title: Nocardia cyriacigeorgica infections attributable to unlicensed cosmetic procedures--an emerging public health problem?
abstract: We describe an outbreak of Nocardia cyriacigeorgica soft-tissue infections attributable to unlicensed cosmetic injections and the first report using multilocus sequence typing sequence data for determining Nocardia strain relatedness in an outbreak. All 8 cases identified had a common source exposure and required hospitalization, surgical debridement, and prolonged antimicrobial therapy.
authors.affiliation: Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. andria.apostolou@doh.state.nj.us
authors.forename: Andria
authors.initials: A
authors.lastname: Apostolou
authors.forename: Shanna J
authors.initials: SJ
authors.lastname: Bolcen
authors.forename: Vaidehi
authors.initials: V
authors.lastname: Dave
authors.forename: Nisha
authors.initials: N
authors.lastname: Jani
authors.forename: Brent A
authors.initials: BA
authors.lastname: Lasker
authors.forename: Christina G
authors.initials: CG
authors.lastname: Tan
authors.forename: Barbara
authors.initials: B
authors.lastname: Montana
authors.forename: June M
authors.initials: JM
authors.lastname: Brown
authors.forename: Carol A
authors.initials: CA
authors.lastname: Genese
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D016000:Cluster Analysis; D021821:Communicable Diseases, Emerging / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology / Q000601:surgery; D003357:Cosmetic Techniques / Q000009:adverse effects*; D004269:DNA, Bacterial / Q000737:chemistry / Q000235:genetics; D003646:Debridement; D004196:Disease Outbreaks; D005260:Female; D005838:Genotype; D006801:Humans; D015994:Incidence; D017720:Molecular Epidemiology; D058885:Multilocus Sequence Typing; D009615:Nocardia / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*; D009617:Nocardia Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology* / Q000601:surgery; D018461:Soft Tissue Infections / Q000188:drug therapy / Q000453:epidemiology / Q000382:microbiology / Q000601:surgery
chemical_list: D000900:Anti-Bacterial Agents; D004269:DNA, Bacterial