SARS-CoV-2 in Quarantined Domestic Cats from COVID-19 Households or Close Contacts, Hong Kong, China.
Abstract We tested 50 cats from coronavirus disease households or close contacts in Hong Kong, China, for severe acute respiratory syndrome coronavirus 2 RNA in respiratory and fecal samples. We found 6 cases of apparent human-to-feline transmission involving healthy cats. Virus genomes sequenced from 1 cat and its owner were identical. PMID: 32938527 [PubMed - as supplied by publisher] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 16, 2020 Category: Infectious Diseases Authors: Barrs VR, Peiris M, Tam KWS, Law PYT, Brackman CJ, To EMW, Yu VYT, Chu DKW, Perera RAPM, Sit THC Tags: Emerg Infect Dis Source Type: research

Case-Control Study of Use of Personal Protective Measures and Risk for Severe Acute Respiratory Syndrome Coronavirus 2 Infection, Thailand.
Namwat C, Limmathurotsakul D Abstract We evaluated effectiveness of personal protective measures against severe acute respiratory disease coronavirus 2 (SARS-CoV-2) infection. Our case-control study included 211 cases of coronavirus disease (COVID-19) and 839 controls in Thailand. Cases were defined as asymptomatic contacts of COVID-19 patients who later tested positive for SARS-CoV-2; controls were asymptomatic contacts who never tested positive. Wearing masks all the time during contact was independently associated with lower risk for SARS-CoV-2 infection compared with not wearing masks; wearing a mask sometime...
Source: Emerging Infectious Diseases - September 15, 2020 Category: Infectious Diseases Authors: Doung-Ngern P, Suphanchaimat R, Panjangampatthana A, Janekrongtham C, Ruampoom D, Daochaeng N, Eungkanit N, Pisitpayat N, Srisong N, Yasopa O, Plernprom P, Promduangsi P, Kumphon P, Suangtho P, Watakulsin P, Chaiya S, Kripattanapong S, Chantian T, Bloss E Tags: Emerg Infect Dis Source Type: research

Early Insights from Statistical and Mathematical Modeling of Key Epidemiologic Parameters of COVID-19.
We report key epidemiologic parameter estimates for coronavirus disease identified in peer-reviewed publications, preprint articles, and online reports. Range estimates for incubation period were 1.8-6.9 days, serial interval 4.0-7.5 days, and doubling time 2.3-7.4 days. The effective reproductive number varied widely, with reductions attributable to interventions. Case burden and infection fatality ratios increased with patient age. Implementation of combined interventions could reduce cases and delay epidemic peak up to 1 month. These parameters for transmission, disease severity, and intervention effectiveness are criti...
Source: Emerging Infectious Diseases - September 11, 2020 Category: Infectious Diseases Authors: Biggerstaff M, Cowling BJ, Cucunubá ZM, Dinh L, Ferguson NM, Gao H, Hill V, Imai N, Johansson MA, Kada S, Morgan O, Pastore Y Piontti A, Polonsky JA, Prasad PV, Quandelacy TM, Rambaut A, Tappero JW, Vandemaele KA, Vespignani A, Warmbrod KL, Wong JY, WHO Tags: Emerg Infect Dis Source Type: research

COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020.
PMID: 32917291 [PubMed - as supplied by publisher] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 11, 2020 Category: Infectious Diseases Authors: Rule AM Tags: Emerg Infect Dis Source Type: research

COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020.
PMID: 32917292 [PubMed - as supplied by publisher] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 11, 2020 Category: Infectious Diseases Authors: Lu J, Yang Z Tags: Emerg Infect Dis Source Type: research

Worldwide Effects of Coronavirus Disease Pandemic on Tuberculosis Services, January-April 2020.
Denholm J, Enwerem M, Ferrarese M, Galvão T, García-Clemente M, García-García JM, Gualano G, Gullón-Blanco JA, Inwentarz S, Ippolito G, Kunst H, Maryandyshev A, Melazzini M, de Queiroz Mello FC, Muñoz-Torrico M, Njungfiyini PB, Palmero DJ, Palmieri F, Piccioni P, Piubello A, Rendon A, Sabriá J, Saporiti M, Scognamiglio P, Sharma S, Silva DR, Souleymane MB, Spanevello A, Tabernero E, Tadolini M, Tchangou ME, Thornton ABY, Tiberi S, Udwadia ZF, Sotgiu G, Ong CWM, Goletti D Abstract Coronavirus disease has disrupted tuberculosis services globally. Data from 33 centers ...
Source: Emerging Infectious Diseases - September 11, 2020 Category: Infectious Diseases Authors: Migliori GB, Thong PM, Akkerman O, Alffenaar JW, Álvarez-Navascués F, Assao-Neino MM, Bernard PV, Biala JS, Blanc FX, Bogorodskaya EM, Borisov S, Buonsenso D, Calnan M, Castellotti PF, Centis R, Chakaya JM, Cho JG, Codecasa LR, D'Ambrosio L, Denholm J, Tags: Emerg Infect Dis Source Type: research

