Update: July 24, 2014

July 23rd, 2014

GIDEON what’s new summary: July 23 to July 24, 2014

Outbreaks of Non-tubercuous Mycobacterial Infection in the United States

July 23rd, 2014

The following chronology of nosocomial mycobacteriosis outbreaks in the United States is abstracted from Gideon www.GideonOnline.com and the Gideon e-book series. [1,2] Primary references available on request.

1987 – An outbreak (17 cases) of Mycobacterium chelonae otitis media was caused by contaminated water used by an ENT practice in Louisiana.
1988 – An outbreak (8 cases) of foot infections due to Mycobacterium chelonae subspecies abscessus infections were associated with a jet injector used in a podiatric office.
1989 to 1990 – An outbreak (16 cases) of sputum colonization by Mycobacterium fortuitum was reported among patients on an alcoholism rehabilitation ward in Washington, D.C.
1991 (publication year) – An outbreak (6 cases) of Mycobacterium fortuitum infection in Washington was associated with contaminated electromyography needles.
1995 to 1996 – An outbreak (87 cases) of postinjection abscesses due to Mycobacterium abscessus in several states was ascribed to an adrenal cortex extract.
1998 – An outbreak (6 cases) of Mycobacterium mucogenicum bacteremia among bone marrow transplant and oncology patients in Minnesota was related to contaminated water.
1999 – An outbreak (10 cases) of intra- and periarticular Mycobacterium abscessus infection in Texas was caused by contaminated benzalkonium chloride used for injection.
2000 to 2001 – An outbreak (110 cases) of skin infections due to Mycobacterium fortuitum was caused by contaminated footbaths in California nail salons.
2001 – An outbreak of Mycobacterium chelonae keratitis in California was associated with laser in situ keratomileusis (LASIK).
2001 to 2002 – An outbreak of Mycobacterium simiae in a Texas hospital was related to contaminated tap water.
2002 – An outbreak (14 confirmed and 11 suspected cases) of soft tissue infections due to Mycobacterium abscessus followed injections of cosmetic substances administered by unlicensed practitioners in New York City.
2002 – An outbreak (115 cases or more) of cutaneous infection by Mycobacterium fortuitum was associated with a contaminated footbath in a nail salon in California.
2002 (publication year) – An outbreak (34 cases) of Mycobacterium chelonae soft tissue infection in California was associated with liposuction.
2002 to 2003 – An outbreak (4 cases) of Mycobacterium chelonae infection among patients undergoing rhytidectomies in New Jersey was caused by a contaminated methylene blue solution.
2003 – An outbreak (3 cases) of Mycobacterium goodii infection was associated with surgical implants in a Colorado hospital.
2004 – An outbreak (12 cases) among Americans of soft tissue infections caused by Mycobacterium abscessus following cosmetic surgery performed at various clinics in the Dominican Republic.
2004 – An outbreak (143 cases) of mycobacterial skin and soft tissue infection (presumed M. fortuitum) was reported among persons attending nail salons in California.
2008 – An outbreak (4 cases) of Mycobacterium mucogenicum bloodstream infections was reported among patients with sickle cell disease, in North Carolina.
2009 (publication year) – An outbreak (6 cases) of Mycobacterium chelonae infection was associated with a tattoo establishment.
2009 – An outbreak (2 cases, 1 confirmed) of Mycobacterium haemophilum skin infection was associated with a tattoo parlor in Washington State.
2011 (publication year) – An outbreak (3 cases) of Mycobacterium bolletii/M. massiliense furunculosis was associated with a nail salon in North Carolina.
2011 (publication year) – An outbreak of Mycobacterium abscessus infection was associated with outpatient rhytidectomies.
2011 – An outbreak (2 cases) of Mycobacterium haemophilum infection was reported among persons receiving tattoos in the Seattle, Washington region. {m 201108122444}
2011 (publication year) – An outbreak (11 cases) of Mycobacterium porcinum infection in a Texas hospital was related to contamination of drinking water.
2011 to 2012 – An outbreak (19 cases) of Mycobacterium chelonae infection involving multiple states was associated with contaminated ink used in tattoo parlors.
2011 to 2012 – An outbreak (15 cases) of infection by rapidly-growing mycobacteria was reported among pediatric hematopoietic cell transplant in a Minnesota hospital.
2013 – An outbreak (2 cases) of non-tuberculous mycobacterial infection was associated with fractionated CO2 laser resurfacing procedures performed at a clinic in North Carolina.
2013 to 2014 – An outbreak (19 cases) wound infection was reported among Americans who had traveled to the Dominican Republic for cosmetic surgery – including 12 due to Mycobacterium abscessus and 2 Mycobacterium fortuitum
2014 – An outbreak (15 cases, 4 fatal) of Mycobacterium abscessus infection in a South Carolina hospital was associated with contact of equipment with contaminated tap water.

