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Journal of Clinical Microbiology, June 2009, p. 1961-1964, Vol. 47, No. 6
0095-1137/09/$08.00+0     doi:10.1128/JCM.00196-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.

CASE REPORT

Outbreak of Nontuberculous Mycobacterial Subcutaneous Infections Related to Multiple Mesotherapy Injections{triangledown}

Anne Carbonne,1* Florence Brossier,2,3 Isabelle Arnaud,1 Iheb Bougmiza,1 Eric Caumes,3,4 Jean-Paul Meningaud,5 Sylvie Dubrou,6 Vincent Jarlier,2,3 Emmanuelle Cambau,2,3 and Pascal Astagneau1,3

Regional Coordinating Center for Nosocomial Infection Control (C-CLIN Nord), Paris, France,1 National Reference Centre for Mycobacteria, Hospital Pitié-Salpêtrière, F-75013 Paris, France,2 Pierre and Marie Curie University School of Medicine, Paris 06, France,3 Department of Infectious Diseases and Tropical Medicine, Pitié-Salpétrière, Paris, France,4 Department of Reconstructive and Plastic Surgery, Henri Mondor, Créteil, France,5 Laboratory of Hygiene, Paris, France6

Received 30 January 2009/ Returned for modification 2 April 2009/ Accepted 10 April 2009

We describe an outbreak of severe subcutaneous infections due to nontuberculous mycobacteria following mesotherapy. Epidemiological studies and molecular comparisons of Mycobacterium chelonae strains from different patients and the environment suggested that contamination may be associated with inappropriate cleaning of the multiple-injection device with tap water.

* Corresponding author. Mailing address: C-CLIN Nord, Institut des Cordeliers, 15 rue de l'Ecole de Médecine, 75006 Paris, France. Phone and fax: 33 1 40 46 42 00. E-mail: acarbonn{at}bhdc.jussieu.fr

{triangledown} Published ahead of print on 22 April 2009.

Journal of Clinical Microbiology, June 2009, p. 1961-1964, Vol. 47, No. 6
0095-1137/09/$08.00+0     doi:10.1128/JCM.00196-09
Copyright © 2009, American Society for Microbiology. All Rights Reserved.





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