Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013–20141

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Schnabel, David ; Esposito, Douglas H. ; Gaines, Joanna ; Ridpath, Alison ; Barry, M. Anita ; Feldman, Katherine A. ; Mullins, Jocelyn ; Burns, Rachel ; Ahmad, Nina ; Nyangoma, Edith N. ; Nguyen, Duc B. ; Perz, Joseph F. ; Moulton-Meissner, Heather A. ; Jensen, Bette J. ; Lin, Ying ; Posivak-Khouly, Leah ; Jani, Nisha ; Morgan, Oliver W. ; Brunette, Gary W. ; Pritchard, P. Scott ; Greenbaum, Adena H. ; Rhee, Susan M. ; Blythe, David ; Sotir, Mark
• Corporate Authors:
  RGM Outbreak Investigation Team
• Description:
  During 2013, the Maryland Department of Health and Mental Hygiene in Baltimore, MD, USA, received report of 2 Maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic A) in the Dominican Republic. A multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the Dominican Republic. We identified 21 case-patients in 6 states who had surgery in 1 of 5 Dominican Republic clinics; 13 (62%) had surgery at clinic A. Isolates from 12 (92%) of those patients were culture-positive for Mycobacterium abscessus complex. Of 9 clinic A case-patients with available data, all required therapeutic surgical intervention, 8 (92%) were hospitalized, and 7 (78%) required ≥3 months of antibacterial drug therapy. Healthcare providers should consider infection with rapidly growing mycobacteria in patients who have surgical site infections unresponsive to standard treatment.
• Subjects:
  Adolescent Adult Disease Outbreaks Female Humans Medical Tourism Middle Aged Mycobacterium Abscessus Mycobacterium Infections, Nontuberculous Surgery, Plastic Surgical Wound Infection Synopsis Young Adult

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• Source:
  Emerg Infect Dis. 22(8):1340-1347.
• Pubmed ID:
  27434822
• Pubmed Central ID:
  PMC4982176
• Document Type:
  Journal Article
• Place as Subject:
  Dominican Republic ; United States
• Location:
  Caribbean ; North America
• Volume:
  22
• Issue:
  8
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:24a744d209dfa6ad36f266b6950b9bbd14f8d8b2a759c1a727c3bae7ec154f9b
• Download URL:
  https://stacks.cdc.gov/view/cdc/40855/cdc_40855_DS1.pdf
• File Type:
  [PDF - 935.68 KB ]