{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T21:40:58Z","timestamp":1777671658126,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine High Impact Case Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Mycobacterium tuberculosis complex (MTBC) false-positive cultures are commonly attributed to laboratory cross-contamination, but cross-contamination in the operating room (OR) is seldom reported. We report an investigation of cross-contamination in the OR for our case patient, who underwent surgical intervention for a chronic, left-sided breast lesion. Although the case patient had never received Mycobacterium bovis bacillus Calmette-Gu\u00e9rin (BCG) vaccine or chemotherapy, a subsequent surgical sample culture was identified as MTBC by high-performance liquid chromatography and M. bovis BCG-type by genotyping. A collaborative false-positive investigation was initiated, and we discovered a cross-contamination event in the OR from a source case who received BCG intravesical instillation. Clinicians, public health, and infection control staff should be aware that MTBC cross-contamination in the OR is rare, but possible, and should recognize the importance of conducting thorough false-positive investigations.<\/jats:p>","DOI":"10.1177\/23247096211066287","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T05:01:51Z","timestamp":1640235711000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["<i>Mycobacterium bovis<\/i>\n                    Bacillus Calmette-Gu\u00e9rin Cross-Contamination in the Operating Room: A Case Report"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4226-8748","authenticated-orcid":false,"given":"Jasmine Ko","family":"Aqua","sequence":"first","affiliation":[{"name":"Emory University, Atlanta, GA, USA"},{"name":"Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Holdsworth","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eileen","family":"Burd","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9811-6260","authenticated-orcid":false,"given":"Jesse T.","family":"Jacob","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Ray","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"},{"name":"Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos C.","family":"Schechter","sequence":"additional","affiliation":[{"name":"Emory University, Atlanta, GA, USA"},{"name":"Georgia Department of Public Health, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,12,23]]},"reference":[{"key":"bibr1-23247096211066287","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-019-00241-4"},{"key":"bibr2-23247096211066287","doi-asserted-by":"publisher","DOI":"10.3201\/eid0811020387"},{"key":"bibr3-23247096211066287","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-6-130"},{"key":"bibr4-23247096211066287","doi-asserted-by":"publisher","DOI":"10.1086\/502144"},{"key":"bibr5-23247096211066287","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-224462"},{"key":"bibr6-23247096211066287","unstructured":"Centers for Disease Control and Prevention. False-positive investigation toolkit: a resource for mycobacteriology laboratories; 2019. https:\/\/www.cdc.gov\/tb\/publications\/guidestoolkits\/false_positive\/False-Positive.htm."},{"key":"bibr7-23247096211066287","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7036a4"}],"container-title":["Journal of Investigative Medicine High Impact Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096211066287","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23247096211066287","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23247096211066287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:01:36Z","timestamp":1777449696000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23247096211066287"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":7,"alternative-id":["10.1177\/23247096211066287"],"URL":"https:\/\/doi.org\/10.1177\/23247096211066287","relation":{},"ISSN":["2324-7096","2324-7096"],"issn-type":[{"value":"2324-7096","type":"print"},{"value":"2324-7096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"23247096211066287"}}