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Archive Number 20100128.0308
Published Date 28-JAN-2010
Subject PRO> Non-tuberculous mycobacterium, nosocomial - China (02): background

NON-TUBERCULOUS MYCOBACTERIUM, NOSOCOMIAL - CHINA (02): BACKGROUND
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[1]
Date: Thu 28 Jan 2010
Source: GIDEON (Global Infectious Disease & Epidemiology Network) [edited]
<http://www.gideononline.com/blog/2010/01/27/non-tuberculous-mycobacterial-infections/>


[Re: ProMED-mail Non-tuberculous mycobacterium, nosocomial - China: 
(GD) RFI 20100127.0296]
------------------------------------------------
[Prof Steve Berger sent in the following item from Gideon that helps 
to place outbreaks of non-tuberculous mycobacteria (NTM) infections 
in perspective. - Mod.ML]

Argentina
---------
2007 to 2007: an outbreak (28 cases) of _Mycobacterium immunogenum_ 
infection in Buenos Aires was associated with mesotherapy 
[non-surgical cosmetic medicine treatment].

Brazil
------
2002 to 2004: an outbreak (14 cases) of mycobacterial wound infection 
associated with silicone breast implant surgery was reported in 
Campinas, Sao Paulo. 2003: an outbreak (5 cases) in Sao Paulo of 
keratitis due to _M. immunogenum_ was associated with myopia surgery. 
2004 to 2005: an outbreak (311 cases) of _Mycobacterium abscessus_ 
infections in Belem was associated with invasive procedures. 
_Mycobacterium massiliense_ and _Mycobacterium bolletii_ were also 
identified in some cases. 2006 to 2007: an outbreak (1051 clinical 
cases) of _M. massiliense_ infections involving 63 hospitals in Rio 
de Janeiro state was related to contaminated instruments used in 
video-assisted surgery. 2008: an outbreak (13 cases) of 
_Mycobacterium fortuitum_ infections in Sao Paulo was associated with 
breast implant surgery.

Canada
------
2002: an outbreak (32 cases) of _M. abscessus_ infection in Toronto 
was reported from 2 acupuncture clinics.

Colombia
--------
1996 (publication year): an outbreak (232 cases) of _Mycobacterium 
chelonae_ subsp. _abscessus_ infection in Barranquilla was caused by 
contaminated lidocaine used in a single physician's office.

Dominican Republic
------------------
2003: an outbreak (6 cases) of abdominal wall infections caused by 
_M. abscessus_ occurred among patients who had undergone liposuction 
at a single clinic in Santo Domingo. 2004: an outbreak (12 cases) of 
_M. abscessus_ infection was diagnosed among Americans who had 
visited various clinics in Santo Domingo for cosmetic surgery.

France
------
1989 to 1993: an outbreak (58 cases) of discitis [infection in the 
intervertebral disc space] due to _Mycobacterium xenopi_ was reported 
in a hospital. 2006 to 2007: an outbreak (16 cases) of subcutaneous 
_M. chelonae_ infections was associated with mesotherapy injections. 
2008 (publication year): an outbreak (8 cases) of mycobacteriosis was 
associated with a tattoo parlor.

Hong Kong
---------
1993 (publication year): an outbreak of sternotomy infections due to 
_M. fortuitum_ was reported in cardiothoracic hospital.

India
-----
1995: an outbreak (45 cases) of post-operative wound infections due 
to _M. abscessus_ was ascribed to contaminated water. 2006 
(publication year): an outbreak (145 cases) of _M. chelonae_ port 
site infections in Bangalore was associated with contaminated 
laparoscopic equipment.

Israel
------
2003: an outbreak (15 cases) of _Mycobacterium jacuzzii_ infection 
was associated with breast implant surgery. 2008 (publication year): 
an outbreak (5 cases) of _Mycobacterium mucogenicum_ bacteremia in a 
paediatric haematology-oncology ward was related to a contaminated faucet.

Mexico
------
1991 (publication year): an outbreak of post-rhinoplasty nasal 
cellulitis due to _M. chelonae_ was reported in Mexico City.

Peru
----
2004 to 2005: an outbreak (35 cases) in Lima of persistent cutaneous 
abscesses due to _M. chelonae_ was associated with mesotherapy sessions.

Republic of Korea
-----------------
2001: an outbreak (40 cases) of _M. abscessus_ infection was 
associated with an acupuncture clinic. 2007 (publication year): an 
outbreak (12 cases) of _M. massiliense_ infections was associated 
with intramuscular injection of an antimicrobial agent 
(ribostamycin). 2008: an outbreak (109 cases) of _M. abscessus_ 
infection was ascribed to contaminated glutaraldehyde disinfectant 
used in acupuncture.

