Academic Journal
Outbreak of Tattoo-associated Nontuberculous Mycobacterial Skin Infections
| العنوان: | Outbreak of Tattoo-associated Nontuberculous Mycobacterial Skin Infections |
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| المؤلفون: | Griffin, Isabel, Schmitz, Ann, Oliver, Christine, Pritchard, Scott, Zhang, Guoyan, Rico, Edhelene, Davenport, Emily, Llau, Anthoni, Moore, Emily, Fernandez, Danielle, Mejia-Echeverry, Alvaro, Suarez, Juan, Noya-Chaveco, Pedro, Elmir, Samir, Jean, Reynald, Pettengill, James B, Hollinger, Katherine A, Chou, Kyson, Williams-Hill, Donna, Zaki, Sherif, Muehlenbachs, Atis, Keating, M Kelly, Bhatnagar, Julu, Rowlinson, Marie-Claire, Chiribau, Calin, Rivera, Lillian |
| المصدر: | Clinical Infectious Diseases ; volume 69, issue 6, page 949-955 ; ISSN 1058-4838 1537-6591 |
| بيانات النشر: | Oxford University Press (OUP) |
| سنة النشر: | 2018 |
| الوصف: | Background On 29 April 2015, the Florida Department of Health in Miami-Dade County (DOH Miami-Dade) was notified by a local dermatologist of 3 patients with suspected nontuberculous mycobacterial (NTM) infection after receiving tattoos at a local tattoo studio. Methods DOH Miami-Dade conducted interviews and offered testing, described below, to tattoo studio clients reporting rashes. Culture of clinical isolates and identification were performed at the Florida Bureau of Public Health Laboratories. Characterization of NTM was performed by the Centers for Disease Control and Prevention and the US Food and Drug Administration (FDA), respectively. Whole-genome sequencing (WGS) and single-nucleotide polymorphism (SNP) analyses were used to construct a phylogeny among 21 Mycobacterium isolates at the FDA. Results Thirty-eight of 226 interviewed clients were identified as outbreak-associated cases. Multivariate logistic regression revealed that individuals who reported gray tattoo ink in their tattoos were 8.2 times as likely to report a rash (95% confidence interval, 3.1–22.1). Multiple NTM species were identified in clinical and environmental specimens. Phylogenetic results from environmental samples and skin biopsies indicated that 2 Mycobacterium fortuitum isolates (graywash ink and a skin biopsy) and 11 Mycobacterium abscessus isolates (5 from the implicated bottle of graywash tattoo ink, 2 from tap water, and 4 from skin biopsies) were indistinguishable. In addition, Mycobacterium chelonae was isolated from 5 unopened bottles of graywash ink provided by 2 other tattoo studios in Miami-Dade County. Conclusions WGS and SNP analyses identified the tap water and the bottle of graywash tattoo ink as the sources of the NTM infections. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1093/cid/ciy979 |
| DOI: | 10.1093/cid/ciy979/28485531/ciy979.pdf |
| الاتاحة: | https://doi.org/10.1093/cid/ciy979 http://academic.oup.com/cid/advance-article-pdf/doi/10.1093/cid/ciy979/28485531/ciy979.pdf http://academic.oup.com/cid/article-pdf/69/6/949/29250363/ciy979.pdf |
| رقم الانضمام: | edsbas.A981873C |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/cid/ciy979 |
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