1. Rapidly Growing Nontuberculous Mycobacterium Wound Infections Among Medical Tourists Undergoing Cosmetic Surgeries in the Dominican Republic — Multiple States, March 2013–February 2014
- Author
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Schnabel, David, Gaines, Joanna, Nguyen, Duc B., Esposito, Douglas H., Ridpath, Alison, Yacisin, Kari, Poy, Jose A., Mullins, Jocelyn, Burns, Rachel, Lijewski, Virginia, McElroy, Nora P., Ahmad, Nina, Harrison, Cassandra, Parinelli, Ellen J., Beaudoin, Amanda L., Posivak-Khouly, Leah, Pritchard, P. Scott, Jensen, Bette J., Toney, Nadege C., Moulton-Meissner, Heather A., Nyangoma, Edith N., Barry, M. Anita, Feldman, Katherine A., Blythe, David, Perz, Joseph F., Morgan, Oliver W., Kozarsky, Phyllis, Brunette, Gary W., and Sotir, Mark
- Subjects
Adult ,Mycobacterium Infections ,Adolescent ,Dominican Republic ,Middle Aged ,Plastic Surgery Procedures ,United States ,Disease Outbreaks ,Mycobacterium ,Young Adult ,Medical Tourism ,Humans ,Surgical Wound Infection ,Female ,Centers for Disease Control and Prevention, U.S ,Notes from the Field - Abstract
In August 2013, the Maryland Department of Health and Mental Hygiene (MDHMH) was notified of two persons with rapidly growing nontuberculous mycobacterial (RG-NTM) surgical-site infections. Both patients had undergone surgical procedures as medical tourists at the same private surgical clinic (clinic A) in the Dominican Republic the previous month. Within 7 days of returning to the United States, both sought care for symptoms that included surgical wound abscesses, clear fluid drainage, pain, and fever. Initial antibiotic therapy was ineffective. Material collected from both patients' wounds grew Mycobacterium abscessus exhibiting a high degree of antibiotic resistance characteristic of this organism.
- Published
- 2014