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case_images: Bilateral axillary wound showed dehiscence at admission. (A) Despite the removal of bilateral breast implants and the use of red and blue light anti-inflammatory treatment, there was still evidence of bilateral axillary wound dehiscence with purulent yellow-green discharge. (B) A subcutaneous cavity was visible in the right armpit.
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case_images: The wound exhibited erosive changes, and a 4 cm subcutaneous cavity was detected in the direction from the right armpit towards the breast (Figure 1). 
case_images: Skin ulceration and yellow pus after the second operation. (A) On the left breast fold, there was swelling, ulceration, and purulent secretions. (A-B) The bilateral axillary region showed poor healing after a second debridement and negative pressure drainage for VSD.
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case_images: Additionally, the patient experienced swelling, pain, and ulceration with purulent secretions on the left breast fold (Figure 2).
case_images: Dark redness, swelling, and pain are present on the right side following the third surgical drainage procedure.
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case_images: Shortly after, a dark red area with a diameter of approximately 3cm surfaced in the right armpit (Figure 3).
case_images: Ziehl-Neelsen staining and isolate of Mycobacterium abscessus on blood agar. (A) Ziehl-Neelsen staining was used to test drainage fluid and wound secretion samples, which showed a positive result with red bacillus against a blue background. (B) After culturing for several days, rough and colorless colonies with varying sizes of M. abscessus were isolated.
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case_images: After 4 days of culture, rough and colorless colonies of M. abscessus were isolated (Figure 4).
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case_images: Facial redness and swelling of Case 2 (A) and Case 3 (B). Swelling and cracks were visible on the cheeks, ears, and neck. Both patients had a visible scar on their face and ear, which appeared dark red and uneven.
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case_images: Despite treatment with cephalosporin, imipenem, levofloxacin, and penicillin in multiple institutions, there was no significant improvement in the local redness, swelling, or pus (Figure 5B).
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case_images: Facial redness and swelling of Case 2 (A) and Case 3 (B). Swelling and cracks were visible on the cheeks, ears, and neck. Both patients had a visible scar on their face and ear, which appeared dark red and uneven.
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case_images: Despite treatment with cephalosporin, imipenem, levofloxacin, and penicillin in multiple institutions, there was no significant improvement in the local redness, swelling, or pus (Figure 5B).