Overrepresentation of Diabetes in Soft Tissue Nontuberculous Mycobacterial Infections

Tahnee Bridson Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.

Search for other papers by Tahnee Bridson in
Current site
Google Scholar
PubMed
Close
,
Brenda Govan Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.

Search for other papers by Brenda Govan in
Current site
Google Scholar
PubMed
Close
,
Natkunam Ketheesan Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.

Search for other papers by Natkunam Ketheesan in
Current site
Google Scholar
PubMed
Close
, and
Robert Norton Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Australia.
Townsville Hospital, Townsville, Australia.

Search for other papers by Robert Norton in
Current site
Google Scholar
PubMed
Close
Restricted access

Diabetes predisposes patients to bacterial infections. Although diabetes confers susceptibility to tuberculosis, the association between nontuberculous mycobacterial (NTM) infections and diabetes remains unknown. A retrospective chart analysis of patients in northern Australia during a 20-year period with soft tissue NTM infections revealed that patients with diabetes were three times overrepresented in comparison to the general population (odds ratio = 3.13). There was a statistically significant association between NTM infections and diabetes in this patient cohort (P = 0.0082).

Author Notes

* Address correspondence to Tahnee Bridson, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland 4811, Australia. E-mail: tahnee.bridson@my.jcu.edu.au

Authors' addresses: Tahnee Bridson and Natkunam Ketheesan, Australian Institute of Tropical Health and Medicine, James Cook University, Townsville, Queensland, Australia, E-mails: tahnee.bridson@my.jcu.edu.au and n.ketheesan@jcu.edu.au. Brenda Govan, Microbiology and Immunology, James Cook University, Townsville, Australia, E-mail: brenda.govan@jcu.edu.au. Robert Norton, Microbiology, Townsville Hospital, Townsville, Australia, E-mail: robert.norton@health.qld.gov.au.

  • 1.

    Orme IM, Ordway DJ, 2014. Host response to non-tuberculous mycobacterial infections of current clinical importance. Infect Immun 82: 3516–3522.

    • Search Google Scholar
    • Export Citation
  • 2.

    Jackson E, Stewart A, Maguire EJ, Norton RE, 2007. Mycobacterial soft tissue infections in north Queensland. ANZ J Surg 77: 368–370.

  • 3.

    Hoefsloot W, van Ingen J, Andrejak C, Angeby K, Bauriaud R, Bemer P, Beylis N, Boeree MJ, Cacho J, Chihota V, Chimara E, Churchyard G, Cias R, Daza R, Daley CL, Dekhuijzen PN, Domingo D, Drobniewski F, Esteban J, Fauville-Dufaux M, Folkvardsen DB, Gibbons N, Gómez-Mampaso E, Gonzalez R, Hoffmann H, Hsueh PR, Indra A, Jagielski T, Jamieson F, Jankovic M, Jong E, Keane J, Koh WJ, Lange B, Leao S, Macedo R, MannsĆ„ker T, Marras TK, Maugein J, Milburn HJ, Mlinkó T, Morcillo N, Morimoto K, Papaventsis D, Palenque E, Paez-PeƱa M, Piersimoni C, PolanovĆ” M, Rastogi N, Richter E, Ruiz-Serrano MJ, Silva A, da Silva MP, Simsek H, van Soolingen D, Szabó N, Thomson R, Tórtola Fernandez T, Tortoli E, Totten SE, Tyrrell G, Vasankari T, Villar M, Walkiewicz R, Winthrop KL, Wagner D, Nontuberculous Mycobacteria Network European Trials Group, 2013. The geographic diversity of nontuberculous mycobacteria isolated from pulmonary samples: an NTM-NET collaborative study. Eur Respir J 42: 1604–1613.

    • Search Google Scholar
    • Export Citation
  • 4.

    Hodgson KA, Morris JL, Feterl ML, Govan BL, Ketheesan N, 2011. Altered macrophage function is associated with severe Burkholderia pseudomallei infection in a murine model of type 2 diabetes. Microbes Infect 13: 1177–1184.

    • Search Google Scholar
    • Export Citation
  • 5.

    Viswanathan V, Vigneswari A, Selvan K, Satyavani K, Rajeswari R, Kapur A, 2014. Effect of diabetes on treatment outcome of smear-positive pulmonary tuberculosis: a report from south India. J Diabetes Complications 28: 162–165.

    • Search Google Scholar
    • Export Citation
  • 6.

    Baker RG, Hayden MS, Ghosh S, 2011. NF-kappaB, inflammation, and metabolic disease. Cell Metab 13: 11–22.

  • 7.

    Bridson T, Matthiesson A, Owens L, Govan B, Norton R, Ketheesan N, 2015. Diabetes: a contributor to tuberculosis in tropical Australia. Am J Trop Med Hyg 93: 547–548.

    • Search Google Scholar
    • Export Citation
  • 8.

    American Diabetes Association, 2010. Diagnosis and classification of diabetes mellitus. Diabetes Care 33 (Suppl 1): S62–S69.

  • 9.

    National Diabetes Service Scheme (NDSS), Diabetes Australia, Australian Government, 2015. Australian Diabetes Map. Available at: http://www.diabetesmap.com.au/#/. Accessed March 2016.

    • Search Google Scholar
    • Export Citation
  • 10.

    Restrepo BI, Fisher-Hoch SP, Pino PA, Salinas A, Rahbar MH, Mora F, Cortes-Penfield N, McCormick JB, 2008. Tuberculosis in poorly controlled type 2 diabetes: altered cytokine expression in peripheral white blood cells. Clin Infect Dis 47: 634–641.

    • Search Google Scholar
    • Export Citation
  • 11.

    Uslan DZ, Kowalski TJ, Wengenack NL, Virk A, Wilson JW, 2006. Skin and soft tissue infections due to rapidly growing mycobacteria: comparison of clinical features, treatment, and susceptibility. Arch Dermatol 142: 1287–1292.

    • Search Google Scholar
    • Export Citation
  • 12.

    O'Brien DP, Friedman ND, McDonald A, Callan P, Hughes A, Athan E, 2014. Clinical features and risk factors of oedematous Mycobacterium ulcerans lesions in an Australian population: beware cellulitis in an endemic area. PLoS Negl Trop Dis 8: e2612.

    • Search Google Scholar
    • Export Citation
  • 13.

    Falkinham JO, 1996. Epidemiology of infection by nontuberculous mycobacteria. Clin Microbiol Rev 9: 177–215.

  • 14.

    Weiss CH, Glassroth J, 2012. Pulmonary disease caused by nontuberculous mycobacteria. Expert Rev Respir Med 6: 597–613.

  • 15.

    Hur YG, Crampin AC, Chisambo C, Kanyika J, Houben R, Ndhlovu R, Mzembe T, Lalor MK, Saul J, Branson K, Stanley C, Ngwira B, French N, Ottenhoff TH, Dockrell HM, Gorak-Stolinska P, 2014. Identification of immunological biomarkers which may differentiate latent tuberculosis from exposure to environmental nontuberculous mycobacteria in children. Clin Vaccine Immunol 21: 133–142.

    • Search Google Scholar
    • Export Citation
Past two years Past Year Past 30 Days
Abstract Views 16 16 8
Full Text Views 244 67 0
PDF Downloads 88 23 0
 
Membership Banner
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save