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  • Pharmacologic Treatments and Supportive Care for Middle East Respiratory Syndrome
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-25
    Taylor Kain; Patrick J. Lindsay; Neill K.J. Adhikari; Yaseen M. Arabi; Maria D. Van Kerkhove; Robert A. Fowler

    Available animal and cell line models have suggested that specific therapeutics might be effective in treating Middle East respiratory syndrome (MERS). We conducted a systematic review of evidence for treatment with pharmacologic and supportive therapies. We developed a protocol and searched 5 databases for studies describing treatment of MERS and deaths in MERS patients. Risk of bias (RoB) was assessed

    更新日期:2020-03-27
  • Incursions of Candida auris into Australia, 2018
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-25
    Courtney R. Lane; Torsten Seemann; Leon J. Worth; Marion Easton; William Pitchers; Jenny Wong; Donna Cameron; Francesca Azzato; Richard Bartolo; Cristina Mateevici; Caroline Marshall; Monica A. Slavin; Benjamin P. Howden; Deborah A. Williamson

    Candida auris is an emerging global healthcare-associated pathogen. During July–December 2018, four patients with C. auris were identified in Victoria, Australia, all with previous overseas hospitalization. Phylogenetic analysis revealed putative transmission between 2 patients and suspected overseas acquisition in the others. Vigilant screening of at-risk patients is required.

    更新日期:2020-03-27
  • Identifying Locations with Possible Undetected Imported Severe Acute Respiratory Syndrome Coronavirus 2 Cases by Using Importation Predictions
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-24
    Pablo Martinez De Salazar; René Niehus; Aimee Taylor; Caroline O’Flaherty Buckee; Marc Lipsitch

    Cases of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection exported from mainland China could lead to self-sustained outbreaks in other countries. By February 2020, several countries were reporting imported SARS-CoV-2 cases. To contain the virus, early detection of imported SARS-CoV-2 cases is critical. We used air travel volume estimates from Wuhan, China, to international destinations

    更新日期:2020-03-27
  • Early Introduction of Severe Acute Respiratory Syndrome Coronavirus 2 into Europe
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-20
    Sonja J. Olsen; Meng-Yu Chen; Yu-Lun Liu; Mark Witschi; Alexis Ardoin; Clémentine Calba; Pauline Mathieu; Virginie Masserey; Francesco Maraglino; Stefano Marro; Pasi Penttinen; Emmanuel Robesyn; Jukka Pukkila

    Early infections with severe acute respiratory syndrome coronavirus 2 in Europe were detected in travelers from Wuhan, China, in January 2020. In 1 tour group, 5 of 30 members were ill; 3 cases were laboratory confirmed. In addition, a healthcare worker was infected. This event documents early importation and subsequent spread of the virus in Europe.

    更新日期:2020-03-27
  • Identifying and Interrupting Superspreading Events—Implications for Control of Severe Acute Respiratory Syndrome Coronavirus 2
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-18
    Thomas R. Frieden; Christopher T. Lee

    It appears inevitable that severe acute respiratory syndrome coronavirus 2 will continue to spread. Although we still have limited information on the epidemiology of this virus, there have been multiple reports of superspreading events (SSEs), which are associated with both explosive growth early in an outbreak and sustained transmission in later stages. Although SSEs appear to be difficult to predict

    更新日期:2020-03-27
  • Public Mental Health Crisis during COVID-19 Pandemic, China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-23
    Lu Dong; Jennifer Bouey

    The 2019 novel coronavirus disease emerged in China in late 2019–early 2020 and spread rapidly. China has been implementing emergency psychological crisis interventions to reduce the negative psychosocial impact on public mental health, but challenges exist. Public mental health interventions should be formally integrated into public health preparedness and emergency response plans.

    更新日期:2020-03-27
  • Rhabdomyolysis as Potential Late Complication Associated with COVID-19
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-20
    Min Jin; Qiaoxia Tong

    We describe a patient in Wuhan, China, with severe acute respiratory syndrome coronavirus 2 infection who had progressive pulmonary lesions and rhabdomyolysis with manifestations of lower limb pain and fatigue. Rapid clinical recognition of rhabdomyolysis symptoms in patients with severe acute respiratory syndrome coronavirus 2 infection can be lifesaving.

