TY - JOUR
T1 - Outbreak of extrapulmonary tuberculosis infection associated with acupuncture point injection
AU - Jia, Z.
AU - Chen, S.
AU - Hao, C.
AU - Huang, Y.
AU - Liu, Z.
AU - Pan, A.
AU - Liao, R.
AU - Wang, X.
AU - Lu, Z.
N1 - Funding Information:
This work was partly supported by the National Natural Science Foundation (grant 81372958 ) and the Takemi Fellowship in International Health. All authors report no conflicts of interest relevant to this article.
Publisher Copyright:
© 2014.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Mycobacterium tuberculosis infection is rarely reported to be associated with acupuncture practices. We performed a retrospective outbreak investigation of a unique outbreak of 33 extrapulmonary M.tuberculosis infections related to acupuncture point injection therapy (AIT) among clients who visited a private traditional Chinese medicine clinical centre in China. The lumps, abscesses and ulcers occurred mostly on the neck, shoulders, waist, knees and hips, localized at acupuncture point meridian sites. These symptoms appeared from January to November 2011, with a peak cluster of infections in September 2011 (nine cases). M.tuberculosis Beijing strain was isolated and confirmed by DNA sequencing. All diagnosed patients were treated empirically with appropriate antibiotic treatment, and their condition improved. Our study indicated that this outbreak was most likely resulted from contaminated AIT. Drafting standard guidelines for AIT is urgently needed, and routine medical supervision should be provided, including obligating health providers to perform routine physical examinations that include testing for infectious diseases.
AB - Mycobacterium tuberculosis infection is rarely reported to be associated with acupuncture practices. We performed a retrospective outbreak investigation of a unique outbreak of 33 extrapulmonary M.tuberculosis infections related to acupuncture point injection therapy (AIT) among clients who visited a private traditional Chinese medicine clinical centre in China. The lumps, abscesses and ulcers occurred mostly on the neck, shoulders, waist, knees and hips, localized at acupuncture point meridian sites. These symptoms appeared from January to November 2011, with a peak cluster of infections in September 2011 (nine cases). M.tuberculosis Beijing strain was isolated and confirmed by DNA sequencing. All diagnosed patients were treated empirically with appropriate antibiotic treatment, and their condition improved. Our study indicated that this outbreak was most likely resulted from contaminated AIT. Drafting standard guidelines for AIT is urgently needed, and routine medical supervision should be provided, including obligating health providers to perform routine physical examinations that include testing for infectious diseases.
KW - Acupoint injection
KW - China
KW - Extrapulmonary Mycobacterium tuberculosis infection
KW - Outbreak
KW - Routine medical supervision
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U2 - 10.1016/j.cmi.2014.10.023
DO - 10.1016/j.cmi.2014.10.023
M3 - Article
C2 - 25677256
AN - SCOPUS:84928540485
SN - 1198-743X
VL - 21
SP - 349
EP - 353
JO - Clinical Microbiology and Infection
JF - Clinical Microbiology and Infection
IS - 4
ER -