Spain
-----
2009 (publication year): an outbreak (39 cases) of _M. fortuitum_ 
infection in Rioja was associated with mesotherapy administered by a 
beauty salon.

United States
-------------
1987: an outbreak (17 cases) of _M. chelonae_ otitis media was caused 
by contaminated water used by an ENT [ear, nose, throat] practice in 
Louisiana. 1988: an outbreak (8 cases) of foot infections due to _M. 
chelonae_ subspecies _abscessus_ infections were associated with a 
jet injector used in a podiatric office. 1989 to 1990: an outbreak 
(16 cases) of sputum colonization by _M. fortuitum_ was reported 
among patients on an alcoholism rehabilitation ward in Washington, 
DC. 1991 (publication year): an outbreak (6 cases) of _M. fortuitum_ 
infection in Washington was associated with contaminated 
electromyography needles. 1995 to 1996: an outbreak (87 cases) of 
post injection abscesses due to _M. abscessus_ in several states was 
ascribed to an adrenal cortex extract. 1999: an outbreak (10 cases) 
of intra- and periarticular _M. abscessus_ infection in Texas was 
caused by contaminated benzalkonium chloride used for injection. 2000 
to 2001: an outbreak (110 cases) of skin infections !
due to _M. fortuitum_ was caused by contaminated footbaths in 
California nail salons. 2002: an outbreak (14 confirmed and 11 
suspected cases) of soft tissue infections due to _M. abscessus_ 
followed injections of cosmetic substances administered by unlicensed 
practitioners in New York City. 2002: an outbreak (115 cases or more) 
of cutaneous infection by _M. fortuitum_ was associated with a 
contaminated footbath in a nail salon in California. 2002 
(publication year): an outbreak (34 cases) of _M. chelonae_ soft 
tissue infection in California was associated with liposuction. 2002 
to 2003: an outbreak (4 cases) of _M. chelonae_ infection among 
patients undergoing rhytidectomies [facelift] in New Jersey was 
caused by a contaminated methylene blue solution. 2003: an outbreak 
(3 cases) of _Mycobacterium goodii_ infection was associated with 
surgical implants in a Colorado hospital. 2004: an outbreak (12 
cases) among Americans of soft tissue infections caused by _M. 
abscessus_ follow!
ing cosmetic surgery performed at various clinics in the Dominican
mycobacterial skin and soft tissue infection (presumed _M. 
fortuitum_) was reported among persons attending nail salons in 
California. 2009 (publication year): an outbreak (6 cases) of _M. 
chelonae_ infection was associated with a tattoo establishment.

Venezuela
---------
2005: an outbreak (70 cases) of _Mycobacterium cosmeticum_ infection 
was related to mesotherapy injections for fat removal.

(Primary references are available on request.)

--
Communicated by:
Dr Steve Berger
Geographic Medicine
Tel Aviv Medical Center
Israel
<mberger@post.tau.ac.il>

[ProMED-mail once again thanks Dr Berger for his background reports. - Mod.ML]

******
[2]
Date: Thu 28 Jan 2010
From: Karel Hruska <hruska@vri.cz> [edited]


Re: Non-tuberculous mycobacterium, nosocomial - China: (GD) RFI 20100127.0296

The risk of mycobacterial [infection], [modes of] transmission of 
mycobacteria from the environment to susceptible hosts, and cases of 
infections in hospitals [can be found in] the references in Chapter 7 
of the recently published book "The Ecology of Mycobacteria: Impact 
on Animal's and Human's Health" (Eds. J. Kazda, I. Pavlik, J. O. 
Falkinham III, K. Hruska) 
<http://www.springer.com/public+health/book/978-1-4020-9412-5>. For 
the contents, see <http://centaur.vri.cz/news/prilohy/pril1219.pdf>.

--
Professor Karel Hruska
Veterinary Research Institute
Czech Republic
<hruska@vri.cz>

[ProMED-mail thanks Dr Hruska for the references. - Mod.ML]

[see also:
Non-tuberculous mycobacterium, nosocomial - China: (GD) RFI 20100127.0296
2009
----
Mycobacterium immunogenum, hypersens. pneumonitis - USA: (OH) 20090614.2206
Mycobacterium fortuitum, breast implant - Brazil: (SP) 20090112.0121
2004
----
Mycobacterium abscessus - USA ex Dominican Republic (03) 20040621.1650
Mycobacterium abscessus - USA ex Dominican Republic (02) 20040504.1225
Mycobacterium abscessus - USA ex Dominican Republic 20040501.1200
2003
----
Mycobacterium abscessus - USA (New York) 20030116.0137
2002
----
Mycobacterium abscessus - Canada (Ontario) 20021228.6139]
........................................................ml/mj/msp/dk

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