a healthy 34-year-old woman presents to the emergency department for evaluation of a small, open wound of the right breast after an augmentation mastopexy that was performed 4 weeks ago in the dominican republic. the wound has not improved with local wound care and empiric treatment with oral antibiotics. she reports no fevers, chills, or malaise. physical examination shows a 1-cm opening along the vertical incision below the nipple-areola complex with scant serous drainage noted. which of the following is the most appropriate next step in treatment to address this patient's findings?

Case Study A healthy 39-year-old female was referred for an acute infection of the right gluteal region. She had breast implant replacement, abdominal liposuction, and gluteal lipofilling in Mexico five months prior.

There have been several cases of NTM-surgical-site infections with various types of implants. Other implants, in addition to breast implants [22-25], have been investigated, including periorbital implants, orthopedic implants, contraceptive implants, and penile implants [34-40].

No antibiotic can kill bacteria as long as dead tissue is on the wound's surface. After the dead tissue is removed, the germs can be controlled by periodically changing the dressing and bathing the wound with soap and water (or any wound cleaning solution).

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