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[Nontuberculous mycobacterial infection after tattooing caused by Mycobacterium chelonae].

Dermatologie (Heidelb)

September 2023

Klinik für Dermatologie, Medizinische Fakultät, Heinrich-Heine-Universität, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.

We report the case of a healthy young man who presented to our clinic with itchy skin lesions in the area of a tattoo on the back of the left hand. Bioptic and cultural confirmation of the pathogens led to the diagnosis of Mycobacterium chelonae infection. We initiated antibiotic therapy using azithromycin and linezolid with good response.

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There have been increasing reports of tattoo-associated mycobacterial infections in recent years, with a number of outbreaks documented worldwide. This has therefore become a public health concern. Nontuberculous mycobacteria (NTM) are capable of producing skin and soft tissue infections typically via inoculation during surgery, trauma, and cosmetic procedures.

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Outbreak of Tattoo-associated Nontuberculous Mycobacterial Skin Infections.

Clin Infect Dis

August 2019

Epidemiology, Disease Control, and Immunization Services, Florida Department of Health in Miami-Dade County, Tallahassee.

Background: On 29 April 2015, the Florida Department of Health in Miami-Dade County (DOH Miami-Dade) was notified by a local dermatologist of 3 patients with suspected nontuberculous mycobacterial (NTM) infection after receiving tattoos at a local tattoo studio.

Methods: DOH Miami-Dade conducted interviews and offered testing, described below, to tattoo studio clients reporting rashes. Culture of clinical isolates and identification were performed at the Florida Bureau of Public Health Laboratories.

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Using Syndromic Surveillance to Investigate Tattoo-Related Skin Infections in New York City.

PLoS One

May 2016

New York City Department of Health and Mental Hygiene, Queens, New York, United States of America.

In response to two isolated cases of Mycobacterium chelonae infections in tattoo recipients where tap water was used to dilute ink, the New York City (NYC) Department of Health and Mental Hygiene conducted an investigation using Emergency Department (ED) syndromic surveillance to assess whether an outbreak was occuring. ED visits with chief complaints containing the key word "tattoo" from November 1, 2012 to March 18, 2013 were selected for study. NYC laboratories were also contacted and asked to report skin or soft tissue cultures in tattoo recipients that were positive for non-tuberculosis mycobacterial infection (NTM).

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