Delayed Diagnosis of Locally Acquired Lyme Disease, Central North Carolina, USA
Emerg Infect Dis. 2024 Mar;30(3):564-567. doi: 10.3201/eid3003.231302.ABSTRACTHealthcare providers in North Carolina, USA, have limited experience diagnosing and managing Lyme disease because few cases occur annually statewide. We outline the prolonged diagnostic course for a patient with locally acquired Lyme disease in North Carolina. This case highlights the need for greater awareness and professional education.PMID:38407256 | DOI:10.3201/eid3003.231302 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Ross M Boyce Peyton Pretsch Kay Tyrlik Abigail Schulz Dana A Giandomenico Alexis M Barbarin Carl Williams Source Type: research

Inadvertent Platelet Transfusion from Monkeypox Virus-Infected Donor to Recipient, Thailand, 2023
Emerg Infect Dis. 2024 Mar;30(3):603-605. doi: 10.3201/eid3003.231539.ABSTRACTIn Thailand, platelet product from a blood donor was transfused to a recipient who had dengue. Two days later, the donor was confirmed to have monkeypox virus infection. Monkeypox virus DNA was undetectable in recipient specimens up to 2 weeks after transfusion. The recipient remained asymptomatic at 4 weeks of monitoring.PMID:38407395 | DOI:10.3201/eid3003.231539 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Jiratchaya Puenpa Duangnapa Intharasongkroh Sompong Vongpunsawad Dootchai Chaiwanichsiri Yong Poovorawan Source Type: research

Effect of Pneumococcal Conjugate Vaccine on Pneumonia Incidence Rates among Children 2-59 Months of Age, Mongolia, 2015-2021
Emerg Infect Dis. 2024 Mar;30(3):490-498. doi: 10.3201/eid3003.230864.ABSTRACTStarting in June 2016, the 13-valent pneumococcal conjugate vaccine (PCV13) was introduced into the routine immunization program of Mongolia by using a 2+1 dosing schedule, phased by district. We used prospective hospital surveillance to evaluate the vaccine's effect on pneumonia incidence rates among children 2-59 months of age over a 6-year period. Of 17,607 children with pneumonia, overall adjusted incidence rate ratios showed decreased primary endpoint pneumonia, very severe pneumonia, and probable pneumococcal pneumonia until June 2021. Resu...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Claire von Mollendorf Munkhchuluun Ulziibayar Cattram D Nguyen Purevsuren Batsaikhan Bujinlkham Suuri Dashtseren Luvsantseren Dorj Narangerel John de Campo Margaret de Campo Bilegtsaikhan Tsolmon Sodbayar Demberelsuren Eileen M Dunne Catherine Satzke Tuya Source Type: research

Disseminated Leishmaniasis, a Severe Form of Leishmania braziliensis Infection
Emerg Infect Dis. 2024 Mar;30(3):510-518. doi: 10.3201/eid3003.230786.ABSTRACTDisseminated leishmaniasis (DL) is an emergent severe disease manifesting with multiple lesions. To determine the relationship between immune response and clinical and therapeutic outcomes, we studied 101 DL and 101 cutaneous leishmaniasis (CL) cases and determined cytokines and chemokines in supernatants of mononuclear cells stimulated with leishmania antigen. Patients were treated with meglumine antimoniate (20 mg/kg) for 20 days (CL) or 30 days (DL); 19 DL patients were instead treated with amphotericin B, miltefosine, or miltefosine and meglu...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Paulo R L Machado Alexsandro Lago Thiago M Cardoso Andr éa Magalhaes Lucas P Carvalho Tain ã Lago Augusto M Carvalho R úbia Costa Edgar M Carvalho Source Type: research

Wastewater Surveillance for Identifying SARS-CoV-2 Infections in Long-Term Care Facilities, Kentucky, USA, 2021-2022
Emerg Infect Dis. 2024 Mar;30(3):530-538. doi: 10.3201/eid3003.230888.ABSTRACTPersons living in long-term care facilities (LTCFs) were disproportionately affected by COVID-19. We used wastewater surveillance to detect SARS-CoV-2 infection in this setting by collecting and testing 24-hour composite wastewater samples 2-4 times weekly at 6 LTCFs in Kentucky, USA, during March 2021-February 2022. The LTCFs routinely tested staff and symptomatic and exposed residents for SARS-CoV-2 using rapid antigen tests. Of 780 wastewater samples analyzed, 22% (n = 173) had detectable SARS-CoV-2 RNA. The LTCFs reported 161 positive (of 16,...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: James W Keck Reuben Adatorwovor Matthew Liversedge Blazan Mijotavich Cullen Olsson William D Strike Atena Amirsoleimani Ann Noble Soroosh Torabi Alexus Rockward Mohammad Dehghan Banadaki Ted Smith Parker Lacy Scott M Berry Source Type: research