Saliva Alternative to Upper Respiratory Swabs for SARS-CoV-2 Diagnosis.
Abstract PCR of upper respiratory specimens is the diagnostic standard for severe acute respiratory syndrome coronavirus 2 infection. However, saliva sampling is an easy alternative to nasal and throat swabbing. We found similar viral loads in saliva samples and in nasal and throat swab samples from 110 patients with coronavirus disease. PMID: 32917294 [PubMed - as supplied by publisher] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 11, 2020 Category: Infectious Diseases Authors: Byrne RL, Kay GA, Kontogianni K, Aljayyoussi G, Brown L, Collins AM, Cuevas LE, Ferreira DM, Fraser AJ, Garrod G, Hill H, Hughes GL, Menzies S, Mitsi E, Owen SI, Patterson EI, Williams CT, Hyder-Wright A, Adams ER, Cubas-Atienzar AI Tags: Emerg Infect Dis Source Type: research

Meningoencephalitis, coronary artery and keratitis as an onset of brucellosis: a case report.
CONCLUSION: Brucellosis can invade nervous system, coronary artery, and cornea. Brucellosis lacks specific signs for clinical diagnosis. The traditional agglutination test and the new mNGS are convenient and effective, which can provide the reference for clinical diagnosis. PMID: 32894070 [PubMed - as supplied by publisher] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 7, 2020 Category: Infectious Diseases Authors: Geng L, Feng Y, Li D, Nan N, Ma K, Tang X, Li X Tags: BMC Infect Dis Source Type: research

Large Outbreak of Coronavirus Disease among Wedding Attendees, Jordan.
Abstract In March 2020, a wedding in Jordan led to a large outbreak of coronavirus disease (COVID-19). We collected data on 350 wedding attendees, 76 who of whom developed COVID-19. Our study shows high communicability of COVID-19 and the enormous risk for severe acute respiratory syndrome 2 virus transmission during mass gatherings. PMID: 32433907 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Yusef D, Hayajneh W, Awad S, Momany S, Khassawneh B, Samrah S, Obeidat B, Raffee L, Al-Faouri I, Issa AB, Al Zamel H, Bataineh E, Qdaisat R Tags: Emerg Infect Dis Source Type: research

Pathology and Pathogenesis of SARS-CoV-2 Associated with Fatal Coronavirus Disease, United States.
We report clinicopathologic, immunohistochemical, and electron microscopic findings in tissues from 8 fatal laboratory-confirmed cases of SARS-CoV-2 infection in the United States. All cases except 1 were in residents of long-term care facilities. In these patients, SARS-CoV-2 infected epithelium of the upper and lower airways with diffuse alveolar damage as the predominant pulmonary pathology. SARS-CoV-2 was detectable by immunohistochemistry and electron microscopy in conducting airways, pneumocytes, alveolar macrophages, and a hilar lymph node but was not identified in other extrapulmonary tissues. Respiratory viral co-...
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Martines RB, Ritter JM, Matkovic E, Gary J, Bollweg BC, Bullock H, Goldsmith CS, Silva-Flannery L, Seixas JN, Reagan-Steiner S, Uyeki T, Denison A, Bhatnagar J, Shieh WJ, Zaki SR, COVID-19 Pathology Working Group Tags: Emerg Infect Dis Source Type: research

Clostridioides difficile in COVID-19 Patients, Detroit, Michigan, USA, March-April 2020.
We describe 9 patients at a medical center in Detroit, Michigan, USA, with severe acute respiratory syndrome coronavirus 2 and Clostridioides difficile. Both infections can manifest as digestive symptoms and merit screening when assessing patients with diarrhea during the coronavirus disease pandemic. These co-infections also highlight the continued importance of antimicrobial stewardship. PMID: 32441243 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Sandhu A, Tillotson G, Polistico J, Salimnia H, Cranis M, Moshos J, Cullen L, Jabbo L, Diebel L, Chopra T Tags: Emerg Infect Dis Source Type: research

Acute Cerebral Stroke with Multiple Infarctions and COVID-19, France, 2020.
We describe 2 cases in coronavirus disease patients in France involving presumed thrombotic stroke that occurred during ongoing anticoagulation treatment for atrial fibrillation stroke prophylaxis; 1 patient had positive antiphospholipid antibodies. These cases highlight the severe and unique consequences of coronavirus disease-associated stroke. PMID: 32453685 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Zayet S, Klopfenstein T, Kovẚcs R, Stancescu S, Hagenkötter B Tags: Emerg Infect Dis Source Type: research

