Rapidly growing mycobacterial infections after pedicures

Patrick J. Sniezek, Brad S. Graham, Heidi Byers Busch, Edith R. Lederman, Matthew L. Lim, Kimberly Poggemyer, Annie Kao, Moise Mizrahi, Gerry Washabaugh, Mitch Yakrus, Kevin Winthrop

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

Background: Rapidly growing mycobacteria (RGM) can cause a variety of cutaneous and systemic diseases. The causative organisms are typically Mycobacterium fortuitum or Mycobacterium chelonae (also known as Mycobacterium abscessus). Primary cutaneous lesions may develop after a variable latent period, from weeks to several months, and usually result from direct inoculation after trauma, from injections, or during surgery via contaminated medical instruments. Recently, investigators from the Centers for Disease Control and Prevention, Atlanta, Ga, and the California Department of Health Services, Berkeley, documented a large, unprecedented outbreak of community-acquired RGM infection, during which more than 100 patrons of a northern California nail salon contracted furunculosis in their legs as a result of exposure to whirlpool footbaths that were contaminated with M fortuitum. Observations: We report the clinical and epidemiological findings in 3 cases of lower extremity RGM infections that occurred after similar whirlpool foot-bath exposure at several different nail salons in southern California. These infections typically presented as recurrent furunculosis, causing considerable morbidity as a result of scarring, delayed diagnosis, and the need for long-term polymicrobial therapy. Conclusions: Rapidly growing mycobacterial infections related to pedicures may continue to occur in a sporadic fashion. Clinicians should consider the possibility of RGM infection and inquire about recent pedicures in a patient with recurrent lower extremity furunculosis and abscesses that are unresponsive to conventional antibiotic therapy.

Original languageEnglish (US)
Pages (from-to)629-634
Number of pages6
JournalArchives of Dermatology
Volume139
Issue number5
DOIs
StatePublished - May 1 2003
Externally publishedYes

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Furunculosis
Mycobacterium Infections
Mycobacterium
Nails
Lower Extremity
Infection
Mycobacterium chelonae
Hydrotherapy
Mycobacterium fortuitum
Delayed Diagnosis
Centers for Disease Control and Prevention (U.S.)
Skin Diseases
Abscess
Health Services
Cicatrix
Disease Outbreaks
Foot
Leg
Research Personnel
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Dermatology

Cite this

Sniezek, P. J., Graham, B. S., Busch, H. B., Lederman, E. R., Lim, M. L., Poggemyer, K., ... Winthrop, K. (2003). Rapidly growing mycobacterial infections after pedicures. Archives of Dermatology, 139(5), 629-634. https://doi.org/10.1001/archderm.139.5.629

Rapidly growing mycobacterial infections after pedicures. / Sniezek, Patrick J.; Graham, Brad S.; Busch, Heidi Byers; Lederman, Edith R.; Lim, Matthew L.; Poggemyer, Kimberly; Kao, Annie; Mizrahi, Moise; Washabaugh, Gerry; Yakrus, Mitch; Winthrop, Kevin.

In: Archives of Dermatology, Vol. 139, No. 5, 01.05.2003, p. 629-634.

Research output: Contribution to journalArticle

Sniezek, PJ, Graham, BS, Busch, HB, Lederman, ER, Lim, ML, Poggemyer, K, Kao, A, Mizrahi, M, Washabaugh, G, Yakrus, M & Winthrop, K 2003, 'Rapidly growing mycobacterial infections after pedicures', Archives of Dermatology, vol. 139, no. 5, pp. 629-634. https://doi.org/10.1001/archderm.139.5.629
Sniezek PJ, Graham BS, Busch HB, Lederman ER, Lim ML, Poggemyer K et al. Rapidly growing mycobacterial infections after pedicures. Archives of Dermatology. 2003 May 1;139(5):629-634. https://doi.org/10.1001/archderm.139.5.629
Sniezek, Patrick J. ; Graham, Brad S. ; Busch, Heidi Byers ; Lederman, Edith R. ; Lim, Matthew L. ; Poggemyer, Kimberly ; Kao, Annie ; Mizrahi, Moise ; Washabaugh, Gerry ; Yakrus, Mitch ; Winthrop, Kevin. / Rapidly growing mycobacterial infections after pedicures. In: Archives of Dermatology. 2003 ; Vol. 139, No. 5. pp. 629-634.
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