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Article: Relatively alcohol-resistant mycobacteria are emerging pathogens in patients receiving acupuncture treatment

TitleRelatively alcohol-resistant mycobacteria are emerging pathogens in patients receiving acupuncture treatment
Authors
Issue Date2002
PublisherAmerican Society for Microbiology.
Citation
Journal Of Clinical Microbiology, 2002, v. 40 n. 4, p. 1219-1224 How to Cite?
AbstractAcupuncture has been gaining popularity as a form of alternative medicine. In the past, only blood-borne viruses and anecdotal reports of bacterial infections have been associated with acupuncture. We report on four patients with mycobacterial infections complicating acupuncture who were encountered in a 2-year period. All had clinical and/or radiological lesions at acupuncture point- and meridian-specific locations. There was no other history of trauma or other clinical foci of infections, and the chest radiographs were normal. Histological studies of biopsy specimens of all four patients showed changes compatible with chronic inflammation, with granulomatous inflammation present in three patients and acid-fast bacilli present in two. Conventional biochemical tests and whole-cell fatty acid analysis for identification were inconclusive for all four nonpigmented mycobacteria recovered from tissue biopsies. 16S rRNA gene sequencing showed that the strains from two patients were Mycobacterium chelonae and that those from the other two were Mycobacterium nonchromogenicum. Alcohol resistance assay using the quantitative suspension test revealed that all four strains showed prolonged survival in 75% alcohol compared to other skin flora. Mycobacterial infections transmitted by acupuncture are an emerging problem. A high index of suspicion is essential to recognize this clinical syndrome, and strict implementation of proper infection control guidelines for acupuncture is mandatory.
Persistent Identifierhttp://hdl.handle.net/10722/49162
ISSN
2015 Impact Factor: 3.631
2015 SCImago Journal Rankings: 2.151
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWoo, PCYen_HK
dc.contributor.authorLeung, KWen_HK
dc.contributor.authorWong, SSYen_HK
dc.contributor.authorChong, KTKen_HK
dc.contributor.authorCheung, EYLen_HK
dc.contributor.authorYuen, KYen_HK
dc.date.accessioned2008-06-12T06:35:49Z-
dc.date.available2008-06-12T06:35:49Z-
dc.date.issued2002en_HK
dc.identifier.citationJournal Of Clinical Microbiology, 2002, v. 40 n. 4, p. 1219-1224en_HK
dc.identifier.issn0095-1137en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49162-
dc.description.abstractAcupuncture has been gaining popularity as a form of alternative medicine. In the past, only blood-borne viruses and anecdotal reports of bacterial infections have been associated with acupuncture. We report on four patients with mycobacterial infections complicating acupuncture who were encountered in a 2-year period. All had clinical and/or radiological lesions at acupuncture point- and meridian-specific locations. There was no other history of trauma or other clinical foci of infections, and the chest radiographs were normal. Histological studies of biopsy specimens of all four patients showed changes compatible with chronic inflammation, with granulomatous inflammation present in three patients and acid-fast bacilli present in two. Conventional biochemical tests and whole-cell fatty acid analysis for identification were inconclusive for all four nonpigmented mycobacteria recovered from tissue biopsies. 16S rRNA gene sequencing showed that the strains from two patients were Mycobacterium chelonae and that those from the other two were Mycobacterium nonchromogenicum. Alcohol resistance assay using the quantitative suspension test revealed that all four strains showed prolonged survival in 75% alcohol compared to other skin flora. Mycobacterial infections transmitted by acupuncture are an emerging problem. A high index of suspicion is essential to recognize this clinical syndrome, and strict implementation of proper infection control guidelines for acupuncture is mandatory.en_HK
dc.format.extent386 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherAmerican Society for Microbiology.en_HK
dc.relation.ispartofJournal of Clinical Microbiologyen_HK
dc.rightsJournal of Clinical Microbiology. Copyright © American Society for Microbiology.en_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsCopyright © American Society for Microbiology, Journal of Clinical Microbiology, 2002, v. 40 n. 4, p. 1219-1224en_HK
dc.subject.mesh2-Propanol - pharmacologyen_HK
dc.subject.meshAcupuncture Therapy - adverse effectsen_HK
dc.subject.meshDrug Resistance, Bacterialen_HK
dc.subject.meshMycobacterium chelonae - drug effectsen_HK
dc.subject.meshRNA, Ribosomal, 16S - geneticsen_HK
dc.titleRelatively alcohol-resistant mycobacteria are emerging pathogens in patients receiving acupuncture treatmenten_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0095-1137&volume=40&issue=4&spage=1219&epage=1224&date=2002&atitle=Relatively+alcohol-resistant+mycobacteria+are+emerging+pathogens+in+patients+receiving+acupuncture+treatmenten_HK
dc.identifier.emailWoo, PCY:pcywoo@hkucc.hku.hken_HK
dc.identifier.emailWong, SSY:samsonsy@hkucc.hku.hken_HK
dc.identifier.emailYuen, KY:kyyuen@hkucc.hku.hken_HK
dc.identifier.authorityWoo, PCY=rp00430en_HK
dc.identifier.authorityWong, SSY=rp00395en_HK
dc.identifier.authorityYuen, KY=rp00366en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1128/JCM.40.4.1219-1224.2002en_HK
dc.identifier.pmid11923335-
dc.identifier.pmcidPMC140401en_HK
dc.identifier.scopuseid_2-s2.0-0036205446en_HK
dc.identifier.hkuros116539-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036205446&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume40en_HK
dc.identifier.issue4en_HK
dc.identifier.spage1219en_HK
dc.identifier.epage1224en_HK
dc.identifier.isiWOS:000174808000016-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridWoo, PCY=7201801340en_HK
dc.identifier.scopusauthoridLeung, KW=7401860831en_HK
dc.identifier.scopusauthoridWong, SSY=13310021400en_HK
dc.identifier.scopusauthoridChong, KTK=7102553965en_HK
dc.identifier.scopusauthoridCheung, EYL=36853286600en_HK
dc.identifier.scopusauthoridYuen, KY=36078079100en_HK

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