Geographic Variation and Environmental Predictors of Nontuberculous Mycobacteria in Laboratory Surveillance, Virginia, USA, 2021-2023 < sup > 1 < /sup >
Emerg Infect Dis. 2024 Mar;30(3):548-554. doi: 10.3201/eid3003.231162.ABSTRACTBecause epidemiologic and environmental risk factors for nontuberculous mycobacteria (NTM) have been reported only infrequently, little information exists about those factors. The state of Virginia, USA, requires certain ecologic features to be included in reports to the Virginia Department of Health, presenting a unique opportunity to study those variables. We analyzed laboratory reports of Mycobacterium avium complex (MAC) and M. abscessus infections in Virginia during 2021-2023. MAC/M. abscessus was isolated from 6.19/100,000 persons, and 2.37...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Brendan Mullen Eric R Houpt Josh Colston Lea Becker Sharon Johnson Laura Young Jasie Hearn Joe Falkinham Scott K Heysell Source Type: research

Taenia martis Neurocysticercosis-Like Lesion in Child, Associated with Local Source, the Netherlands
Emerg Infect Dis. 2024 Mar;30(3):555-559. doi: 10.3201/eid3003.231402.ABSTRACTA neurocysticercosis-like lesion in an 11-year-old boy in the Netherlands was determined to be caused by the zoonotic Taenia martis tapeworm. Subsequent testing revealed that 15% of wild martens tested in that region were infected with T. martis tapeworms with 100% genetic similarity; thus, the infection source was most likely local.PMID:38407150 | DOI:10.3201/eid3003.231402 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Hendriekje Eggink Miriam Maas Judith M A van den Brand Jasja Dekker Frits Franssen Eelco W Hoving Laetitia M Kortbeek Mari ëtte E G Kranendonk Linda C Meiners Anne E Rittscher Jeroen Roelfsema Elisabeth H Sch ölvinck Source Type: research

Bedaquiline Resistance after Effective Treatment of Multidrug-Resistant Tuberculosis, Namibia
We report and discuss the unusual development of resistance to bedaquiline in a teenager in Namibia, despite an optimal background regimen and adherence. The report highlights the risk for bedaquiline resistance development and the need for rapid drug-resistance testing.PMID:38407158 | DOI:10.3201/eid3003.240134 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Gunar G ünther Lusia Mhuulu Azaria Diergaardt Viola Dreyer Maria Moses Kaarna Anyolo Nunurai Ruswa Mareli Claassens Stefan Niemann Emmanuel Nepolo Source Type: research

Newly Identified Mycobacterium africanum Lineage 10, Central Africa
Emerg Infect Dis. 2024 Oct;30(3):560-563. doi: 10.3201/eid3003.231466.ABSTRACTAnalysis of genome sequencing data from >100,000 genomes of Mycobacterium tuberculosis complex using TB-Annotator software revealed a previously unknown lineage, proposed name L10, in central Africa. Phylogenetic reconstruction suggests L10 could represent a missing link in the evolutionary and geographic migration histories of M. africanum.PMID:38407162 | DOI:10.3201/eid3003.231466 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Christophe Guyeux Gaetan Senelle Adrien Le Meur Philip Supply Cyril Gaudin Jody E Phelan Taane G Clark Leen Rigouts Bouke de Jong Christophe Sola Guislaine Refr égier Source Type: research

Highly Pathogenic Avian Influenza A(H5N1) Virus Clade 2.3.4.4b in Domestic Ducks, Indonesia, 2022
Emerg Infect Dis. 2024 Mar;30(3):586-590. doi: 10.3201/eid3003.230973.ABSTRACTHighly pathogenic avian influenza A(H5N1) clade 2.3.4.4b viruses were isolated from domestic ducks in South Kalimantan, Indonesia, during April 2022. The viruses were genetically similar to those detected in East Asia during 2021-2022. Molecular surveillance of wild birds is needed to detect potential pandemic threats from avian influenza virus.PMID:38407163 | DOI:10.3201/eid3003.230973 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Hendra Wibawa Putut Eko Wibowo Arif Supriyadi Lestari Lestari Jessiaman Silaban Aziz Ahmad Fuadi Anna Januar Fiqri Retno Wulan Handayani Sri Handayani Irianingsih Zaza Fahmia Herdiyanto Mulyawan Syafrison Idris Nuryani Zainuddin Source Type: research

