No evidence of circulating VDPV was found the 3 isolated VDPVs were classified as ambiguous VDPVs by the international team of experts. No additional VDPV was isolated from wastewater. No AFP cases were detected in the community search institutional retrospective searches found 37% of unreported AFP cases in 2018‒2020. During the campaign, 93% of children 6 months <7 years of age received a polio-containing vaccine dose. This response was reviewed by an international expert team in July 2021. The Ministry of Health (MoH) response included event investigation through institutional and community retrospective case searches for acute flaccid paralysis (AFP) during 2018–2020 and a bivalent oral polio/measles, mumps, and rubella vaccination campaign in September 2019. Guatemala implemented wastewater-based poliovirus surveillance in 2018, and three genetically unrelated vaccine-derived polioviruses (VDPVs) were detected in 2019. We recommend using combination antimicrobial drug therapy and removal of infected devices to eradicate infection. Delays in identification and susceptibility testing were common. neoaurum was generally susceptible to multiple antimicrobial drugs and responded promptly to treatment, and infections were associated with good outcomes after relatively short therapy duration and device removal. In contrast to other mycobacteria species, M. Overall, infections were not associated with severe illness or death. Most infections occurred in young to middle-aged adults with serious underlying medical conditions and commonly involved medical devices. neoaurum bacteremia in a child with leukemia and those of 36 previously reported episodes of M. We summarize demographic and clinical characteristics of a case of catheter-related M. neoaurum infections are uncommon but likely underreported, and our understanding of the disease spectrum and optimum management is incomplete. Mycolicibacterium neoaurum is a rapidly growing mycobacterium and an emerging cause of human infections.
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