1/105. Mayaro virus disease: an emerging mosquito-borne zoonosis in tropical south america.This report describes the clinical, laboratory, and epidemiological findings on 27 cases of Mayaro virus (MV) disease, an emerging mosquito-borne viral illness that is endemic in rural areas of tropical south america. MV disease is a nonfatal, dengue-like illness characterized by fever, chills, headache, eye pain, generalized myalgia, arthralgia, diarrhea, vomiting, and rash of 3-5 days' duration. Severe joint pain is a prominent feature of this illness; the arthralgia sometimes persists for months and can be quite incapacitating. Cases of two visitors from the united states, who developed MV disease during visits to eastern peru, are reported. MV disease and dengue are difficult to differentiate clinically.- - - - - - - - - - ranking = 1keywords = illness, ill (Clic here for more details about this article) |
2/105. mycobacterium marinum infection from a tropical fish tank. Treatment with trimethoprim and sulphamethoxazole.A paronychial granuloma on the left thumb, in a man who kept tanks of tropical fish, was followed by cutaneous nodules on the left upper limb and tender lymph nodes in the left axilla. mycobacterium marinum was isolated from the lesion on the thumb and also from the tank water. Subsidence of the lesions followed administration of trimethoprim and sulphamethoxazole.- - - - - - - - - - ranking = 0.078463405526512keywords = ill (Clic here for more details about this article) |
3/105. Reptile-associated salmonellosis--selected states, 1996-1998.During 1996-1998, CDC received reports from approximately 16 state health departments of salmonella infections in persons who had direct or indirect contact with reptiles (i.e., lizards, snakes, or turtles). Salmonella infection can result in invasive illness including sepsis and meningitis, particularly in infants. Despite educational efforts, some reptile owners remain unaware that reptiles place them and their children at risk for salmonellosis. This report summarizes clinical and epidemiologic information in four cases and provides information about state regulations to prevent transmission of Salmonella spp. from reptiles to humans.- - - - - - - - - - ranking = 3.4582988920434keywords = person, illness, ill (Clic here for more details about this article) |
4/105. Molecular identification and epidemiological tracing of pasteurella multocida meningitis in a baby.We report a case of pasteurella multocida meningitis in a 1-month-old baby exposed to close contact with two dogs and a cat but without any known history of injury by these animals. 16S rRNA gene sequencing of the isolate from the baby allowed identification at the subspecies level and pointed to the cat as a possible source of infection. molecular typing of Pasteurella isolates from the animals, from the baby, and from unrelated animals clearly confirmed that the cat harbored the same P. multocida subsp. septica strain on its tonsils as the one isolated from the cerebrospinal fluid of the baby. This case stresses the necessity of informing susceptible hosts at risk of contracting zoonotic agents about some basic hygiene rules when keeping pets. In addition, this study illustrates the usefulness of molecular methods for identification and epidemiological tracing of Pasteurella isolates.- - - - - - - - - - ranking = 0.078463405526512keywords = ill (Clic here for more details about this article) |
5/105. lymphocytic choriomeningitis virus: reemerging central nervous system pathogen.lymphocytic choriomeningitis virus (LCMV), a human zoonosis caused by a rodent-borne arenavirus, has been associated with both postnatal and intrauterine human disease. Infection in man is acquired after inhalation, ingestion, or direct contact with virus found in the urine, feces, and saliva of infected mice, hamsters, and guinea pigs. Congenital LCMV infection is a significant, often unrecognized cause of chorioretinitis, hydrocephalus, microcephaly or macrocephaly, and mental retardation. Acquired LCMV infection, asymptomatic in approximately one third of individuals, is productive of central nervous system manifestations in one half of the remaining cases. Aseptic meningitis or meningoencephalitis are the predominant syndromes, although transverse myelitis, a Guillain-Barre-type syndrome, as well as transient and permanent acquired hydrocephalus have also been reported. Fatalities are rare. We report a patient with meningoencephalitis attributable to LCMV and discuss the spectrum of central nervous system disease, newer diagnostic modalities, and preventive strategies. lymphocytic choriomeningitis virus, aseptic meningitis, meningoencephalitis, zoonosis, hydrocephalus, arenavirus.- - - - - - - - - - ranking = 0.078463405526512keywords = ill (Clic here for more details about this article) |
