Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature

There have been increasing reports of tattoo-associated mycobacterial infections in recent years, with a number of outbreaks documented worldwide. This has therefore become a public health concern. Nontuberculous mycobacteria (NTM) are capable of producing skin and soft tissue infections typically v...

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Autores principales:	Yolanka Lobo, Karyn Lun
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	cutaneous infection mycobacterium mageritense nontuberculous mycobacteria tattoo Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/74b8dc23026c4aa091580dc9c3ded0bc
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spelling	oai:doaj.org-article:74b8dc23026c4aa091580dc9c3ded0bc2021-12-02T12:40:22ZTattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature1662-656710.1159/000520255https://doaj.org/article/74b8dc23026c4aa091580dc9c3ded0bc2021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/520255https://doaj.org/toc/1662-6567There have been increasing reports of tattoo-associated mycobacterial infections in recent years, with a number of outbreaks documented worldwide. This has therefore become a public health concern. Nontuberculous mycobacteria (NTM) are capable of producing skin and soft tissue infections typically via inoculation during surgery, trauma, and cosmetic procedures. We present a case of tattoo-associated cutaneous infection caused by Mycobacterium mageritense, a rare species of rapidly growing NTM. A 25-year-old man developed a rash on his left lower leg 4 weeks after he underwent professional tattooing. A skin swab identified M. mageritense complex. Based on susceptibility testing, a course of oral ciprofloxacin and trimethoprim/sulfamethoxazole was initiated, with significant improvement observed after 5 weeks. We speculate that the mechanism of inoculation was a result of either the artist using nonsterile water to dilute black ink to gray or from use of contaminated prediluted gray ink. The Therapeutic Goods Administration does not have regulatory authority over the sterility of tattoo inks or practices in Australia. Instead, tattoo practices are regulated by local government jurisdictions. Because of the variability seen in clinical presentation and challenges associated with organism identification, a high index of suspicion is required to diagnose mycobacterial infections. Infection caused by NTM should be considered in the differential diagnosis of tattoo-associated dermatological complications, particularly in patients who have chronic lesions, negative bacterial cultures, and fail to respond to standard antibiotic therapy. Mandatory regulations for safe tattoo practices should be considered to prevent outbreaks and ensure public safety.Yolanka LoboKaryn LunKarger Publishersarticlecutaneousinfectionmycobacterium mageritensenontuberculous mycobacteriatattooDermatologyRL1-803ENCase Reports in Dermatology, Vol 13, Iss 3, Pp 513-520 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cutaneous infection mycobacterium mageritense nontuberculous mycobacteria tattoo Dermatology RL1-803
spellingShingle	cutaneous infection mycobacterium mageritense nontuberculous mycobacteria tattoo Dermatology RL1-803 Yolanka Lobo Karyn Lun Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
description	There have been increasing reports of tattoo-associated mycobacterial infections in recent years, with a number of outbreaks documented worldwide. This has therefore become a public health concern. Nontuberculous mycobacteria (NTM) are capable of producing skin and soft tissue infections typically via inoculation during surgery, trauma, and cosmetic procedures. We present a case of tattoo-associated cutaneous infection caused by Mycobacterium mageritense, a rare species of rapidly growing NTM. A 25-year-old man developed a rash on his left lower leg 4 weeks after he underwent professional tattooing. A skin swab identified M. mageritense complex. Based on susceptibility testing, a course of oral ciprofloxacin and trimethoprim/sulfamethoxazole was initiated, with significant improvement observed after 5 weeks. We speculate that the mechanism of inoculation was a result of either the artist using nonsterile water to dilute black ink to gray or from use of contaminated prediluted gray ink. The Therapeutic Goods Administration does not have regulatory authority over the sterility of tattoo inks or practices in Australia. Instead, tattoo practices are regulated by local government jurisdictions. Because of the variability seen in clinical presentation and challenges associated with organism identification, a high index of suspicion is required to diagnose mycobacterial infections. Infection caused by NTM should be considered in the differential diagnosis of tattoo-associated dermatological complications, particularly in patients who have chronic lesions, negative bacterial cultures, and fail to respond to standard antibiotic therapy. Mandatory regulations for safe tattoo practices should be considered to prevent outbreaks and ensure public safety.
format	article
author	Yolanka Lobo Karyn Lun
author_facet	Yolanka Lobo Karyn Lun
author_sort	Yolanka Lobo
title	Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
title_short	Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
title_full	Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
title_fullStr	Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
title_full_unstemmed	Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature
title_sort	tattoo-associated cutaneous mycobacterium mageritense infection: a case report and brief review of the literature
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/74b8dc23026c4aa091580dc9c3ded0bc
work_keys_str_mv	AT yolankalobo tattooassociatedcutaneousmycobacteriummageritenseinfectionacasereportandbriefreviewoftheliterature AT karynlun tattooassociatedcutaneousmycobacteriummageritenseinfectionacasereportandbriefreviewoftheliterature
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Tattoo-Associated Cutaneous Mycobacterium mageritense Infection: A Case Report and Brief Review of the Literature

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