Evidence map›Paper›PMID 11923335›Full record

ArticleJournal of clinical microbiology2002

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

Patrick C Y Woo, Kit-Wah Leung, Samson S Y Wong, Ken T K Chong, Elim Y L Cheung, Kwok-Yung Yuen

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 87 citations in OpenAlex.

  1. Rapid Diagnosis ofFrontiers in medicine · 2022
    Article
  2. Antibiotics (Basel, Switzerland) · 2020
    Article
  3. Article
  4. Article
  5. Rapidly Growing Mycobacteria.Microbiology spectrum · 2017
    Review
  6. Article
  7. Adverse events of acupuncture: a systematic review of case reports.Evidence-based complementary and alternative medicine : eCAM · 2013
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Tsukamurella conjunctivitis: a novel clinical syndrome.Journal of clinical microbiology · 2003
    Article
  15. Article
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Patrick C Y WooDepartment of Microbiology, The University of Hong Kong, Queen Mary Hospital, Hong Kong.
Kit-Wah Leung
Samson S Y Wong
Ken T K Chong
Elim Y L Cheung
Kwok-Yung Yuen
University of Hong Kong · HKQueen Mary Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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 flora. Mycobacterial infections transmitted by acupuncture are an emerging problem. A high index of suspicion is essential to recognize this clinical syndrome, and strict implementation of proper infection control guidelines for acupuncture is mandatory.

Indexed as

Drug Resistance, Bacterial2-PropanolAcupuncture TherapyAdultAgedDNA, RibosomalFatty AcidsFemaleHumansMaleMiddle AgedMycobacteriumMycobacterium chelonaeMycobacterium InfectionsMycobacterium Infections, NontuberculousRNA, Ribosomal, 16S2-PropanolDNA, RibosomalFatty AcidsRNA, Ribosomal, 16S

Identifiers

PMID11923335
PMCPMC140401
OpenAlexW2082905265

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.