Article: Hot-tub-associated mycobacterial infections in immunosuppressed persons. (Letters).

To the Editor: I read with interest the report by Mangione et al. regarding Mycobacterium avium infection in a Colorado family who used an inadequately sanitized hot tub (1). The authors noted that the source of the M. avium complex was not clear, although the reservoir did appear to have been the hot tub.

Twenty years ago, I helped treat a patient with a local infection caused by M. fortuitum in his amputation stump (2). The patient had sat in his tub postoperatively three to four times per week. Although he had added disinfectants as recommended by the manufacturer, he had not cleaned the tub mechanically at any time during the incubation period of his ...

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