Journal of the American Academy of Dermatology
Volume 62, Issue 3 , Pages 501-506 , March 2010

An outbreak of Mycobacterium chelonae infections in tattoos

  • Lisa A. Drage, MD

      Affiliations

    • Division of Clinical Dermatology, Mayo Clinic, Rochester, Minnesota
    • Corresponding Author InformationReprint requests: Lisa A. Drage, MD, Division of Clinical Dermatology, Mayo Clinic, 200 First St SW, Rochester, MN 55905.
    • ,
  • Phillip M. Ecker, MD

      Affiliations

    • Division of Clinical Dermatology, Mayo Clinic, Rochester, Minnesota
    • ,
  • Robert Orenstein, DO

      Affiliations

    • Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota
    • ,
  • P. Kim Phillips, MD

      Affiliations

    • Division of Dermatologic Surgery, Mayo Clinic, Rochester, Minnesota
    • ,
  • Randall S. Edson, MD

      Affiliations

    • Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota

References 

  1. Wagner D, Young LS. Nontuberculous mycobacterial infections: a clinical review. Infection. 2004;32:257–270
  2. Brown-Elliott BA, Wallace RJ. Infections caused by nontuberculous mycobacteria. In:  Mandell GL,  Bennett JE,  Dolin R editor. 6th ed. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Vol 2:Philadelphia: Elsevier; 2005;p. 2909–2916
  3. Runyon EH, Wayne LG, Kubica GP. Mycobacteriaceae. In:  Buchanan RE,  Gibbons NE editor. Bergey's manual of determinative bacteriology. 8th ed. Baltimore: Williams and Wilkins Co; 1974;p. 681–701
  4. Fisher EJ, Gloster HM. Infection with Mycobacterium abscessus after Mohs micrographic surgery in an immunocompetent patient. Dermatol Surg. 2005;31:790–794
  5. Saluja A, Peters NT, Lowe L, Johnson TM. A surgical wound infection due to Mycobacterium chelonae successfully treated with clarithromycin. Dermatol Surg. 1997;23:539–543
  6. Buckley R, Cobb MW, Ghurani S, Brock NF, Harford RR. Mycobacterium fortuitum infection occurring after a punch biopsy procedure. Pediatr Dermatol. 1997;14:290–292
  7. Tang P, Walsh S, Murray C, Alterman C, Varia M, Broukhanski G, et al. Outbreak of acupuncture-associated cutaneous Mycobacterium abscessus infections. J Cutan Med Surg. 2006;10:166–169
  8. Song JY, Sohn JW, Jeong HW, Cheong HJ, Kim WJ, Kim MJ. An outbreak of post-acupuncture cutaneous infection due to Mycobacterium abscessus. BMC Infect Dis. 2006;6:6
  9. Munayco CV, Grijalva CG, Culqui DR, Bolarte JL, Suarez-Ognio LA, Quispe N, et al. Outbreak of persistent cutaneous abscesses due to Mycobacterium chelonae after mesotherapy sessions, Lima, Peru. Rev Saude Publica. 2008;42:146–149
  10. Nagore E, Ramos P, Botella-Estrada R, Ramos-Niguez JA, Sanmartin O, Castejon P. Cutaneous infection with Mycobacterium fortuitum after localized microinjections (mesotherapy) treated successfully with a triple drug regimen. Acta Derm Venereol. 2001;81:291–293
  11. Villanueva A, Calderon RV, Vargas BA, Ruiz F, Aguero S, Zhang Y, et al. Report on an outbreak of postinjection abscesses due to Mycobacterium abscessus, including management with surgery and clarithromycin therapy and comparison of strains by random amplified polymorphic DNA polymerase chain reaction. Clin Infect Dis. 1997;24:1147–1153
  12. Kelly SE. Multiple injection abscesses in a diabetic caused by Mycobacterium chelonei. Clin Exp Dermatol. 1987;12:48–49
  13. Centers for Disease Control and Prevention (CDC). Infection with Mycobacterium abscessus associated with intramuscular injection of adrenal cortex extract: Colorado and Wyoming, 1995-1996. MMWR Morb Mortal Wkly Rep. 1996;45:713–715
  14. Freudenberger RS, Simafranca SM. Cutaneous infection with rapidly growing mycobacterial infection following heart transplant: a case report and review of the literature. Transplant Proc. 2006;38:1526–1529
  15. Coney PM, Thrush S. Cutaneous Mycobacterium fortuitum complicating breast reconstruction. J Plast Reconstr Aesthet Surg. 2007;60:1162–1163
  16. Angeli K, Lacour JP, Mantoux F, Roujeau JC, Andre P, Truffot-Pernot C, et al. Mycobacterium fortuitum skin infection occurring after a facelift. [in French] Ann Dermatol Venereol. 2004;131:198–200
  17. Rao J, Golden TA, Fitzpatrick RE. Atypical mycobacterial infection following blepharoplasty and full-face skin resurfacing with CO2 laser. Dermatol Surg. 2002;28:768–771
  18. Dessy LA, Mazzocchi M, Fioramonti P, Scuderi N. Conservative management of local Mycobacterium chelonae infection after combined liposuction and lipofilling. Aesthetic Plast Surg. 2006;30:717–722
  19. Giannella M, Pistella E, Perciaccante A, Venditti M. Soft tissue infection caused by Mycobacterium chelonae following a liposculpture and lipofilling procedure. Ann Ital Med Int. 2005;20:245–247
  20. Behroozan DS, Christian MM, Moy RL. Mycobacterium fortuitum infection following neck liposuction: a case report. Dermatol Surg. 2000;26:588–590