Evaluation of World Health Organization-Recommended Hand Hygiene Formulations.
Abstract As a result of the coronavirus disease pandemic, commercial hand hygiene products have become scarce and World Health Organization (WHO) alcohol-based hand rub formulations containing ethanol or isopropanol are being produced for hospitals worldwide. Neither WHO formulation meets European Norm 12791, the basis for approval as a surgical hand preparation, nor satisfies European Norm 1500, the basis for approval as a hygienic hand rub. We evaluated the efficacy of modified formulations with alcohol concentrations in mass instead of volume percentage and glycerol concentrations of 0.5% instead of 1.45%. Both...
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Suchomel M, Eggers M, Maier S, Kramer A, Dancer SJ, Pittet D Tags: Emerg Infect Dis Source Type: research

SARS-CoV-2 RNA Detection on Disposable Wooden Chopsticks, Hong Kong.
Abstract We detected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA on disposable wooden chopsticks used by 5 consecutive asymptomatic and postsymptomatic patients admitted for isolation and care at our hospital. Although we did not assess virus viability, our findings may suggest potential for transmission through shared eating utensils. PMID: 32491982 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Lui G, Lai CKC, Chen Z, Tong SLY, Ho WCS, Yeung ACM, Boon SS, Ng RWY, Chan PKS Tags: Emerg Infect Dis Source Type: research

Parotitis-Like Symptoms Associated with COVID-19, France, March-April 2020.
We report the clinical features of 3 patients in France who had parotitis (inflammation of the parotid salivary glands) as a clinical manifestation of confirmed coronavirus disease. Results from magnetic resonance imaging support the occurrence of intraparotid lymphadenitis, leading to a parotitis-like clinical picture. PMID: 32491984 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Lechien JR, Chetrit A, Chekkoury-Idrissi Y, Distinguin L, Circiu M, Saussez S, Berradja N, Edjlali M, Hans S, Carlier R Tags: Emerg Infect Dis Source Type: research

Effects of Proactive Social Distancing on COVID-19 Outbreaks in 58 Cities, China.
Abstract Cities across China implemented stringent social distancing measures in early 2020 to curb coronavirus disease outbreaks. We estimated the speed with which these measures contained transmission in cities. A 1-day delay in implementing social distancing resulted in a containment delay of 2.41 (95% CI 0.97-3.86) days. PMID: 32516108 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Du Z, Xu X, Wang L, Fox SJ, Cowling BJ, Galvani AP, Meyers LA Tags: Emerg Infect Dis Source Type: research

Seroepidemiologic Study Designs for Determining SARS-COV-2 Transmission and Immunity.
Abstract Serologic studies are crucial for clarifying dynamics of the coronavirus disease pandemic. Past work on serologic studies (e.g., during influenza pandemics) has made relevant contributions, but specific conditions of the current situation require adaptation. Although detection of antibodies to measure exposure, immunity, or both seems straightforward conceptually, numerous challenges exist in terms of sample collection, what the presence of antibodies actually means, and appropriate analysis and interpretation to account for test accuracy and sampling biases. Successful deployment of serologic studies dep...
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Clapham H, Hay J, Routledge I, Takahashi S, Choisy M, Cummings D, Grenfell B, Metcalf CJE, Mina M, Barraquer IR, Salje H, Tam CC Tags: Emerg Infect Dis Source Type: research

Asymptomatic SARS-CoV-2 Infection in Nursing Homes, Barcelona, Spain, April 2020.
ola T, Campins M, Almirante B Abstract During the coronavirus disease pandemic in Spain, from April 10-24, 2020, a total of 5,869 persons were screened for severe acute respiratory syndrome coronavirus 2 at nursing homes. Among residents, 768 (23.9%) tested positive; among staff, 403 (15.2%). Of those testing positive, 69.7% of residents and 55.8% of staff were asymptomatic. PMID: 32574139 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Borras-Bermejo B, Martínez-Gómez X, San Miguel MG, Esperalba J, Antón A, Martin E, Selvi M, Abadías MJ, Román A, Pumarola T, Campins M, Almirante B Tags: Emerg Infect Dis Source Type: research

Methemoglobinemia in Patient with G6PD Deficiency and SARS-CoV-2 Infection.
We report a case of intravascular hemolysis and methemoglobinemia, precipitated by severe acute respiratory syndrome coronavirus 2 infection, in a patient with undiagnosed glucose-6-phosphate dehydrogenase deficiency. Clinicians should be aware of this complication of coronavirus disease as a cause of error in pulse oximetry and a potential risk for drug-induced hemolysis. PMID: 32579876 [PubMed - indexed for MEDLINE] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Palmer K, Dick J, French W, Floro L, Ford M Tags: Emerg Infect Dis Source Type: research

