AI Article Synopsis
- Recent cases have linked non-tuberculous mycobacteria (NTM) infections to tattooing, particularly affecting healthy individuals within 6 months post-tattoo.
- Common NTM species involved include Mycobacterium Chelonae, and infections often stem from contaminated tattoo equipment or water used in the process, with lesions typically appearing in the gray areas of tattoos.
- Treatment generally involves long courses of antibiotics, highlighting the importance of enforcing stricter hygiene standards in tattoo practices to prevent these infections.
Article Abstract
In recent years, several case reports and outbreaks reported occurrence of non-tuberculous mycobacteria (NTM) infections within 6 months after receiving a tattoo in healthy individuals. NTM species (e.g., Chelonae, Fortuitum, Hemophillum, and Abscessus) are widespread in the environment and it is often suspected that contamination may occur through unsterile instrumentation or unsterile water used for diluting tattoo ink to dilute color. In reported cases, lesions were mainly restricted to a single color 'gray' part of the tattoo. Mycobacterium Chelonae was the most common cause of tattoo associated NTM infections. Less than 50% of the case reports tested tattoo ink for acid fast bacilli stains and cultures. Subjects required treatment with either clarithromycin alone or in combination with quinolones for 6 to 9 months. An increase in NTM skin infections in healthy individuals after tattooing indicates the need for sterile standards during tattooing and improved local and regional regulatory oversight.
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