Multiple Cases of Cutaneous Mycobacterium massiliense Infection in a “Hot Spa” in Japan

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Published inJournal of Clinical Microbiology Vol. 49; no. 2; pp. 613 - 617
Main Authors Nakanaga, Kazue, Hoshino, Yoshihiko, Era, Yuko, Matsumoto, Kentaro, Kanazawa, Yuji, Tomita, Atsuko, Furuta, Masanari, Washizu, Motohisa, Makino, Masahiko, Ishii, Norihisa
Format Journal Article
LanguageEnglish
Published Washington, DC American Society for Microbiology 01.02.2011
Subjects
Anti-Bacterial Agents - pharmacology
Bacterial Proteins - genetics
Bacterial Typing Techniques
Biological and medical sciences
Cluster Analysis
DNA, Bacterial - chemistry
DNA, Bacterial - genetics
DNA, Ribosomal - chemistry
DNA, Ribosomal - genetics
Environmental Microbiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Japan
Microbial Sensitivity Tests
Microbiology
Middle Aged
Molecular Sequence Data
Mycobacteriology and Aerobic Actinomycetes
Mycobacterium
Mycobacterium - classification
Mycobacterium - genetics
Mycobacterium - isolation & purification
Mycobacterium Infections - diagnosis
Mycobacterium Infections - microbiology
Nucleic Acid Hybridization
Random Amplified Polymorphic DNA Technique
RNA, Ribosomal, 16S - genetics
Sequence Analysis, DNA
Skin Diseases, Bacterial - diagnosis
Skin Diseases, Bacterial - microbiology
Asia
Japan
Far east
Infection
Bacteriosis
Mycobacterial infection
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Abstract Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley Reddit StumbleUpon Twitter current issue JCM About JCM Subscribers Authors Reviewers Advertisers Inquiries from the Press Permissions & Commercial Reprints ASM Journals Public Access Policy JCM RSS Feeds 1752 N Street N.W. • Washington DC 20036 202.737.3600 • 202.942.9355 fax • journals@asmusa.org Print ISSN: 0095-1137 Online ISSN: 1098-660X Copyright © 2014 by the American Society for Microbiology.   For an alternate route to JCM .asm.org, visit: JCM       
AbstractList Seven body polishers working in the same “hot spa” presented with multiple red nodules and papules on their hands and forearms. A causative agent was successfully isolated from two of the subjects and from a swab sample collected from the underside of a bed cover in the body-polishing facility. The two cutaneous isolates and the environmental isolate were rapidly growing mycobacteria that formed nonphotochromogenic smooth or smooth/rough colonies on Ogawa egg slants. They were identified as Mycobacterium massiliense by multigenotypic analysis using the 16S rRNA, hsp65 , and rpoB genes and the 16S–23S rRNA internal transcribed spacer (ITS) region. However, the use of the 16S rRNA gene sequence and/or DNA-DNA hybridization (DDH Mycobacteria Kit) alone would not distinguish M. massiliense from mycobacteria in the M. chelonae-M. abscessus group. The three isolates were significantly more susceptible to clarithromycin, doxycycline, and minocycline than the M. abscessus and M. bolletii reference strains. One cutaneous isolate and the environmental isolate were in a related cluster by randomly amplified polymorphic DNA PCR (RAPD-PCR). Of the several mycobacterial species found in the day spa, only M. massiliense was isolated from biopsy specimens of the skin lesions, suggesting that this bacterium is a human skin pathogen. This is the first known report of cutaneous M. massiliense infections that could not be attributed to a prior invasive procedure. This is also the first report of M. massiliense infection in Japan.