Severe Acute Respiratory Syndrome Coronavirus 2 Prevalence, Seroprevalence, and Exposure among Evacuees from Wuhan, China, 2020.
Kamili S, Sakthivel SK, Wang L, Malapati L, Murray JR, Lynch B, Cetron M, Brown C, Roohi S, Rotz L, Borntrager D, Ishii K, Moser K, Rasheed M, Freeman B, Lester S, Corbett KS, Abiona OM, Hutchinson GB, Graham BS, Pesik N, Mahon B, Braden C, Behravesh CB, Stewart R, Knight N, Hall AJ, Killerby ME Abstract To determine prevalence of, seroprevalence of, and potential exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) among a cohort of evacuees returning to the United States from Wuhan, China, in January 2020, we conducted a cross-sectional study of quarantined evacuees from 1 repatriation flight...
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Hallowell BD, Carlson CM, Jacobs JR, Pomeroy M, Steinberg J, Tenforde MW, McDonald E, Foster L, Feldstein LR, Rolfes MA, Haynes A, Abedi GR, Odongo GS, Saruwatari K, Rider EC, Douville G, Bhakta N, Maniatis P, Lindstrom S, Thornburg NJ, Lu X, Whitaker BL, Tags: Emerg Infect Dis Source Type: research

Retrospective Description of Pregnant Women Infected with Severe Acute Respiratory Syndrome Coronavirus 2, France.
Abstract Fix data are available on the management of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). We conducted a retrospective study of 100 pregnant women with SARS-CoV-2 infection in 4 obstetric units in the Paris metropolitan area of France during March 12-April 13, 2020. Among patients, 52 (52%) were hospitalized, 10 (10%) in intensive care units (ICUs). Women with higher body mass indexes (BMIs; median 30.7 kg/m2) were more likely to be hospitalized in ICUs than other women (median BMI 26.2 kg/m2). Women hospitalized in ICUs had lower lymphocyte count at diagnosis ...
Source: Emerging Infectious Diseases - September 1, 2020 Category: Infectious Diseases Authors: Vivanti AJ, Mattern J, Vauloup-Fellous C, Jani J, Rigonnot L, El Hachem L, Le Gouez A, Desconclois C, Ben M'Barek I, Sibiude J, Benachi A, Picone O, Cordier AG Tags: Emerg Infect Dis Source Type: research

Fatal Measles Inclusion-Body Encephalitis in Adult with Untreated AIDS, France.
We report a fatal case of measles inclusion-body encephalitis occurring in a woman from Romania with AIDS. After an extensive but unsuccessful diagnostic evaluation, a pan-pathogen shotgun metagenomic approach revealed a measles virus infection. We identified no mutations previously associated with neurovirulence. PMID: 32818389 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Rodriguez C, Gouilh MA, Weiss N, Stroer S, Mokhtari K, Seilhean D, Mathon B, Demontant V, N'Debi M, Gricourt G, Woerther PL, Pawlotsky JM, Stefic K, Marlet J, Dequin PF, Guillon A, Pourcher V, Boutolleau D, Vabret A, Burrel S Tags: Emerg Infect Dis Source Type: research

Enterovirus D68 Subclade B3 in Children with Acute Flaccid Paralysis in West Africa, 2016.
Abstract We tested for enterovirus D68 in fecal samples collected during June-September 2016 from 567 patients with acute flaccid paralysis in 7 West Africa nations. Children
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Fall A, Ndiaye N, Messacar K, Kebe O, Jallow MM, Harouna H, Kiori DE, Sy S, Goudiaby D, Dia M, Niang MN, Ndiaye K, Dia N Tags: Emerg Infect Dis Source Type: research

Saprochaete clavata Outbreak Infecting Cancer Center through Dishwasher.
Abstract Saprochaete clavata is a pathogenic yeast responsible for rare outbreaks involving immunocompromised patients, especially those with hematologic malignancies. During February 2016-December 2017, we diagnosed S. clavata infections in 9 patients (8 with fungemia), including 3 within 1 month, at a cancer center in Marseille, France. The patients (median age 58 years), 4 of 9 of whom had acute myeloid leukemia, were hospitalized in 3 different wards. Ten environmental samples, including from 2 dishwashers and 4 pitchers, grew S. clavata, but no contaminated food was discovered. The outbreak ended after contam...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Menu E, Criscuolo A, Desnos-Ollivier M, Cassagne C, D'Incan E, Furst S, Ranque S, Berger P, Dromer F Tags: Emerg Infect Dis Source Type: research

Costs Associated with Nontuberculous Mycobacteria Infection, Ontario, Canada, 2001-2012.
Abstract To determine incidence-based healthcare costs attributable to nontuberculous mycobacterial (NTM) pulmonary disease (PD) and NTM pulmonary isolation (PI), from the healthcare payer perspective, we conducted a population-based matched cohort study in Ontario, Canada. We established cohorts of patients with incident NTM-PD and NTM-PI during 2001-2012 by using individually linked laboratory data and health administrative data, matched to unexposed persons from the general population. To estimate attributable costs for acute and long-term illness, we used a phase-of-care approach. Costs were stratified by age,...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Ramsay LC, Shing E, Wang J, Marras TK, Kwong JC, Brode SK, Jamieson FB, Sander B Tags: Emerg Infect Dis Source Type: research

