Soon Auck Hong (Author), Tae Hui Bae (Author)
• Format: Book
• Published: Wolters Kluwer Medknow Publications, 2022-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 0019-5154; 1998-3611; 10.4103/ijd.ijd_469_21
• Keywords: complication; immunocompetent; lipolysis; mucormycosis; submandibular space infection; Dermatology; RL1-803
• Source: Indian Journal of Dermatology, Vol 67, Iss 1, Pp 58-61 (2022)

As the popularity of injection lipolysis increases, several side effects of injection lipolysis have been reported. In this case, A 53-year-old woman visited our outpatient clinic with a new round-shaped protruding mass (size: 5.0 cm × 3.0 cm) in the submental area. The patient had received the injection lipolysis treatment before the visit. She had received injections in the submental area at 1-week intervals (i.e., 4, 5, and 6 weeks). We performed contrast-enhanced computed tomography of the neck for differential diagnosis and found a 5.0 cm × 3.7 cm × 2.1 cm rim-enhanced fluid-density lesion in the submental. Hence, surgical removal of the lesion was planned based on the diagnosis of unspecified complicated fluid collection. The removed mass was a 3.0 cm × 2.0 cm × 2.0 cm whitish fibrous tissue. Histological examination revealed mucormycosis infection. Although several side effects of lipolysis have been reported to date, mucormycosis infection in the submental area has not been reported before.