Enterocytozoon bieneusi Infection after Hematopoietic Stem Cell Transplant in Child, Argentina
We report a case of Enterocytozoon bieneusi infection in a pediatric hematopoietic stem cell transplant recipient in Argentina. Spores were visualized in feces using Calcofluor White and modified trichrome stainings. PCR and sequencing identified E. bieneusi genotype D in fecal samples and liver samples, confirming extraintestinal dissemination of the parasite.PMID:38407164 | DOI:10.3201/eid3003.231580 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Cristian Javier Mena Magal í Pérez Garófalo Juliana Perazzo Carolina Epelbaum Gonzalo Castro Paola Sicilia Andr és Barnes Lorena Guasconi Ver ónica L Burstein Ignacio Beccacece Mariel A Almeida Laura Cervi Monica Santin Laura S Chiapello Source Type: research

Estimates of Incidence and Predictors of Fatiguing Illness after SARS-CoV-2 Infection
This study aimed to estimate the incidence rates of post-COVID-19 fatigue and chronic fatigue and to quantify the additional incident fatigue caused by COVID-19. We analyzed electronic health records data of 4,589 patients with confirmed COVID-19 during February 2020-February 2021 who were followed for a median of 11.4 (interquartile range 7.8-15.5) months and compared them to data from 9,022 propensity score-matched non-COVID-19 controls. Among COVID-19 patients (15% hospitalized for acute COVID-19), the incidence rate of fatigue was 10.2/100 person-years and the rate of chronic fatigue was 1.8/100 person-years. Compared ...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Quan M Vu Annette L Fitzpatrick Jennifer R Cope Jeanne Bertolli Nona Sotoodehnia T Eoin West Nikki Gentile Elizabeth R Unger Source Type: research

Subdural Empyema from Streptococcus suis Infection, South Korea
Emerg Infect Dis. 2024 Mar;30(3):616-619. doi: 10.3201/eid3003.231018.ABSTRACTIn Jeju Island, South Korea, a patient who consumed raw pig products had subdural empyema, which led to meningitis, sepsis, and status epilepticus. We identified Streptococcus suis from blood and the subdural empyema. This case illustrates the importance of considering dietary habits in similar clinical assessments to prevent misdiagnosis.PMID:38407167 | DOI:10.3201/eid3003.231018 (Source: Emerging Infectious Diseases)
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Sejin Choi Tae-Hwan Park Hyun-Jeong Lee Tae Hyoung Kim Jin-Deok Joo Jisoon Huh You Nam Chung Sang Taek Heo Eui Tae Kim Jong-Kook Rhim Source Type: research

Molecular Epidemiology of Underreported Emerging Zoonotic Pathogen Streptococcus suis in Europe
Emerg Infect Dis. 2024 Mar;30(3):413-422. doi: 10.3201/eid3003.230348.ABSTRACTStreptococcus suis, a zoonotic bacterial pathogen circulated through swine, can cause severe infections in humans. Because human S. suis infections are not notifiable in most countries, incidence is underestimated. We aimed to increase insight into the molecular epidemiology of human S. suis infections in Europe. To procure data, we surveyed 7 reference laboratories and performed a systematic review of the scientific literature. We identified 236 cases of human S. suis infection from those sources and an additional 87 by scanning gray literature....
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Jaime Brizuela Thomas J Roodsant Qureisha Hasnoe Boas C L van der Putten Jana Kozakova Hans-Christian Slotved Mark van der Linden Ilse G A de Beer-Schuurman Ewa Sadowy Juan Antonio S áez-Nieto Victoria J Chalker Kees C H van der Ark Constance Schultsz Source Type: research

Recent Changes in Patterns of Mammal Infection with Highly Pathogenic Avian Influenza A(H5N1) Virus Worldwide
Emerg Infect Dis. 2024 Mar;30(3):444-452. doi: 10.3201/eid3003.231098.ABSTRACTWe reviewed information about mammals naturally infected by highly pathogenic avian influenza A virus subtype H5N1 during 2 periods: the current panzootic (2020-2023) and previous waves of infection (2003-2019). In the current panzootic, 26 countries have reported >48 mammal species infected by H5N1 virus; in some cases, the virus has affected thousands of individual animals. The geographic area and the number of species affected by the current event are considerably larger than in previous waves of infection. The most plausible source of mamm...
Source: Emerging Infectious Diseases - February 26, 2024 Category: Infectious Diseases Authors: Pablo I Plaza V íctor Gamarra-Toledo Juan Rodr íguez Euguí Sergio A Lambertucci Source Type: research