6/105. Bacillary angiomatosis on a region of burned skin in a immunocompetent patient.Bacillary angiomatosis usually develops in immunodeficient patients with a history of contact with cats. We report a 21-year-old immunocompetent woman with facial angiomatous lesions following a second-degree burn and without a history of direct contact with cats. The diagnosis of bacillary angiomatosis was based on the demonstration of bacilli in histological sections stained by the Warthin-Starry method. The lesions resolved 2 months after treatment with oral erythromycin for 8 weeks. This case emphasizes that bacillary angiomatosis may be seen in immunocompetent individuals and may be transmitted in other ways than cat scratches, e.g. by arthropods.- - - - - - - - - - ranking = 0.6277072442121keywords = ill (Clic here for more details about this article) |
7/105. erysipelas-like cellulitis with pasteurella multocida bacteremia after a cat bite.A 73-year-old female patient presented with pasteurella multocida erysipelas-like cellulitis, bacteremia, and shock. The onset of the disease occurred 24 h after a cat bit her to the right lower leg. Initially, the picture of bacteremia and shock developed, with minimal local cellulitis. pasteurella multocida grew in blood culture. A combination of amoxicillin and clavulanic acid was therapeutically successful in respect that the signs of bacteremia and shock disappeared. However, extensive erysipelas-like cellulitis developed on the bitten leg within the next 2 days. The disease was efficiently treated with penicillin g combined with netilmicin and administered for 10 days. This report documents the first case of pasteurella multocida erysipelas-like cellulitis with bacteremia and shock.- - - - - - - - - - ranking = 0.15692681105302keywords = ill (Clic here for more details about this article) |
8/105. brucellosis in laboratory workers at a Saudi Arabian hospital.BACKGROUND: saudi arabia is hyperendemic for brucellosis, with more than 8000 cases reported each year to public health authorities. During 1998, brucellosis ranked as the No. 1 reportable communicable disease (22.5%) in Saudi Arabian National Guard communities. King Fahad Hospital is the major referral center for National Guard personnel in the nation's central region.methods And Results: From 1991 to 2000, brucellosis developed in 7 expatriate hospital employees. Six employees were bacteriology technologists, and one was a pathologist. Each had a clinical syndrome compatible with brucellosis (headache, fever, rigors, sweats, and myalgias) plus elevated brucella sp serum agglutinin titers > or = 1:1280; one patient also had positive blood cultures. All patients responded to anti-brucella therapy. Two patients had relapses, and complications occurred in four patients (septic endophlebitis of the leg, infected prosthesis, epididymoorchitis, and lumbar spondylitis). In all these employees except the pathologist, the infection was associated with processing brucella sp cultures. CONCLUSION: Despite the enforcement of stringent infection control measures including the use of a class II biosafety hood in the laboratory, the problem of nosocomial brucellosis persists because of the large number of infected specimens handled by the laboratory (17,500 specimens per year). Ultimately, risk reduction depends on efforts to reduce disease endemicity in the country. In the meantime, conversion of the laboratory to biosafety level 3 is under way.- - - - - - - - - - ranking = 3.1511200272189keywords = person (Clic here for more details about this article) |
9/105. Nosocomial salmonellosis: implications for microbiologic processing of stools in hospitalized patients.Many microbiology laboratories are rationalizing their services and are not culturing stool for bacterial and parasitic pathogens from patients hospitalized for more than 3 days. We report a sporadic case of nosocomial salmonellosis that highlights the need for ongoing communication among clinicians, infection control personnel, and laboratories to allow for modification of such a routine laboratory protocol should epidemiologic evidence warrant.- - - - - - - - - - ranking = 3.1511200272189keywords = person (Clic here for more details about this article) |
10/105. streptococcus suis meningitis, a poacher's risk.streptococcus suis infection is a zoonosis that has been mainly reported in pig-rearing and pork-consuming countries. The most common disease manifestation is meningitis, often associated with cochleovestibular signs. The causative agent is streptococcus suis serotype 2, found as a commensal in the tonsils of its natural host, the pig. persons at risk are mostly those with an occupational exposure to domestic pigs or their meat products. A case of meningitis caused by streptococcus suis in a poacher who had killed and butchered a wild boar is reported. It appears that wild boar hunters are at additional risk of contracting the disease.- - - - - - - - - - ranking = 0.078463405526512keywords = ill (Clic here for more details about this article) |
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