Outbreak ofMycobacterium chelonaeInfection Associated with Tattoo Ink
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Le résumé fourni par la source
BACKGROUND: In January 2012, on the basis of an initial report from a dermatologist, we began to investigate an outbreak of tattoo-associated Mycobacterium chelonae skin and soft-tissue infections in Rochester, New York. The main goals were to identify the extent, cause, and form of transmission of the outbreak and to prevent further cases of infection. METHODS: We analyzed data from structured interviews with the patients, histopathological testing of skin-biopsy specimens, acid-fast bacilli smears, and microbial cultures and antimicrobial susceptibility testing. We also performed DNA sequencing, pulsed-field gel electrophoresis (PFGE), cultures of the ink and ingredients used in the preparation and packaging of the ink, assessment of source water and faucets at tattoo parlors, and investigation of the ink manufacturer. RESULTS: Between October and December 2011, a persistent, raised, erythematous rash in the tattoo area developed in 19 persons (13 men and 6 women) within 3 weeks after they received a tattoo from a single artist who used premixed gray ink; the highest occurrence of tattooing and rash onset was in November (accounting for 15 and 12 patients, respectively). The average age of the patients was 35 years (range, 18 to 48). Skin-biopsy specimens, obtained from 17 patients, showed abnormalities in all 17, with M. chelonae isolated from 14 and confirmed by means of DNA sequencing. PFGE analysis showed indistinguishable patterns in 11 clinical isolates and one of three unopened bottles of premixed ink. Eighteen of the 19 patients were treated with appropriate antibiotics, and their condition improved. CONCLUSIONS: The premixed ink was the common source of infection in this outbreak. These findings led to a recall by the manufacturer.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé, mais le titre doit être comparé manuellement.
- Titre Crossref
- Outbreak of<i>Mycobacterium chelonae</i>Infection Associated with Tattoo Ink
- Date Crossref
- 13/09/2012
- Éditeur
- Massachusetts Medical Society
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Monroe County Department of Public Health pays non établi dans la noticeOrganisme public
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New York State Department of Health pays non établi dans la noticeOrganisme public
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United States Food and Drug Administration pays non établi dans la noticeOrganisme public
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University of Rochester Medicine pays non établi dans la noticeÉtablissement de santé
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Centers for Disease Control and Prevention pays non établi dans la noticeInstitution
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College Park Food and Drug Administration pays non établi dans la noticeUniversité ou école supérieure
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University of Rochester Medical Center pays non établi dans la noticeUniversité ou école supérieure
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Clinton Crossings Dermatology pays non établi dans la noticeInstitution
Monroe County Department of Public Health, New York State Department of Health et United States Food and Drug Administration, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.