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Atypical Mycobacterium furunculosis occurring after pedicures
Kelley Pagliai Redbord1, David A Shearer, Hugh Gloster
1Department of Dermatology, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA.
Journal of the American Academy of Dermatology
|February 21, 2006
Summary
Rapidly-growing nontuberculous mycobacteria, Mycobacterium fortuitum complex, can cause furunculosis after pedicures. Early recognition and treatment are crucial for these skin infections.
Area of Science:
- Microbiology
- Dermatology
- Infectious Diseases
Background:
- Mycobacterium fortuitum complex are ubiquitous environmental bacteria.
- These rapidly-growing nontuberculous mycobacteria are known to cause skin and soft-tissue infections.
Observation:
- Four cases of Mycobacterium fortuitum complex furunculosis were reported following pedicures.
- These infections occurred in the Cincinnati, Ohio/Northern Kentucky area.
Findings:
- Mycobacterium fortuitum complex infections can manifest as nonhealing furuncles on the lower legs.
- Pedicure footbaths have been identified as a potential source of M fortuitum complex transmission.
Implications:
- Clinicians should consider M fortuitum complex infections in patients with nonhealing furuncles, especially after pedicures.
- Public health strategies are needed to address the risk of mycobacterial infections from the popular nail care industry.
- Early diagnosis and appropriate therapy are critical for managing these infections.
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