References:
1. Berger SA. Infectious Diseases of the United States, 2014. 1145 pages, 478 graphs, 12,294 references. Gideon e-books, http://www.gideononline.com/ebooks/country/infectious-diseases-of-the-united-states/
2. Berger SA. Non-Tuberculous Mycobacteria: Global Status, 2014. 61 pages, 31 graphs, 584 references. Gideon e-books, http://www.gideononline.com/ebooks/disease/non-tuberculous-mycobacteria-global-status/

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Update: July 23, 2014

July 22nd, 2014

GIDEON what’s new summary: July 20 to July 23, 2014

Infectious Diseases – Diagnosis (195 updates)

  • 195 Countries

Infectious Diseases – Outbreaks (6 updates)

Infectious Diseases – Diseases (173 updates)

  • 41 Diseases
  • 132 Country notes
  • Map

Update: July 20, 2014

July 19th, 2014

GIDEON what’s new summary: July 19 to July 20, 2014

Infectious Diseases – Diagnosis (1 updates)

  • 1 Country

Infectious Diseases – Outbreaks (5 updates)

Infectious Diseases – Diseases (242 updates)

  • 56 Diseases
  • 186 Country notes
  • Map

Update: July 19, 2014

July 18th, 2014

GIDEON what’s new summary: July 17 to July 19, 2014

Update: July 17, 2014

July 17th, 2014

GIDEON what’s new summary: July 16 to July 17, 2014

Infectious Diseases – Outbreaks (5 updates)

Infectious Diseases – Diseases (365 updates)

  • 1 Clinical note
  • 70 Diseases
  • 294 Country notes
  • Map

Microbiology – Bacteria (2 updates)

  • 2 New Bacteria Added

Update: July 16, 2014

July 16th, 2014

GIDEON what’s new summary: July 15 to July 16, 2014

Update: July 15, 2014

July 15th, 2014

GIDEON what’s new summary: July 13 to July 15, 2014

Infectious Diseases – Outbreaks (2 updates)

Infectious Diseases – Diseases (60 updates)

  • 2 Clinical notes
  • 24 Diseases
  • 34 Country notes
  • Map

Infectious Diseases – Drugs (2 updates)

  • 2 Interacting drugs – New

Infectious Diseases – Vaccines (1 updates)

  • 1 New Vaccine Synonyms Added

Update: July 13, 2014

July 12th, 2014

GIDEON what’s new summary: July 11 to July 13, 2014

Infectious Diseases – Outbreaks (3 updates)

Infectious Diseases – Diseases (112 updates)

  • 3 Clinical notes
  • 44 Diseases
  • 65 Country notes
  • Map

Update: July 11, 2014

July 10th, 2014

GIDEON what’s new summary: July 8 to July 11, 2014

Infectious Diseases – Outbreaks (7 updates)

Infectious Diseases – Diseases (171 updates)

  • 47 Diseases
  • 124 Country notes
  • Map