{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:23:54Z","timestamp":1759191834262,"version":"3.44.0"},"reference-count":12,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the Association of Medical Microbiology and Infectious Disease Canada"],"published-print":{"date-parts":[[2025,9,29]]},"abstract":"<jats:p> Mycobacterium abscessus, a rapidly growing and frequently multidrug-resistant non-tuberculous mycobacterium, has been linked to cutaneous infections in both immunocompetent and immunocompromised individuals through inoculation via skin-traumatizing procedures such as tattooing. Here we describe two patients with culture-confirmed M. abscessus cutaneous infections acquired from the same tattoo studio in Calgary, Canada. Both patients developed dozens of erythematous papules at the site of inoculation within 2 weeks of a new tattoo using the same grey-wash ink. Despite recommendation for antimicrobial therapy, both patients independently elected to pursue surgical excision and observation. Following excision of multiple papules, both patients showed evidence of infection resolution within 10 weeks, without any evidence of relapsed infection. Conventional treatment of M. abscessus skin and soft tissue infections typically involves susceptibility-guided multidrug regimens for several months and is commonly associated with significant medication toxicity. These cases demonstrate that observation, potentially augmented with surgical removal, may be effective alternatives, especially in immunocompetent individuals with localized infections, which avoids the need for antibiotics. <\/jats:p>","DOI":"10.3138\/jammi-2025-0004","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T18:57:20Z","timestamp":1753901840000},"page":"257-261","source":"Crossref","is-referenced-by-count":0,"title":["Management of tattoo-associated <i>Mycobacterium abscessus<\/i> skin infections by surgery and observation"],"prefix":"10.3138","volume":"10","author":[{"given":"Luiza M","family":"Radu","sequence":"first","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, Calgary, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett D","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Calgary, Calgary, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamil N","family":"Kanji","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Calgary, Calgary, Canada"},{"name":"Public Health Laboratory, Alberta Precision Laboratories, Calgary, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Jarand","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Respiratory Medicine, University of Calgary, Calgary, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Arlette","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic Surgery, University of Calgary, Calgary, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1696","reference":[{"key":"r1","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1080\/14787210.2016.1238304","volume":"14","author":"Mougari F","year":"2016","journal-title":"Expert Rev Anti Infect Ther"},{"key":"r2","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1093\/cid\/cit347","volume":"57","author":"Falsey RR","year":"2013","journal-title":"Clin Infect Dis"},{"key":"r3","doi-asserted-by":"crossref","first-page":"e00069","DOI":"10.1128\/CMR.00069-18","volume":"32","author":"Franco-Paredes C","year":"2018","journal-title":"Clin Microbiol Rev"},{"key":"r4","doi-asserted-by":"crossref","first-page":"20553","DOI":"10.2807\/1560-7917.ES2013.18.32.20553","volume":"18","author":"Conaglen PD","year":"2013","journal-title":"Euro Surveill"},{"key":"r5","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1159\/000520255","volume":"13","author":"Lobo Y","year":"2021","journal-title":"Case Rep Dermatol"},{"key":"r6","first-page":"e328","volume":"35","author":"Oyen EMM","year":"2021","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"r7","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1093\/cid\/ciy979","volume":"69","author":"Griffin I","year":"2019","journal-title":"Clin Infect Dis"},{"key":"r8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2020\/7092053","volume":"2020","author":"Wuzinski M","year":"2020","journal-title":"BioMed Res Int"},{"key":"r9","unstructured":"COI Link for Comparison of Guidelines and Regulatory Frameworks for Personal Services Establishments I 20.500.12592\/00pm5d [Internet]. 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Available from: https:\/\/coilink.org\/20.500.12592\/00pm5d"},{"key":"r10","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/QCO.0000000000000905","volume":"36","author":"Sepulcri C","year":"2023","journal-title":"Curr Opin Infect Dis"},{"key":"r11","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.3389\/fmicb.2018.02179","volume":"9","author":"Luthra S","year":"2018","journal-title":"Front Microbiol"},{"key":"r12","doi-asserted-by":"crossref","first-page":"2000535","DOI":"10.1183\/13993003.00535-2020","volume":"56","author":"Daley CL","year":"2020","journal-title":"Eur Respir J"}],"container-title":["Journal of the Association of Medical Microbiology and Infectious Disease Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/utppublishing.com\/doi\/pdf\/10.3138\/jammi-2025-0004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:27:17Z","timestamp":1759177637000},"score":1,"resource":{"primary":{"URL":"https:\/\/utppublishing.com\/doi\/10.3138\/jammi-2025-0004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,29]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9,29]]}},"alternative-id":["10.3138\/jammi-2025-0004"],"URL":"https:\/\/doi.org\/10.3138\/jammi-2025-0004","relation":{},"ISSN":["2371-0888"],"issn-type":[{"type":"electronic","value":"2371-0888"}],"subject":[],"published":{"date-parts":[[2025,9,29]]}}}