Abstract:
BACKGROUND:Soft tissue or skin infections due to nontuberculous mycobacteria (NTM) have been reported frequently and are mostly associated with trauma or cosmetic interventions like plastic surgery. However, infection with NTM as a result of a dental procedure have rarely been described and the lack of clinical suspicion and a clear clinical manifestation makes diagnosis challenging. CASE PRESENTATION:We report on three patients with a facial cutaneous sinus tract of dental origin, due to an infection with respectively Mycobacterium fortuitum, M. abscessus and M. peregrinum. The infection source was the dental unit waterlines (DUWLs), which were colonized with NTM. CONCLUSIONS:Water of the DUWL can pose a health risk. This report emphasizes the need for quality control and certification of water flowing through DUWLs, including the absence of NTM. Our report also shows the need for a rapid recognition of NTM infections and accurate laboratory diagnosis in order to avoid long-term ineffective antibiotic treatment.
journal_name
BMC Infect Disjournal_title
BMC infectious diseasesauthors
Pérez-Alfonzo R,Poleo Brito LE,Vergara MS,Ruiz Damasco A,Meneses Rodríguez PL,Kannee Quintero CE,Carrera Martinez C,Rivera-Oliver IA,Da Mata Jardin OJ,Rodríguez-Castillo BA,de Waard JHdoi
10.1186/s12879-020-05015-5subject
Has Abstractpub_date
2020-04-21 00:00:00pages
295issue
1issn
1471-2334pii
10.1186/s12879-020-05015-5journal_volume
20pub_type
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