Seven body polishers working in the same "hot spa" presented with multiple red nodules and papules on their hands and forearms. A causative agent was successfully isolated from two of the subjects and from a swab sample collected from the underside of a bed cover in the body-polishing facility. The two cutaneous isolates and the environmental isolate were rapidly growing mycobacteria that formed nonphotochromogenic smooth or smooth/rough colonies on Ogawa egg slants. They were identified as Mycobacterium massiliense by multigenotypic analysis using the 16S rRNA, hsp65, and rpoB genes and the 16S-23S rRNA internal transcribed spacer (ITS) region. However, the use of the 16S rRNA gene sequence and/or DNA-DNA hybridization (DDH Mycobacteria Kit) alone would not distinguish M. massiliense from mycobacteria in the M. chelonae-M. abscessus group. The three isolates were significantly more susceptible to clarithromycin, doxycycline, and minocycline than the M. abscessus and M. bolletii reference strains. One cutaneous isolate and the environmental isolate were in a related cluster by randomly amplified polymorphic DNA PCR (RAPD-PCR). Of the several mycobacterial species found in the day spa, only M. massiliense was isolated from biopsy specimens of the skin lesions, suggesting that this bacterium is a human skin pathogen. This is the first known report of cutaneous M. massiliense infections that could not be attributed to a prior invasive procedure. This is also the first report of M. massiliense infection in Japan.Seven body polishers working in the same "hot spa" presented with multiple red nodules and papules on their hands and forearms. A causative agent was successfully isolated from two of the subjects and from a swab sample collected from the underside of a bed cover in the body-polishing facility. The two cutaneous isolates and the environmental isolate were rapidly growing mycobacteria that formed nonphotochromogenic smooth or smooth/rough colonies on Ogawa egg slants. They were identified as Mycobacterium massiliense by multigenotypic analysis using the 16S rRNA, hsp65, and rpoB genes and the 16S-23S rRNA internal transcribed spacer (ITS) region. However, the use of the 16S rRNA gene sequence and/or DNA-DNA hybridization (DDH Mycobacteria Kit) alone would not distinguish M. massiliense from mycobacteria in the M. chelonae-M. abscessus group. The three isolates were significantly more susceptible to clarithromycin, doxycycline, and minocycline than the M. abscessus and M. bolletii reference strains. One cutaneous isolate and the environmental isolate were in a related cluster by randomly amplified polymorphic DNA PCR (RAPD-PCR). Of the several mycobacterial species found in the day spa, only M. massiliense was isolated from biopsy specimens of the skin lesions, suggesting that this bacterium is a human skin pathogen. This is the first known report of cutaneous M. massiliense infections that could not be attributed to a prior invasive procedure. This is also the first report of M. massiliense infection in Japan.
Seven body polishers working in the same "hot spa" presented with multiple red nodules and papules on their hands and forearms. A causative agent was successfully isolated from two of the subjects and from a swab sample collected from the underside of a bed cover in the body-polishing facility. The two cutaneous isolates and the environmental isolate were rapidly growing mycobacteria that formed nonphotochromogenic smooth or smooth/rough colonies on Ogawa egg slants. They were identified as Mycobacterium massiliense by multigenotypic analysis using the 16S rRNA, hsp65, and rpoB genes and the 16S-23S rRNA internal transcribed spacer (ITS) region. However, the use of the 16S rRNA gene sequence and/or DNA-DNA hybridization (DDH Mycobacteria Kit) alone would not distinguish M. massiliense from mycobacteria in the M. chelonae-M. abscessus group. The three isolates were significantly more susceptible to clarithromycin, doxycycline, and minocycline than the M. abscessus and M. bolletii reference strains. One cutaneous isolate and the environmental isolate were in a related cluster by randomly amplified polymorphic DNA PCR (RAPD-PCR). Of the several mycobacterial species found in the day spa, only M. massiliense was isolated from biopsy specimens of the skin lesions, suggesting that this bacterium is a human skin pathogen. This is the first known report of cutaneous M. massiliense infections that could not be attributed to a prior invasive procedure. This is also the first report of M. massiliense infection in Japan.
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Author Atsuko Tomita
Yuko Era
Masanari Furuta
Masahiko Makino
Yoshihiko Hoshino
Motohisa Washizu
Kentaro Matsumoto
Norihisa Ishii
Yuji Kanazawa
Kazue Nakanaga
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Snippet Article Usage Stats Services JCM Citing Articles Google Scholar PubMed Related Content Social Bookmarking CiteULike Delicious Digg Facebook Google+ Mendeley...
Seven body polishers working in the same “hot spa” presented with multiple red nodules and papules on their hands and forearms. A causative agent was...
Seven body polishers working in the same "hot spa" presented with multiple red nodules and papules on their hands and forearms. A causative agent was...
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StartPage 613
SubjectTerms Anti-Bacterial Agents - pharmacology
Bacterial Proteins - genetics
Bacterial Typing Techniques
Biological and medical sciences
Cluster Analysis
DNA, Bacterial - chemistry
DNA, Bacterial - genetics
DNA, Ribosomal - chemistry
DNA, Ribosomal - genetics
Environmental Microbiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Japan
Microbial Sensitivity Tests
Microbiology
Middle Aged
Molecular Sequence Data
Mycobacteriology and Aerobic Actinomycetes
Mycobacterium
Mycobacterium - classification
Mycobacterium - genetics
Mycobacterium - isolation & purification
Mycobacterium Infections - diagnosis
Mycobacterium Infections - microbiology
Nucleic Acid Hybridization
Random Amplified Polymorphic DNA Technique
RNA, Ribosomal, 16S - genetics
Sequence Analysis, DNA
Skin Diseases, Bacterial - diagnosis
Skin Diseases, Bacterial - microbiology
Title Multiple Cases of Cutaneous Mycobacterium massiliense Infection in a “Hot Spa” in Japan
URI http://jcm.asm.org/content/49/2/613.abstract
https://www.ncbi.nlm.nih.gov/pubmed/21159943
https://www.proquest.com/docview/850559846
https://www.proquest.com/docview/907151113
https://www.proquest.com/docview/907157995
https://pubmed.ncbi.nlm.nih.gov/PMC3043493
Volume 49
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