    更新日期:2020-03-27
  • Serial Interval of COVID-19 among Publicly Reported Confirmed Cases
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-19
    Zhanwei Du; Xiaoke Xu; Ye Wu; Lin Wang; Benjamin J. Cowling; Lauren Ancel Meyers

    We estimate the distribution of serial intervals for 468 confirmed cases of 2019 novel coronavirus disease reported in China as of February 8, 2020. The mean interval was 3.96 days (95% CI 3.53–4.39 days), SD 4.75 days (95% CI 4.46–5.07 days); 12.6% of case reports indicated presymptomatic transmission.

    更新日期:2020-03-27
  • Case-Fatality Risk Estimates for COVID-19 Calculated by Using a Lag Time for Fatality
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-13
    Nick Wilson; Amanda Kvalsvig; Lucy Telfar Barnard; Michael G. Baker

    We estimated the case-fatality risk for 2019 novel coronavirus disease cases in China (3.5%); China, excluding Hubei Province (0.8%); 82 countries, territories, and areas (4.2%); and on a cruise ship (0.6%). Lower estimates might be closest to the true value, but a broad range of 0.25%–3.0% probably should be considered.

    更新日期:2020-03-27
  • Estimating Risk for Death from 2019 Novel Coronavirus Disease, China, January–February 2020
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-13
    Kenji Mizumoto; Gerardo Chowell

    Since December 2019, when the first case of 2019 novel coronavirus disease (COVID-19) was identified in the city of Wuhan in the Hubei Province of China, the epidemic has generated tens of thousands of cases throughout China. As of February 28, 2020, the cumulative number of reported deaths in China was 2,858. We estimated the time-delay adjusted risk for death from COVID-19 in Wuhan, as well as for

    更新日期:2020-03-27
  • Epidemiology of 2019 Novel Coronavirus Disease-19 in Gansu Province, China, 2020
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-13
    Jingchun Fan; Xiaodong Liu; Weimin Pan; Mark W. Douglas; Shisan Bao

    To determine the epidemiology of 2019 novel coronavirus disease (COVID-19) in a remote region of China, far from Wuhan, we analyzed the epidemiology of COVID-19 in Gansu Province. From January 23 through February 3, 2020, a total of 35 (64.8%) of 54 reported cases were imported from COVID-19–epidemic areas. Characteristics that differed significantly during the first and second waves of illness in

    更新日期:2020-03-27
  • Indirect Virus Transmission in Cluster of COVID-19 Cases, Wenzhou, China, 2020
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-12
    Jing Cai; Wenjie Sun; Jianping Huang; Michelle Gamber; Jing Wu; Guiqing He

    To determine possible modes of virus transmission, we investigated a cluster of COVID-19 cases associated with a shopping mall in Wenzhou, China. Data indicated that indirect transmission of the causative virus occurred, perhaps resulting from virus contamination of common objects, virus aerosolization in a confined space, or spread from asymptomatic infected persons.

    更新日期:2020-03-27
  • Co-infection with SARS-CoV-2 and Influenza A Virus in Patient with Pneumonia, China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-11
    Xiaojing Wu; Ying Cai; Xu Huang; Xin Yu; Li Zhao; Fan Wang; Quanguo Li; Sichao Gu; Teng Xu; Yongjun Li; Binghuai Lu; Qingyuan Zhan

    We report co-infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and influenza A virus in a patient with pneumonia in China. The case highlights possible co-detection of known respiratory viruses. We noted low sensitivity of upper respiratory specimens for SARS-CoV-2, which could further complicate recognition of the full extent of disease.

