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multistate us outbreak of rapidly growing mycobacterial infections associated with medical tourism to the dominican republic, 2013-2014(1).during 2013, the maryland department of health and mental hygiene in baltimore, md, usa, received report of 2 maryland residents whose surgical sites were infected with rapidly growing mycobacteria after cosmetic procedures at a clinic (clinic a) in the dominican republic. a multistate investigation was initiated; a probable case was defined as a surgical site infection unresponsive to therapy in a patient who had undergone cosmetic surgery in the dominican republic. we identified 21 case-patien ...201627434822
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