Transmission of Mycobacterium tuberculosis to Healthcare Personnel Resulting From Contaminated Bone Graft Material, United States, June 2021–August 2022
Authors: Li Ruoran , Deutsch-Feldman Molly , Adams Tamasin , Law Michelle , Biak Chinpar , Pitcher Erika , Drees Marci , Hernandez-Romieu Alfonso C , Filardo Thomas D , Cropper Tracina , Martinez Angelica , Wyatt Wilson W , Althomsons Sandy P , Morris Sapna Bamrah , Wortham Jonathan M , Benowitz Isaac , Schwartz Noah G , White Kelly , Haddad Maryam B , Glowicz Janet B ,   for the Bone Allograft Tuberculosis Investigators, Brancato Kristen Herrick , Khurana Renuka , Kim Elizabeth , Stafford Cherie , Timme Evan M , Villarroel Lisa R , Edler Kristin , Flood Jennifer M , Lam C Kin , Nabity Scott A , Shaw Tambi , Belknap Robert W , Bettridge Juli , Brown Caitlin M , Czaja Christopher A , Dupree Peter B , Haas Michelle , Marshall Kristen E , Scarpita Ann M , Star Kelsey E , Briody Carol A , Drees Marci , Duffalo Chad , Eskander Mark , Hanlin Emily , Hong Rick , Lingenfelter Kenneth , Mase Tabe , Pelkey Heather , Taylor Malikah , Ashe Duane A , Ashkin David , Charles Argentina R , Coleman Melanie A , Erskine Jalysa N , Johnston Lori A , Prestel Christopher , Privett Thomas , Salmon LaTweika A T , Yolman Marcia , Anderson Erin L , Negley Jeanne , Ray Susan M , Yarn Benjamin , Counard Catherine A , Darnall Elaine , Reeter Shelly , Tossi Lisa A , Adams Tamasin , Beeman Haley , Bennitt Amy L , Brock Jill , Cathey Rachel , Chinpar Biak , Collins Roxane , Craig Stephanie , Fohl Amy , Gunderson Lauren , Hamilton Diedre , Hill Alicia , Johnson Carma Jo , Kinser Mary , Kitt Christy , Kiwanuka Scovia M , Koch Sarah P , Krafft Debra A , LaTourrette Nikki , Law Michelle , Meyer Dixie , Miller Sandy , Morse Sandra , Nolan Christina , Pitcher Erika , Ramey Carrie , Reed Teresa , Sartino Catherine , Schneider Kimberly , Scifres Rhomonda , Wagner Nancy , Weber Mary , White Kelly , Young Jean , Anderson Emily A , Collins Laura L , Flinchum Andrea , Hickam Natalie , Kennedy Charles A , McClure Michelle , Reese Natasha , Rhea Charles , Stephens Dana M , Stephens Michelle , Areno John P , Lacassagne Michael , Washington Erica J , Wooley Jamie , Yoo Kathryn , Baruch Nancy G , Paulos Lisa S , Perlmutter Rebecca F , Rubin Jamie H , Russo Kelly S , Saleeb Paul G , Bachman Brianne , Betke Candice E , Brennan Brenda M , Campau Rebecca , Carden Sarah , Chevalier Thomas , Collins James , Cooper Tammy , Cordell Jennifer M , Coyle Joseph R , Davidson Peter , Fletcher Susan , Flood Michelle , Frizzo Wendy , Gorman Karen , Han Jacqueline , Kissner Dana G , LaPointe Deedra , Mach Niki , Madigan Jennifer A , McGuire Nicole M , Mercatante Annette , Rogers Jane E , Sementkowski Jonah P , Sharma Mamta , Smith Shona R , Sunstrum James C , Thompson Betty , Thompson Elizabeth , Wisner Denise , Gordon Sarah , Rock R Bryan , Wilson John W , Lardizabal Alfred A , Burgos Marcos , Denison Brenda Montoya , Cleve Bill , Conley Savannah , Cook Paul , Cope Rachael , Cutler Leigh C , Dalzell William A B , Farmer Darlene , Fawcett Susan E , Hill Lynn , Ingram Daniela K , Kornegay Rose R , Owens Sharon , Ramsey Keith M , Richo Brittany , Stout Jason E , Wheeler Jennifer B , Biery Kim , Burdette Steven D , Byall Holly J , Colon Roberto , Davis Chasidy , Dumford Donald M , Easton Christa , Flossie Rachel , Hoisington Emily , Justice April , Mitchell Sarah , Mohr Marika C , Onder Erin , Orskey Dave , Reilly Belinda , Stokes Sara , Toy Julia , Trentman Gary , Walter Martha , Ariail Kiley , Behm Heidi , Pierce Rebecca , Rounds Kristin , Stahl Kipp , Armitige Lisa Y , Blasingame Shawna , Mathis Juanita M , Ndibe Patrick O , Offiong Charlene , Stancil Richard , Tweardy David J , Day Taniqua , Hearn Jasie L , Lineberger Sarah F , Murray Scarlett , Peninger Michelle , Poore Tina , Schultz Kelley , Simpson Carolyn , Young Laura R , Czapla Monica L , D'Angeli Marisa , Kroll Catherine , Pecha Monica , Podczervinski Sara , Lehman Kimberly A , Schwebs David J , Thacker Tyler C , Brubaker Scott A , Clark Brychan , Allen Leeanna E , Althomsons Sandy P , Annambhotla Pallavi , Morris Sapna Bamrah , Basavaraju Sridhar V , Benowitz Isaac , Bradley Bruce , Cowan Lauren S , Cropper Tracina , Deutsch-Feldman Molly , Filardo Thomas D , Free Rebecca J , Glowicz Janet Burton , Haddad Maryam B , Hernandez-Romieu Alfonso C , Herring Bonnie , Langer Adam J , Li Ruoran , LoBue Philip , Martinez Angelica , McDaniel Clinton J , McDaniel Kalandra , Pratt Robert H , Railey Shanica , Raz Kala M , Schwartz Noah G , Starks Angela M , Stewart Rebekah J , Talarico Sarah , Wilson W Wyatt 
Published: January 2023

A nationwide tuberculosis outbreak linked to a viable bone allograft product contaminated with Mycobacterium tuberculosis was identified in June 2021. Our subsequent investigation identified 73 healthcare personnel with new latent tuberculosis infection following exposure to the contaminated product, product recipients, surgical instruments, or medical waste.