    更新日期:2020-03-27
  • Severe Acute Respiratory Syndrome Coronavirus 2 from Patient with 2019 Novel Coronavirus Disease, United States
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-11
    Jennifer Harcourt; Azaibi Tamin; Xiaoyan Lu; Shifaq Kamili; Senthil K. Sakthivel; Janna Murray; Krista Queen; Ying Tao; Clinton R. Paden; Jing Zhang; Yan Li; Anna Uehara; Haibin Wang; Cynthia Goldsmith; Hannah A. Bullock; Lijuan Wang; Brett Whitaker; Brian Lynch; Rashi Gautam; Craig Schindewolf; Kumari G. Lokugamage; Dionna Scharton; Jessica A. Plante; Divya Mirchandani; Steven G. Widen; Krishna Narayanan;

    The etiologic agent of an outbreak of pneumonia in Wuhan, China, was identified as severe acute respiratory syndrome coronavirus 2 in January 2020. A patient in the United States was given a diagnosis of infection with this virus by the state of Washington and the US Centers for Disease Control and Prevention on January 20, 2020. We isolated virus from nasopharyngeal and oropharyngeal specimens from

    更新日期:2020-03-27
  • Detection of Novel Coronavirus by RT-PCR in Stool Specimen from Asymptomatic Child, China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    An Tang; Zhen-dong Tong; Hong-ling Wang; Ya-xin Dai; Ke-feng Li; Jie-nan Liu; Wen-jie Wu; Chen Yuan; Meng-lu Yu; Peng Li; Jian-bo Yan

    We report an asymptomatic child who was positive for a 2019 novel coronavirus by reverse transcription PCR in a stool specimen 17 days after the last virus exposure. The child was virus positive in stool specimens for at least an additional 9 days. Respiratory tract specimens were negative by reverse transcription PCR.

    更新日期:2020-03-27
  • Serologic Detection of Middle East Respiratory Syndrome Coronavirus Functional Antibodies
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Nisreen M.A. Okba; Ivy Widjaja; Wentao Li; Corine H. GeurtsvanKessel; Elmoubasher A.B.A. Farag; Mohammed Al-Hajri; Wan Beom Park; Myoung-don Oh; Chantal B.M.E. Reusken; Marion P.G. Koopmans; Berend-Jan Bosch; Bart L. Haagmans

    We developed and validated 2 species-independent protein-based assays to detect Middle East respiratory syndrome coronavirus functional antibodies that can block virus receptor-binding or sialic acid-attachment. Antibody levels measured in both assays correlated strongly with virus-neutralizing antibody titers, proving their use for serologic confirmatory diagnosis of Middle East respiratory syndrome

    更新日期:2020-03-27
  • COVID-19 in 2 Persons with Mild Upper Respiratory Symptoms on a Cruise Ship, Japan.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Takeshi Arashiro,Keiichi Furukawa,Akira Nakamura

    We describe 2 cases of COVID-19 in patients with mild upper respiratory symptoms. Both patients worked on a cruise ship quarantined off the coast of Japan. One patient had persistent, low-grade upper respiratory tract symptoms without fever. The other patient had rapid symptom cessation but persistent viral RNA detection.

    更新日期:2020-03-27
  • Effectiveness of Live Poultry Market Interventions on Human Infection with Avian Influenza A(H7N9) Virus, China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-06
    Wei Wang; Jean Artois; Xiling Wang; Adam J. Kucharski; Yao Pei; Xin Tong; Victor Virlogeux; Peng Wu; Benjamin J. Cowling; Marius Gilbert; Hongjie Yu

    Various interventions for live poultry markets (LPMs) have emerged to control outbreaks of avian influenza A(H7N9) virus in mainland China since March 2013. We assessed the effectiveness of various LPM interventions in reducing transmission of H7N9 virus across 5 annual waves during 2013–2018, especially in the final wave. With the exception of waves 1 and 4, various LPM interventions reduced daily

    更新日期:2020-03-27
  • Lack of Vertical Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Yang Li; Ruihong Zhao; Shufa Zheng; Xu Chen; Jinxi Wang; Xiaoli Sheng; Jianying Zhou; Hongliu Cai; Qiang Fang; Fei Yu; Jian Fan; Kaijin Xu; Yu Chen; Jifang Sheng

    A woman with 2019 novel coronavirus disease in her 35th week of pregnancy delivered an infant by cesarean section in a negative-pressure operating room. The infant was negative for severe acute respiratory coronavirus 2. This case suggests that mother-to-child transmission is unlikely for this virus.

