19 Americans Infected During Plastic Surgery Trips, Report Finds

Nineteen women who traveled to the Dominican Republic for cheap plastic surgery over the past year came home with nasty, hard-to-treat infections, health officials reported Thursday.

More than half got treated at a single clinic, but cases were traced to seven other clinics in the Caribbean nation, the officials reported. They all seem to be caused by bacteria related to the tuberculosis bug, especially one called Mycobacterium abscessus.

“Fourteen (74 percent) were hospitalized in the United States and required multiple therapeutic and cor­rective surgical procedures and long courses of antibiotics,” the officials wrote in the Centers for Disease Control and Prevention’s weekly disease and death report.

Dr. David Schnabel of the Maryland Department of Health and Mental Hygiene said the investigation started with the reports of two Maryland women with surgical site infections who had been medical tourists in the Dominican Republic.

More investigation turned up 17 more cases, including 11 from New York, three from Massachusetts, two from Connecticut and one from Pennsylvania. All were women seeking tummy tucks, liposuction or breast implants.

They had gone to save money, but ended up requiring hospital care and weeks of antibiotics, because the bacteria resist the effects of many drugs. These infections also may leave very unsightly scars — not quite the effect that people want when they go for liposuction or other types of cosmetic surgery.

The Dominican Republic attracts many medical tourists who want cheap surgery and a recovery on beautiful beaches, but U.S. officials say it’s a risky thing to do.

“CDC advises all persons planning to receive surgical care outside the United States to verify that the health care provider and facility they are considering using are licensed and accredited by an internationally recognized accreditation organization before proceeding,” Schnabel’s team advised.