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Volume 22, Number 8—August 2016

Multistate US Outbreak of Rapidly Growing Mycobacterial Infections Associated with Medical Tourism to the Dominican Republic, 2013–20141

David SchnabelComments to Author , Douglas H. Esposito, Joanna Gaines, Alison Ridpath, M. Anita Barry, Katherine A. Feldman, Jocelyn Mullins, Rachel Burns, Nina Ahmad, Edith N. Nyangoma, Duc T. Nguyen, Joseph F. Perz, Heather Moulton-Meissner, Bette J. Jensen, Ying Lin, Leah Posivak-Khouly, Nisha Jani, Oliver Morgan, Gary W. Brunette, P. Scott Pritchard, Adena H. Greenbaum, Susan M. Rhee, David Blythe, Mark Sotir, and the RGM Outbreak Investigation Team
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D. Schnabel, D.H. Esposito, J. Gaines, A. Ridpath, J. Mullins, N. Ahmad, E.N. Nyangoma, D.B. Nguyen, J.F. Perz, H.A. Moulton-Meissner, B.J. Jensen, O.W. Morgan, G.W. Brunette, M. Sotir); Maryland Department of Health and Mental Hygiene, Baltimore, Maryland, USA (D. Schnabel, K.A. Feldman, D. Blythe); New York City Department of Health and Mental Hygiene, New York, New York, USA (A. Ridpath, Y. Lin); Boston Public Health Commission, Boston, Massachusetts, USA (M.A. Barry); Connecticut Department of Public Health, Hartford, Connecticut, USA (J. Mullins); Massachusetts Department of Public Health, Boston (R. Burns); New York State Department of Health, Albany, New York (N. Ahmad); Montgomery County Health Department, Norristown, Pennsylvania, USA (L. Posivak-Khouly); Newark Department of Child and Family Well-Being, Newark, New Jersey, USA (N. Jani); Florida Department of Health, Tallahassee, Florida, USA (P.S. Pritchard); Johns Hopkins Hospital, Baltimore (A.H. Greenbaum); Johns Hopkins Bayview Medical Center, Baltimore (S.M. Rhee)

Main Article

Table 1

Characteristics of 21 patients in multistate US outbreak of RGM infections after medical tourism to the Dominican Republic, 2013–2014*

Most common procedures‡
Liposuction 15 (71)
Abdominoplasty 12 (57)
Buttocks augmentation 8 (38)
Breast augmentation 6 (29)
Breast reduction 4 (19)
Median no. procedures received (range) 2 (1–6)

*Values are no. (%) except as indicated. Residency data are missing for 1 patient. RGM, rapidly growing mycobacteria.
†Among 15 case-patients whose charts were abstracted.
‡>1 answer possible per patient.

Main Article

1Preliminary results from this study were presented at the 2014 Council and State and Territorial Epidemiologists Annual Conference; June 22–26, 2014; Nashville, Tennessee, USA.

2Members of the RGM Outbreak Investigation Team are listed at the end of this article.

Page created: July 15, 2016
Page updated: July 15, 2016
Page reviewed: July 15, 2016
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.