    更新日期:2020-03-27
  • Community Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Shenzhen, China, 2020.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-03
    Jiaye Liu,Xuejiao Liao,Shen Qian,Jing Yuan,Fuxiang Wang,Yingxia Liu,Zhaoqin Wang,Fu-Sheng Wang,Lei Liu,Zheng Zhang

    Since early January 2020, after the outbreak of 2019 novel coronavirus infection in Wuhan, China, ≈365 confirmed cases have been reported in Shenzhen, China. The mode of community and intrafamily transmission is threatening residents in Shenzhen. Strategies to strengthen prevention and interruption of these transmissions should be urgently addressed.

    更新日期:2020-03-27
  • Update on Ebola Treatment Center Costs and Sustainability, United States, 2019.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-25
    Jocelyn J Herstein,Aurora B Le,Lily A McNulty,Sean A Buehler,Paul D Biddinger,Angela L Hewlett,John J Lowe,Shawn G Gibbs

    We surveyed 56 Ebola treatment centers (ETCs) in the United States and identified costs incurred since 2014 ($1.76 million/ETC) and sustainability strategies. ETCs reported heavy reliance on federal funding. It is uncertain if, or for how long, ETCs can maintain capabilities should federal funding expire in 2020.

    更新日期:2020-03-27
  • Crimean-Congo Hemorrhagic Fever Virus Endemicity in United Arab Emirates, 2019.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-25
    Jeremy V Camp,Dafalla Ahmed,Babiker Mohammed Osman,Moayyed Sher Shah,Brigitte Howarth,Tamer Khafaga,Pia Weidinger,Noushad Karuvantevida,Jolanta Kolodziejek,Hessa Mazrooei,Nadine Wolf,Tom Loney,Norbert Nowotny

    We conducted a cross-sectional survey of Crimean-Congo hemorrhagic fever virus (CCHFV) in dromedary camels and attached ticks at 3 locations in the United Arab Emirates. Results revealed a high prevalence of CCHFV-reactive antibodies in camels and viral RNA in ticks and camel serum, suggesting the virus is endemic in this country.

    更新日期:2020-03-27
  • Potential Presymptomatic Transmission of SARS-CoV-2, Zhejiang Province, China, 2020.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Zhen-Dong Tong,An Tang,Ke-Feng Li,Peng Li,Hong-Ling Wang,Jing-Ping Yi,Yong-Li Zhang,Jian-Bo Yan

    We report a 2-family cluster of persons infected with severe acute respiratory syndrome coronavirus 2 in the city of Zhoushan, Zhejiang Province, China, during January 2020. The infections resulted from contact with an infected but potentially presymptomatic traveler from the city of Wuhan in Hubei Province.

    更新日期:2020-03-27
  • Risk for Transportation of 2019 Novel Coronavirus Disease from Wuhan to Other Cities in China.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-13
    Zhanwei Du,Lin Wang,Simon Cauchemez,Xiaoke Xu,Xianwen Wang,Benjamin J Cowling,Lauren Ancel Meyers

    On January 23, 2020, China quarantined Wuhan to contain 2019 novel coronavirus disease (COVID-19). We estimated the probability of transportation of COVID-19 from Wuhan to 369 other cities in China before the quarantine. Expected COVID-19 risk is >50% in 130 (95% CI 89-190) cities and >99% in the 4 largest metropolitan areas.

    更新日期:2020-03-27
  • Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-Personal Protective and Environmental Measures.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-06
    Jingyi Xiao,Eunice Y C Shiu,Huizhi Gao,Jessica Y Wong,Min W Fong,Sukhyun Ryu,Benjamin J Cowling

    There were 3 influenza pandemics in the 20th century, and there has been 1 so far in the 21st century. Local, national, and international health authorities regularly update their plans for mitigating the next influenza pandemic in light of the latest available evidence on the effectiveness of various control measures in reducing transmission. Here, we review the evidence base on the effectiveness

    更新日期:2020-03-27
  • Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-International Travel-Related Measures.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-06
    Sukhyun Ryu,Huizhi Gao,Jessica Y Wong,Eunice Y C Shiu,Jingyi Xiao,Min Whui Fong,Benjamin J Cowling