  21. Murillo J, Torres J, Bofill L, Rios-Fabra A, Irausquin E, Isturiz R, et al. The Venezuelan Collaborative Infectious and Tropical Diseases Study Group. Skin and wound infection by rapidly growing mycobacteria: an unexpected complication of liposuction and liposculpture. Arch Dermatol. 2000;136:1347–1352
  22. Meyers H, Brown-Elliott BA, Moore D, Curry J, Truong C, Zhang Y, et al. An outbreak of Mycobacterium chelonae infection following liposuction. Clin Infect Dis. 2002;34:1500–1507
  23. Ferringer T, Pride H, Tyler W. Body piercing complicated by atypical mycobacterial infections. Pediatr Dermatol. 2008;25:219–222
  24. Redbord KP, Shearer DA, Gloster H, Younger B, Connelly BL, Kindel SE, et al. Atypical Mycobacterium furunculosis occurring after pedicures. J Am Acad Dermatol. 2006;54:520–524
  25. Winthrop KL, Abrams M, Yakrus M, Schwartz I, Ely J, Gillies D, et al. An outbreak of mycobacterial furunculosis associated with footbaths at a nail salon. N Engl J Med. 2002;346:1366–1371
  26. Sniezek PJ, Graham BS, Busch HB, Lederman ER, Lim ML, Poggemyer K, et al. Rapidly growing mycobacterial infections after pedicures. Arch Dermatol. 2003;139:629–634
  27. Gira AK, Reisenauer AH, Hammock L, Nadiminti U, Macy JT, Reeves A, et al. Furunculosis due to Mycobacterium mageritense associated with footbaths at a nail salon. J Clin Microbiol. 2004;42:1813–1817
  28. Wolf R, Wolf D. A tattooed butterfly as a vector of atypical mycobacteria. J Am Acad Dermatol. 2003;48(Suppl):S73–S74
  29. De Quatrebarbes J, Pestel-Caron M, Duval-Modeste A, Abboud P, Etienne M, Caron F, et al. Epidemie a Mycobacterium chelonae chez un tatoueur. [abstract] [in French] Ann Dermatol Venereol. 2005;132(Suppl):224–225
  30. Kluger N, Muller C, Gral N. Atypical mycobacteria infection following tattooing: review of an outbreak in 8 patients in a French tattoo parlor. Arch Dermatol. 2008;144:941–942
  31. Bartralot R, Garcia-Patos V, Sitjas D, Rodriguez-Cano L, Mollet J, Martin-Casabona N, et al. Clinical patterns of cutaneous nontuberculous mycobacterial infections. Br J Dermatol. 2005;152:727–734
  32. Breza TS, Magro CM. Lichenoid and granulomatous dermatitis associated with atypical mycobacterium infections. J Cutan Pathol. 2006;33:512–515
  33. Wallace RJ, Swenson JM, Silcox VA, Good RC, Tschen JA, Stone MS. Spectrum of disease due to rapidly growing mycobacteria. Rev Infect Dis. 1983;5:657–679
  34. Dodiuk-Gad R, Dyachenko P, Ziv M, Shani-Adir A, Oren Y, Mendelovici S, et al. Nontuberculous mycobacterial infections of the skin: a retrospective study of 25 cases. J Am Acad Dermatol. 2007;57:413–420
  35. Uslan DZ, Kowalski TJ, Wengenack NL, Virk A, Wilson JW. Skin and soft tissue infections due to rapidly growing mycobacteria: comparison of clinical features, treatment, and susceptibility. Arch Dermatol. 2006;142:1287–1292
  36. Bartralot R, Pujol RM, Garcia-Patos V, Sitjas D, Martin-Casabona N, Coll P, et al. Cutaneous infections due to nontuberculous mycobacteria: histopathological review of 28 cases; comparative study between lesions observed in immunosuppressed patients and normal hosts. J Cutan Pathol. 2000;27:124–129
  37. Kent PT, Kubica GP. Public health mycobacteriology: a guide for the level III laboratory. Atlanta (GA): US Department of Health and Human Services, Public Health Service, Centers for Disease Control; 1985;
  38. Clinical Laboratory Standards Institute. Laboratory detection and identification of mycobacteria; approved guideline. CLSI document M48. Wayne (PA): Clinical and Laboratory Standards Institute; 2007;
  39. Wallace RJ, Tanner D, Brennan PJ, Brown BA. Clinical trial of clarithromycin for cutaneous (disseminated) infection due to Mycobacterium chelonae. Ann Intern Med. 1993;119:482–486
  40. Driscoll MS, Tyring SK. Development of resistance to clarithromycin after treatment of cutaneous Mycobacterium chelonae infection. J Am Acad Dermatol. 1997;36:495–496
  41. Tebas P, Sultan F, Wallace RJ, Fraser V. Rapid development of resistance to clarithromycin following monotherapy for disseminated Mycobacterium chelonae infection in a heart transplant patient. Clin Infect Dis. 1995;20:443–444
  42. Vemulapalli RK, Cantey JR, Steed LL, Knapp TL, Thielman NM. Emergence of resistance to clarithromycin during treatment of disseminated cutaneous Mycobacterium chelonae infection: case report and literature review. J Infect. 2001;43:163–168
  43. Wallace RJ, Meier A, Brown BA, Zhang Y, Sander P, Onyi GO, et al. Genetic basis for clarithromycin resistance among isolates of Mycobacterium chelonae and Mycobacterium abscessus. Antimicrob Agents Chemother. 1996;40:1676–1681

 Funding sources: None.Conflicts of interest: None declared.

PII: S0190-9622(09)00382-X

doi: 10.1016/j.jaad.2009.03.034

Journal of the American Academy of Dermatology
Volume 62, Issue 3 , Pages 501-506 , March 2010

Article Tools

* Image Usage & Resolution