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Research

Abscesses due to Mycobacterium abscessus Linked to Injection of Unapproved Alternative Medication

Karin Galil,* Lisa A. Miller,† Mitchell A. Yakrus,* Richard J. Wallace Jr.,‡ David G. Mosley,§ Bob England,§ Gwen Huitt, ¶ Michael M. McNeil,* and Bradley A. Perkins*
*Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Colorado Department of Public Health and Environment, Denver, Colorado, USA; ‡University of Texas Health Center, Tyler, Texas, USA; §Arizona Department of Health Services, Phoenix, Arizona, USA; and ¶National Jewish Medical and Research Center, Denver, Colorado, USA


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Figure 1. Abscesses due to Mycobacterium abscessus on the left hip of 64-year-old man who had injected (numerous times) a presumed adrenal cortex extract. The first lesion developed 9 weeks before this photograph was taken.


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Figure 2. Dates of last injection of a presumed adrenal cortex extract among persons who developed postinjection Mycobacterium abscessus abscesses, United States, January 1995 to September 1996.


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Figure 3. Dates of abscess onset in persons who had postinjection Mycobacterium abscessus abscesses after using a presumed adrenal cortex extract, United States, January 1995 to September 1996.


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Figure 4. Pulsed-field gel electrophoresis patterns of three Mycobacterium abscessus isolates from the outbreak (lanes 1-3), six control isolates (lanes 4-8), and lambda DNA standards (lane 9). The chromosomal DNA was digested with XbaI.

 

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This page last reviewed July 1, 1999

Emerging Infectious Diseases Journal
National Center for Infectious Diseases
Centers for Disease Control and Prevention