title: Notes from the field: rapidly growing nontuberculous Mycobacterium wound infections among medical tourists undergoing cosmetic surgeries in the Dominican Republic--multiple states, March 2013-February 2014.
abstract: In August 2013, the Maryland Department of Health and Mental Hygiene (MDHMH) was notified of two persons with rapidly growing nontuberculous mycobacterial (RG-NTM) surgical-site infections. Both patients had undergone surgical procedures as medical tourists at the same private surgical clinic (clinic A) in the Dominican Republic the previous month. Within 7 days of returning to the United States, both sought care for symptoms that included surgical wound abscesses, clear fluid drainage, pain, and fever. Initial antibiotic therapy was ineffective. Material collected from both patients' wounds grew Mycobacterium abscessus exhibiting a high degree of antibiotic resistance characteristic of this organism.
authors.forename: David
authors.initials: D
authors.lastname: Schnabel
authors.forename: Joanna
authors.initials: J
authors.lastname: Gaines
authors.forename: Duc B
authors.initials: DB
authors.lastname: Nguyen
authors.forename: Douglas H
authors.initials: DH
authors.lastname: Esposito
authors.forename: Alison
authors.initials: A
authors.lastname: Ridpath
authors.forename: Kari
authors.initials: K
authors.lastname: Yacisin
authors.forename: Joe A
authors.initials: JA
authors.lastname: Poy
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Mullins
authors.forename: Rachel
authors.initials: R
authors.lastname: Burns
authors.forename: Virginia
authors.initials: V
authors.lastname: Lijewski
authors.forename: Nora P
authors.initials: NP
authors.lastname: McElroy
authors.forename: Nina
authors.initials: N
authors.lastname: Ahmad
authors.forename: Cassandra
authors.initials: C
authors.lastname: Harrison
authors.forename: Ellen J
authors.initials: EJ
authors.lastname: Parinelli
authors.forename: Amanda L
authors.initials: AL
authors.lastname: Beaudoin
authors.forename: Leah
authors.initials: L
authors.lastname: Posivak-Khouly
authors.forename: Scott
authors.initials: S
authors.lastname: Pritchard
authors.forename: Bette J
authors.initials: BJ
authors.lastname: Jensen
authors.forename: Nadege C
authors.initials: NC
authors.lastname: Toney
authors.forename: Heather A
authors.initials: HA
authors.lastname: Moulton-Meissner
authors.forename: Edith N
authors.initials: EN
authors.lastname: Nyangoma
authors.forename: Anita M
authors.initials: AM
authors.lastname: Barry
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Feldman
authors.forename: David
authors.initials: D
authors.lastname: Blythe
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Perz
authors.forename: Oliver W
authors.initials: OW
authors.lastname: Morgan
authors.forename: Phyllis
authors.initials: P
authors.lastname: Kozarsky
authors.forename: Gary W
authors.initials: GW
authors.lastname: Brunette
authors.forename: Mark
authors.initials: M
authors.lastname: Sotir
mesh_terms: D000293:Adolescent; D000328:Adult; D002487:Centers for Disease Control and Prevention, U.S.; D004196:Disease Outbreaks; D004293:Dominican Republic; D005260:Female; D006801:Humans; D057193:Medical Tourism; D008875:Middle Aged; D009161:Mycobacterium / Q000145:classification* / Q000302:isolation & purification; D009164:Mycobacterium Infections / Q000453:epidemiology* / Q000209:etiology; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000209:etiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult