Evidence map›Paper›PMID 21998415›Full record

ArticleJournal of clinical microbiology2011

Five-year outbreak of community- and hospital-acquired Mycobacterium porcinum infections related to public water supplies.

Barbara A Brown-Elliott, Richard J Wallace, Carmen Tichindelean, Juan C Sarria, Steven McNulty, Ravikaran Vasireddy, Linda Bridge, C Glenn Mayhall, Christine Turenne, Michael Loeffelholz

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 75 citations in OpenAlex.

  1. Clonal spread of Mycobacterium monacense strains among patients with extrapulmonary mycobacteriosis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. A Case Report of Wound Infection Caused byInfection and drug resistance · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. The Many Hosts of Mycobacteria 8 (MHM8): A conference report.Tuberculosis (Edinburgh, Scotland) · 2020
    Review
  10. The Canadian veterinary journal = La revue veterinaire canadienne · 2020
    Article
  11. Article
  12. Revisiting John Snow to Meet the Challenge of Nontuberculous Mycobacterial Lung Disease.International journal of environmental research and public health · 2019
    Review
  13. Historical evolution of the diseases caused by non-pigmented rapidly growing mycobacteria in a University Hospital.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

10 authors at 4 institutions in 2 countries.

Barbara A Brown-ElliottThe University of Texas Health Science Center at Tyler, Department of Microbiology, 11937 US Hwy 271, Tyler, TX 75708, USA.
Richard J Wallace
Carmen Tichindelean
Juan C Sarria
Steven McNulty
Ravikaran Vasireddy
Linda Bridge
C Glenn Mayhall
Christine Turenne
Michael Loeffelholz
The University of Texas Health Science Center at Tyler · USSaskatchewan Disease Control Laboratory · CATexas Medical Center · USThe University of Texas Medical Branch at Galveston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mycobacterium porcinum is a rarely encountered rapidly growing Mycobacterium (RGM). We identified M. porcinum from 24 patients at a Galveston university hospital (University of Texas Medical Branch) over a 5-year period. M. porcinum was considered a pathogen in 11 (46%) of 24 infected patients, including 4 patients with community-acquired disease. Retrospective patient data were collected, and water samples were cultured. Molecular analysis of water isolates, clustered clinical isolates, and 15 unrelated control strains of M. porcinum was performed. Among samples of hospital ice and tap water, 63% were positive for RGM, 50% of which were M. porcinum. Among samples of water from the city of Galveston, four of five households (80%) were positive for M. porcinum. By pulsed-field gel electrophoresis (PFGE), 8 of 10 environmental M. porcinum were determined to belong to two closely related clones. A total of 26 of 29 clinical isolates subjected to PFGE (including isolates from all positive patients) were clonal with the water patterns, including patients with community-acquired disease. Fifteen control strains of M. porcinum had unique profiles. Sequencing of hsp65, recA, and rpoB revealed the PFGE outbreak clones to have identical sequences, while unrelated strains exhibited multiple sequence variants. M. porcinum from 22 (92%) of 24 patients were clonal, matched hospital- and household water-acquired isolates, and differed from epidemiologically unrelated strains. M. porcinum can be a drinking water contaminant, serve as a long-term reservoir (years) for patient contamination (especially sputum), and be a source of clinical disease. This study expands concern about public health issues regarding nontuberculous mycobacteria. Multilocus gene sequencing helped define clonal populations.

Indexed as

Disease OutbreaksWater MicrobiologyWater SupplyAdultAgedAged, 80 and overBacterial ProteinsChaperonin 60Cluster AnalysisCommunity-Acquired InfectionsCross InfectionDNA, BacterialDNA-Directed RNA PolymerasesElectrophoresis, Gel, Pulsed-FieldFemaleGenotypeBacterial ProteinsChaperonin 60DNA, BacterialDNA-Directed RNA Polymerasesheat-shock protein 65, MycobacteriumRec A RecombinasesRNA polymerase beta subunit

Identifiers

PMID21998415
PMCPMC3232971
OpenAlexW2152934249

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.