Association of Biosecurity and Hygiene Practices with Environmental Contamination with Influenza A Viruses in Live Bird Markets, Bangladesh.
Abstract In Bangladesh, live bird market environments are frequently contaminated with avian influenza viruses. Shop-level biosecurity practices might increase risk for environmental contamination. We sought to determine which shop-level biosecurity practices were associated with environmental contamination. We surveyed 800 poultry shops to describe biosecurity practices and collect environmental samples. Samples from 205 (26%) shops were positive for influenza A viral RNA, 108 (14%) for H9, and 60 (8%) for H5. Shops that slaughtered poultry, kept poultry overnight, remained open without rest days, had uneven mudd...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Chowdhury S, Azziz-Baumgartner E, Kile JC, Hoque MA, Rahman MZ, Hossain ME, Ghosh PK, Ahmed SSU, Kennedy ED, Sturm-Ramirez K, Gurley ES Tags: Emerg Infect Dis Source Type: research

Identification of Streptococcus suis Meningitis by Direct Triplex Real-Time PCR, Burkina Faso.
itney CG, Beall B Abstract Meningitis confirmation in Burkina Faso uses PCR for detecting Streptococcus pneumoniae, Neisseria meningitidis, or Hemophilus influenzae. We identified 38 cases of meningitis among 590 that were PCR-positive for 3 nonpneumococcal streptococcal pathogens, including 21 cases of Streptococcus suis. Among the country's 13 regions, 10 had S. suis-positive cases. PMID: 32818394 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Ouattara M, Tamboura M, Kambire D, Sanou M, Ouattara K, Congo M, Kaboré A, Sanou S, Kabré E, Sharpley S, Tran T, Schwartz S, Ouangraoua S, Ouedraogo AS, Sangaré L, Ouedraogo-Traore R, Whitney CG, Beall B Tags: Emerg Infect Dis Source Type: research

No Change in Risk for Antibiotic-Resistant Salmonellosis from Beef, United States, 2002-2010.
Abstract Restricting antibiotic use in food production animals is a target for reducing antimicrobial drug-resistant infections in humans. We used US surveillance data to estimate the probability of antibiotic-resistant nontyphoidal salmonellosis per meal made with beef during 2002-2010. Applying data for nontyphoidal Salmonella in raised-without-antibiotics cattle, we tested the effect of removing antibiotic use from all beef cattle production. We found an average of 1.2 (95% credible interval 0.6-4.2) antibiotic-resistant nontyphoidal salmonellosis cases per 1 million beef meals made with beef initially contamin...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Costard S, Pouzou JG, Belk KE, Morley PS, Schmidt JW, Wheeler TL, Arthur TM, Zagmutt FJ Tags: Emerg Infect Dis Source Type: research

Polyclonal Burkholderia cepacia Complex Outbreak in Peritoneal Dialysis Patients Caused by Contaminated Aqueous Chlorhexidine.
Abstract Whether Burkholderia cepacia complex should be an objectionable organism in antiseptic solutions with acceptable total bacterial counts is controversial. By using next-generation sequencing, we documented a polyclonal B. cepacia complex outbreak affecting peritoneal dialysis patients in Hong Kong that was caused by contaminated chlorhexidine solutions. Epidemiologic investigations at a manufacturing site identified a semiautomated packaging machine as the probable source of contamination in some of the brands. Use of whole-genome sequencing differentiated the isolates into 3 brand-specific clonal types. C...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Wong SCY, Wong SC, Chen JHK, Poon RWS, Hung DLL, Chiu KHY, So SYC, Leung WS, Chan TM, Yap DYH, Chuang VWM, Yuen KY, Cheng VCC Tags: Emerg Infect Dis Source Type: research

Duration of Carbapenemase-Producing Enterobacteriaceae Carriage in Hospital Patients.
Abstract To determine the duration of carbapenemase-producing Enterobacteriaceae (CPE) carriage, we studied 21 CPE carriers for »1 year. Mean carriage duration was 86 days; probability of decolonization in 1 year was 98.5%, suggesting that CPE-carriers' status can be reviewed yearly. Prolonged carriage was associated with use of antimicrobial drugs. PMID: 32818397 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Mo Y, Hernandez-Koutoucheva A, Musicha P, Bertrand D, Lye D, Ng OT, Fenlon SN, Chen SL, Ling ML, Tang WY, Barkham T, Nagarajan N, Cooper BS, Marimuthu K Tags: Emerg Infect Dis Source Type: research

