Postsurgical wound infections due to rapidly growing mycobacteria in Swiss medical tourists following cosmetic surgery in Latin America between 2012 and 2014.

Between October 2012 and August 2014, several Swiss patients developed severe soft tissue infections due to rapidly growing mycobacteria following cosmetic surgery in the Dominican Republic, Ecuador and Mexico. Infections were caused by Mycobacterium abscessus (n=5), Mycobacterium sp. JAN1 (n=1) and M. conceptionense (n=1). Similar cases may have remained unrecognised due to a lack of notification requirements. Microbiological work-up of medical tourists with infections following cosmetic surgery should include rapidly growing mycobacteria.

[1]  G. Bloemberg,et al.  Acquisition of clarithromycin resistance mutations in the 23S rRNA gene of Mycobacterium abscessus in the presence of inducible erm(41). , 2012, The Journal of antimicrobial chemotherapy.

[2]  Robert Horsburgh,et al.  An official ATS/IDSA statement: diagnosis, treatment, and prevention of nontuberculous mycobacterial diseases. , 2007, American journal of respiratory and critical care medicine.

[3]  R. Wallace,,et al.  Clinical and Taxonomic Status of Pathogenic Nonpigmented or Late-Pigmenting Rapidly Growing Mycobacteria , 2002, Clinical Microbiology Reviews.

[4]  D. Weiss,et al.  Outbreak of Mycobacterium abscessus wound infections among "lipotourists" from the United States who underwent abdominoplasty in the Dominican Republic. , 2008, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[5]  John D. Mitchell,et al.  Clinical and microbiologic outcomes in patients receiving treatment for Mycobacterium abscessus pulmonary disease. , 2009, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  R. Good,et al.  Spectrum of disease due to rapidly growing mycobacteria. , 1983, Reviews of infectious diseases.

[7]  M. Drancourt,et al.  Mycobacterium conceptionense Infection after Breast Implant Surgery, France , 2010, Emerging infectious diseases.

[8]  G. Chowell,et al.  Early transmission dynamics of Ebola virus disease (EVD), West Africa, March to August 2014. , 2014, Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin.

[9]  V. Watral,et al.  Molecular systematics support the revival of Mycobacterium salmoniphilum (ex Ross 1960) sp. nov., nom. rev., a species closely related to Mycobacterium chelonae. , 2007, International journal of systematic and evolutionary microbiology.

[10]  M. Pagano,et al.  Estimation of the reproductive number and the serial interval in early phase of the 2009 influenza A/H1N1 pandemic in the USA , 2009, Influenza and other respiratory viruses.

[11]  G. Stelma,et al.  Occurrence of Nontuberculous Mycobacteria in Environmental Samples , 1999, Applied and Environmental Microbiology.

[12]  Nalin Rastogi,et al.  Multilocus sequence typing scheme for the Mycobacterium abscessus complex. , 2014, Research in microbiology.

[13]  E. Böttger Transmission of M abscessus in patients with cystic fibrosis , 2013, The Lancet.

[14]  D. Vugia,et al.  An outbreak of mycobacterial furunculosis associated with footbaths at a nail salon. , 2002, The New England journal of medicine.

[15]  A. Foz,et al.  Mycobacterium chelonei iatrogenic infections , 1978, Journal of clinical microbiology.

[16]  D. Raoult,et al.  Description of Mycobacterium conceptionense sp. nov., a Mycobacterium fortuitum Group Organism Isolated from a Posttraumatic Osteitis Inflammation , 2006, Journal of Clinical Microbiology.

[17]  R. Wallace,,et al.  Randomly amplified polymorphic DNA PCR for comparison of Mycobacterium abscessus strains from nosocomial outbreaks , 1997, Journal of clinical microbiology.

[18]  B. Súdre,et al.  Letter to the editor: Early transmission dynamics of Ebola virus disease (EVD), West Africa, March to August 2014 – Eurosurveillance 17 September 2014 , 2014 .

[19]  R. Wallace,,et al.  A Novel Gene, erm(41), Confers Inducible Macrolide Resistance to Clinical Isolates of Mycobacterium abscessus but Is Absent from Mycobacterium chelonae , 2008, Antimicrobial Agents and Chemotherapy.

[20]  B. Gicquel,et al.  Mycobacterium abscessus: a new antibiotic nightmare. , 2012, The Journal of antimicrobial chemotherapy.

[21]  C. Althaus Estimating the Reproduction Number of Ebola Virus (EBOV) During the 2014 Outbreak in West Africa , 2014, PLoS currents.

[22]  R. Wallace,,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. , 1997, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[23]  M. C. Padoveze,et al.  Application of four molecular typing methods for analysis of Mycobacterium fortuitum group strains causing post-mammaplasty infections. , 2006, Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases.

[24]  R. Wallace,,et al.  Antimicrobial Susceptibility Testing, Drug Resistance Mechanisms, and Therapy of Infections with Nontuberculous Mycobacteria , 2012, Clinical Microbiology Reviews.

[25]  Young Kil Park,et al.  Antibiotic treatment of Mycobacterium abscessus lung disease: a retrospective analysis of 65 patients. , 2009, American journal of respiratory and critical care medicine.

[26]  D. Fisman,et al.  Early Epidemic Dynamics of the West African 2014 Ebola Outbreak: Estimates Derived with a Simple Two-Parameter Model , 2014, PLoS currents.

[27]  R. Wallace,,et al.  Genetic basis for clarithromycin resistance among isolates of Mycobacterium chelonae and Mycobacterium abscessus , 1996, Antimicrobial agents and chemotherapy.

[28]  J. Ascherman,et al.  Mycobacteria abscessus Outbreak in US Patients Linked to Offshore Surgicenter , 2005, Annals of plastic surgery.

[29]  R. Wallace,,et al.  Treatment of nonpulmonary infections due to Mycobacterium fortuitum and Mycobacterium chelonei on the basis of in vitro susceptibilities. , 1985, The Journal of infectious diseases.

[30]  R. Wallace,,et al.  Susceptibility Testing of Mycobacteria, Nocardiae, and Other Aerobic Actinomycetes , 2011 .

[31]  M. Hargreaves,et al.  Mycobacterium abscessus isolated from municipal water - a potential source of human infection , 2013, BMC Infectious Diseases.

[32]  L. Bland,et al.  Mycobacterium chelonae wound infections after plastic surgery employing contaminated gentian violet skin-marking solution. , 1987, The New England journal of medicine.

[33]  E. Macheras,et al.  Mycobacterium abscessus Skin Infection after Tattooing: First Case Report and Review of the Literature , 2010, Dermatology.

[34]  A. Durham,et al.  Molecular Characterization of Mycobacterium massiliense and Mycobacterium bolletii in Isolates Collected from Outbreaks of Infections after Laparoscopic Surgeries and Cosmetic Procedures , 2008, Journal of Clinical Microbiology.