Unusual post-blepharoplasty infection: Gordonia Bronchialis case study

Introduction: Post-procedure infections following in-office blepharoplasty are rare. Gordonia bronchialis is a weakly acid-fast, gram-positive, aerobic Actinomyces that rarely causes infections in humans. Case: A 35-year-old female presented two weeks after an upper blepharoplasty with cyst-like swellings near the incision site. Injection with Kenalog did not resolve the cyst. Histology of the cyst showed benign fibroadipose tissue with noncaseating granulomatous inflammation alongside occasional foreign body giant cells. Anaerobic culture yielded Gordonia Bronchialis. Amoxicillin 750mg QID was prescribed. The infection regressed but reappeared after tapering. A CT scan showed a small retention cyst in the right sphenoid sinus. The patient was then put on amoxicillin and clavulanic acid combination 875 mg BID and Minocycline 100mg BID for 3-4 weeks. After two months of treatment, the infection was cleared. Discussion: Most commonly, post-blepharoplasty infections these infections are due to Mycobacterium. We report a case of G. bronchialis infection following a cutaneous surgery performed in the office.