Detection of H1 Swine Influenza A Virus Antibodies in Human Serum Samples by Age Group1.
We examined 549 serum samples from persons 0-97 years of age collected in Belgium during 2017-2018 for hemagglutination inhibiting and virus neutralizing antibodies against 7 major H1 swine IAV (swIAV) clades and 3 human progenitor IAVs. Seroprevalence (titers>40) rates were>50% for classical swine and European human-like swIAVs,>24% for North American human-like δ1a and Asian avian-like swIAVs, and
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Vandoorn E, Leroux-Roels I, Leroux-Roels G, Parys A, Vincent A, Van Reeth K Tags: Emerg Infect Dis Source Type: research

Chromobacterium haemolyticum Pneumonia Associated with Near-Drowning and River Water, Japan.
We report a severe case of Chromobacterium haemolyticum pneumonia associated with near-drowning and detail the investigation of the pathogen and river water. Our genomic and environmental investigation demonstrated that river water in a temperate region can be a source of C. haemolyticum causing human infections. PMID: 32818399 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Kanamori H, Aoyagi T, Kuroda M, Sekizuka T, Katsumi M, Ishikawa K, Hosaka T, Baba H, Oshima K, Tokuda K, Hasegawa M, Kawazoe Y, Kushimoto S, Kaku M Tags: Emerg Infect Dis Source Type: research

Molecular Description of a Novel Orientia Species Causing Scrub Typhus in Chile.
zel T Abstract Scrub typhus is a potentially fatal rickettsiosis caused by Orientia species intracellular bacteria of the genus Orientia. Although considered to be restricted to the Asia Pacific region, scrub typhus has recently been discovered in southern Chile. We analyzed Orientia gene sequences of 16S rRNA (rrs) and 47-kDa (htrA) from 18 scrub typhus patients from Chile. Sequences were ≥99.7% identical among the samples for both amplified genes. Their diversity was 3.1%-3.5% for rrs and 11.2%-11.8% for htrA compared with O. tsusugamushi and 3.0% for rrs and 14.8% for htrA compared with Candidatus Orientia c...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Abarca K, Martínez-Valdebenito C, Angulo J, Jiang J, Farris CM, Richards AL, Acosta-Jamett G, Weitzel T Tags: Emerg Infect Dis Source Type: research

Human Borrelia miyamotoi Infection, Austria.
We report a human case of Borrelia miyamotoi infection diagnosed in Austria. Spirochetes were detected in Giemsa-stained blood smears. The presence of B. miyamotoi in the patient's blood was confirmed by PCR, and phylogenetic analysis identified an infection with a strain from Europe. PMID: 32818401 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Tobudic S, Burgmann H, Stanek G, Winkler S, Schötta AM, Obermüller M, Markowicz M, Lagler H Tags: Emerg Infect Dis Source Type: research

Heterogeneity of Dengue Illness in Community-Based Prospective Study, Iquitos, Peru.
Abstract Measuring heterogeneity of dengue illness is necessary to define suitable endpoints in dengue vaccine and therapeutic trials and will help clarify behavioral responses to illness. To quantify heterogeneity in dengue illness, including milder cases, we developed the Dengue Illness Perceptions Response (IPR) survey, which captured detailed symptom data, including intensity, duration, and character, and change in routine activities caused by illness. During 2016-2019, we collected IPR data daily during the acute phase of illness for 79 persons with a positive reverse transcription PCR result for dengue virus...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Elson WH, Reiner RC, Siles C, Bazan I, Vilcarromero S, Riley-Powell AR, Kawiecki AB, Astete H, Hontz RD, Barker CM, Vazquez-Prokopec GM, Morrison AC, Scott TW, Elder JP, Rothman AL, Paz-Soldan VA Tags: Emerg Infect Dis Source Type: research

Incidence and Seroprevalence of Avian Influenza in a Cohort of Backyard Poultry Growers, Egypt, August 2015-March 2019.
Abstract Currently enzootic avian influenza H5N1, H9N2, and H5N8 viruses were introduced into poultry in Egypt in 2006, 2011, and 2016, respectively. Infections with H5N1 and H9N2 were reported among poultry-exposed humans. We followed 2,402 persons from households raising backyard poultry from 5 villages in Egypt during August 2015-March 2019. We collected demographic, exposure, and health condition data and annual serum samples from each participant and obtained swab samples from participants reporting influenza-like illness symptoms. We performed serologic and molecular analyses and detected 4 cases of infectio...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Gomaa MR, El Rifay AS, Abu Zeid D, Elabd MA, Elabd E, Kandeil A, Shama NMA, Kamel MN, Marouf MA, Barakat A, Refaey S, Naguib A, McKenzie PP, Webby RJ, Ali MA, Kayali G Tags: Emerg Infect Dis Source Type: research

