Relatively alcohol-resistant mycobacteria are emerging pathogens in patients receiving acupuncture treatment.

Journal of Clinical Microbiology
Patrick C Y WooKwok-yung Yuen

Abstract

Acupuncture has been gaining popularity as a form of alternative medicine. In the past, only blood-borne viruses and anecdotal reports of bacterial infections have been associated with acupuncture. We report on four patients with mycobacterial infections complicating acupuncture who were encountered in a 2-year period. All had clinical and/or radiological lesions at acupuncture point- and meridian-specific locations. There was no other history of trauma or other clinical foci of infections, and the chest radiographs were normal. Histological studies of biopsy specimens of all four patients showed changes compatible with chronic inflammation, with granulomatous inflammation present in three patients and acid-fast bacilli present in two. Conventional biochemical tests and whole-cell fatty acid analysis for identification were inconclusive for all four nonpigmented mycobacteria recovered from tissue biopsies. 16S rRNA gene sequencing showed that the strains from two patients were Mycobacterium chelonae and that those from the other two were Mycobacterium nonchromogenicum. Alcohol resistance assay using the quantitative suspension test revealed that all four strains showed prolonged survival in 75% alcohol compared to other skin fl...Continue Reading

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Citations

Feb 20, 2004·Diagnostic Microbiology and Infectious Disease·Patrick C Y WooKwok-yung Yuen
Jul 5, 2003·Journal of Clinical Microbiology·Patrick C Y WooKwok-Yung Yuen
Aug 29, 2003·Journal of Clinical Pathology·P C Y WooK Y Yuen
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Apr 11, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Shifen XuLixing Lao
Oct 3, 2008·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·P C Y WooK-Y Yuen
Aug 22, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·S-J KohJ-J Yim
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Sep 4, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Winston Wing-Shing FungCheuk-Chun Szeto

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