Role of Wildlife in Emergence of Ebola Virus in Kaigbono (Likati), Democratic Republic of the Congo, 2017.
nde C, Sepolo GM, Moudindo J, Ngole EM, Musaba P, Mutombo P, Bass IN, Nebesse C, Ngoy S, Kumogo SN, Seifert SN, Tanzito J, Akaibe D, Amundala N, Ariën KK, Gembu GC, Leendertz FH, Leirs H, Mukinzi JC, Munster V, Muyembe-Tamfum JJ, Peeters M, Verheyen E, Ahuka-Mundeke S Abstract After the 2017 Ebola virus (EBOV) outbreak in Likati, a district in northern Democratic Republic of the Congo, we sampled small mammals from the location where the primary case-patient presumably acquired the infection. None tested positive for EBOV RNA or antibodies against EBOV, highlighting the ongoing challenge in detecting animal r...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Gryseels S, Mbala-Kingebeni P, Akonda I, Angoyo R, Ayouba A, Baelo P, Mukadi DB, Bugentho E, Bushmaker T, Butel C, Calvignac-Spencer S, Delaporte E, De Smet B, Düx A, Edidi-Atani F, Fischer R, Kahandi C, Kapetshi J, Sumba SK, Kouadio L, Bendeke AM, Mande Tags: Emerg Infect Dis Source Type: research

Anicteric Leptospirosis-Associated Meningitis in a Tropical Urban Environment, Brazil.
Ribeiro GS Abstract While studying aseptic meningitis in Salvador, Brazil, we diagnosed anicteric leptospirosis in 1.7% (5/295) of patients hospitalized for aseptic meningitis. Leptospirosis-associated meningitis patients had lower mean cerebrospinal fluid cell counts and protein than other-cause aseptic meningitis (p
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Nabity SA, Araújo GC, Hagan JE, Damião AO, Reis MG, Ko AI, Ribeiro GS Tags: Emerg Infect Dis Source Type: research

Assessing 3 Outbreak Detection Algorithms in an Electronic Syndromic Surveillance System in a Resource-Limited Setting.
Abstract We evaluated the performance of X-bar chart, exponentially weighted moving average, and C3 cumulative sums aberration detection algorithms for acute diarrheal disease syndromic surveillance at naval sites in Peru during 2007-2011. The 3 algorithms' detection sensitivity was 100%, specificity was 97%-99%, and positive predictive value was 27%-46%. PMID: 32818406 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Alsentzer E, Ballard SB, Neyra J, Vera DM, Osorio VB, Quispe J, Blazes DL, Loayza L Tags: Emerg Infect Dis Source Type: research

Toxigenic Corynebacterium diphtheriae-Associated Genital Ulceration.
Abstract In October 2016, an adolescent boy sought care for acute genital ulceration in Cologne, Germany. We presumed a sexually transmitted infection, but initial diagnostic procedures yielded negative results. He was hospitalized because swab samples from the lesion grew toxigenic Corynebacterium diphtheriae, leading to the diagnosis of possibly sexually transmitted cutaneous diphtheria. PMID: 32818407 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Fuchs F, Markert D, Wagner IV, Liebau MC, Berger A, Dangel A, Sing A, Fabri M, Plum G Tags: Emerg Infect Dis Source Type: research

Hepatitis E Virus Genotype 7 RNA and Antibody Kinetics in Naturally Infected Dromedary Calves, United Arab Emirates.
Abstract Orthohepevirus A genotype 7 is a novel zoonotic variant of hepatitis E virus. To clarify infection in the animal reservoir, we virologically monitored 11 dromedary dam-calf pairs. All calves became infected during the first 6 months of life and cleared the virus after an average of 2 months. Dams did not become infected. PMID: 32818408 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Corman VM, Nagy P, Ostermann S, Arloth J, Liljander A, Barua R, Das Gupta A, Hakimuddin F, Juhasz J, Wernery U, Drosten C Tags: Emerg Infect Dis Source Type: research

Web-Based Interactive Tool to Identify Facilities at Risk of Receiving Patients with Multidrug-Resistant Organisms.
Abstract To identify facilities at risk of receiving patients colonized or infected with multidrug-resistant organisms (MDROs), we developed an interactive web-based interface for visualization of patient-sharing networks among healthcare facilities in Tennessee, USA. Using hospital discharge data and the Centers for Medicare and Medicaid Services' claims and Minimum Data Set, we constructed networks among hospitals and skilled nursing facilities. Networks included direct and indirect transfers, which accounted for
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Octaria R, Chan A, Wolford H, Devasia R, Moon TD, Zhu Y, Slayton RB, Kainer MA Tags: Emerg Infect Dis Source Type: research

Risk-Based Estimate of Human Fungal Disease Burden, China.
Abstract We conducted a systematic literature review to obtain risk population-based fungal disease incidence or prevalence data from China. Data were categorized by risk factors and extrapolated by using most recent demographic figures. A total of 71,316,101 cases (5.0% of the population) were attributed to 12 risk factors and 17 fungal diseases. Excluding recurrent Candida vaginitis (4,057/100,000 women) and onychomycosis (2,600/100,000 persons), aspergillosis (317/100,000 persons) was the most common problem; prevalence exceeded that in most other countries. Cryptococcal meningitis, an opportunistic infection, ...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Zhou LH, Jiang YK, Li RY, Huang LP, Yip CW, Denning DW, Zhu LP Tags: Emerg Infect Dis Source Type: research

Disparate Effects of Invasive Group A Streptococcus on Native Americans.
Abstract Active surveillance of invasive group A Streptococcus (iGAS) disease indicates that its incidence in the US general population is low, but limited studies show rates for American Indians and Alaska Natives (AI/AN) are severalfold higher. Major disparities in rates of iGAS exist between Indigenous and non-Indigenous populations of Australia, New Zealand, and Canada, but much less is understood about iGAS among AI/AN in the United States. Although complex host-pathogen interactions influence the rates of iGAS, including strain variation and virulence, the number and type of concurrent conditions, and socioe...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Close RM, McAuley JB Tags: Emerg Infect Dis Source Type: research

Lyme Borreliosis with Scalp Eschar Mimicking Rickettsial Infection, Austria.
We report on a patient in Austria with scalp eschar and neck lymphadenopathy. Rickettsial etiology was excluded by culture, PCR, and serologic tests. Borrelia afzelii was identified from the eschar swab by PCR. Lyme borreliosis can mimic rickettsiosis; appropriate tests should be included in the diagnostic workup of patients with eschars. PMID: 32818412 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Markowicz M, Schötta AM, Wijnveld M, Stanek G Tags: Emerg Infect Dis Source Type: research

Carbapenemase-Producing Gram-Negative Bacteria in Andalusia, Spain, 2014-2018.
, Machuca J, Pascual Á Abstract The emergence and spread of carbapenemase-producing gram-negative bacteria is a major public health concern. We used data collected from microbiology laboratories as part of the PIRASOA program during 2014-2018 to study the epidemiology of carbapenemase-producing bacteria in Andalusia, Spain. Our findings highlight the importance of ongoing surveillance and epidemiologic studies for these bacteria. PMID: 32818413 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: López-Hernández I, Delgado-Valverde M, Fernández-Cuenca F, López-Cerero L, Machuca J, Pascual Á Tags: Emerg Infect Dis Source Type: research

Severe Fever with Thrombocytopenia Syndrome Virus in Ticks and SFTS Incidence in Humans, South Korea.
Abstract During 2016-2018, we collected 3,193 ticks from rural areas in South Korea to investigate the prevalence of severe fever with thrombocytopenia syndrome virus (SFTSV). We detected SFTSV in ticks at an infection rate (IR) of 11.1%. We noted increases in the human IR associated with the monthly SFTSV IR in ticks. PMID: 32818414 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Yoo JR, Heo ST, Song SW, Bae SG, Lee S, Choi S, Lee C, Jeong S, Kim M, Sa W, Lee Y, Choi H, Kee SH, Lee KH Tags: Emerg Infect Dis Source Type: research

Q Fever Osteoarticular Infection in Children.
We report 3 cases of Q fever osteomyelitis in children and review all cases reported in the literature through March 2018. A high index of suspicion is encouraged in cases of an unusual manifestation, prolonged course, relapsing symptoms, nonresolving or slowly resolving osteomyelitis, culture-negative osteomyelitis, or bone histopathology demonstrating granulomatous changes. Urban residence or lack of direct exposure to animals does not rule out infection. Diagnosis usually requires use of newer diagnostic modalities. Optimal antimicrobial therapy has not been well established; some case-patients may improve spontaneously...
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Dabaja-Younis H, Meir M, Ilivizki A, Militianu D, Eidelman M, Kassis I, Shachor-Meyouhas Y Tags: Emerg Infect Dis Source Type: research

Japanese Encephalitis Virus as Cause of Acute Encephalitis, Bhutan.
Abstract In 2011, Bhutan's Royal Centre for Disease Control began Japanese encephalitis (JE) surveillance at 5 sentinel hospitals throughout Bhutan. During 2011-2018, a total of 20 JE cases were detected, indicating JE virus causes encephalitis in Bhutan. Maintaining JE surveillance will help improve understanding of JE epidemiology in this country. PMID: 32818416 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Wangchuk S, Tamang TD, Darnal JB, Pelden S, Lhazeen K, Mynak ML, Letson GW, Khare S, Leader BT, Marfin AA, Hills SL Tags: Emerg Infect Dis Source Type: research

Leuconostoc lactis and Staphylococcus nepalensis Bacteremia, Japan.
We report an instructive case of L. lactis and S. nepalensis bacteremia in a 71-year-old man who experienced Boerhaave syndrome after a meal. PMID: 32818417 [PubMed - in process] (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - August 22, 2020 Category: Infectious Diseases Authors: Hosoya S, Kutsuna S, Shiojiri D, Tamura S, Isaka E, Wakimoto Y, Nomoto H, Ohmagari N Tags: Emerg Infect Dis Source Type: research