    International travel-related nonpharmaceutical interventions (NPIs), which can include traveler screening, travel restrictions, and border closures, often are included in national influenza pandemic preparedness plans. We performed systematic reviews to identify evidence for their effectiveness. We found 15 studies in total. Some studies reported that NPIs could delay the introduction of influenza

    更新日期:2020-03-27
  • Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-Social Distancing Measures.
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-06
    Min W Fong,Huizhi Gao,Jessica Y Wong,Jingyi Xiao,Eunice Y C Shiu,Sukhyun Ryu,Benjamin J Cowling

    Influenza virus infections are believed to spread mostly by close contact in the community. Social distancing measures are essential components of the public health response to influenza pandemics. The objective of these mitigation measures is to reduce transmission, thereby delaying the epidemic peak, reducing the size of the epidemic peak, and spreading cases over a longer time to relieve pressure

    更新日期:2020-03-27
  • Ecology and Epidemiology of Tickborne Pathogens, Washington, USA, 2011–2016
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-13
    Elizabeth A. Dykstra; Hanna N. Oltean; David Kangiser; Nicola Marsden-Haug; Stephen M. Rich; Guang Xu; Min-Kuang Lee; Muhammad G. Morshed; Christine B. Graham; Rebecca J. Eisen

    Tickborne diseases are rare in Washington, USA, and the ecology of these pathogens is poorly understood. We integrated surveillance data from humans and ticks to better describe their epidemiology and ecology. During 2011–2016, a total of 202 tickborne disease cases were reported in Washington residents. Of these, 68 (34%) were autochthonous, including cases of Lyme disease, Rocky Mountain spotted

    更新日期:2020-03-16
  • Etymologia: Trombiculiasis
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-12
    Ronnie Henry

    Trombiculiasis

    更新日期:2020-03-16
  • Stemming the Rising Tide of Human-Biting Ticks and Tickborne Diseases, United States
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-11
    Lars Eisen

    Ticks and tickborne diseases are increasingly problematic. There have been positive developments that should result in improved strategies and better tools to suppress ticks, reduce human tick bites, and roll back tickborne diseases. However, we equally need to address the question of who is responsible for implementing the solutions. The current model of individual responsibility for tick control

    更新日期:2020-03-16
  • Knowledge of Infectious Disease Specialists Regarding Aspergillosis Complicating Influenza, United States
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-11
    Mitsuru Toda; Susan E. Beekmann; Philip M. Polgreen; Tom M. Chiller; Brendan R. Jackson; Karlyn D. Beer

    In an online survey, we found that nearly one fifth of physicians in the United States who responded had seen or heard about a case of invasive pulmonary aspergillosis after severe influenza at their institution. However, <10% routinely used galactomannan testing to test for this fungus in patients with severe influenza.

    更新日期:2020-03-16
  • Workshop Report on Global Harmonization of Enterovirus Vaccines
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Tzu-Yu Weng; Hua Yen; Kutub Mahmood; Javier Martin; Min-Shi Lee

    Workshop Report on Global Harmonization of Enterovirus Vaccines

    更新日期:2020-03-16
  • Crimean-Congo Hemorrhagic Fever, Mauritania
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Boushab Mohamed Boushab; Mamadou Kelly; Hasmiou Kébé; Mohamed Abdallahi Bollahi; Leonardo K. Basco

    The distribution of Crimean-Congo hemorrhagic fever (CCHF), a tickborne arboviral disease, is not well known in West Africa. We report 2 recent human cases of CCHF with infectious syndrome and severe bleeding in Mauritania. CCHF was diagnosed by ELISA and real time reverse transcription PCR. No secondary CCHF cases were found.

    更新日期:2020-03-16
  • Crimean-Congo Hemorrhagic Fever Virus in Humans and Livestock, Pakistan, 2015–2017
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Ali Zohaib; Muhammad Saqib; Muhammad A. Athar; Muhammad H. Hussain; Awais-ur-Rahman Sial; Muhammad H. Tayyab; Murrafa Batool; Halima Sadia; Zeeshan Taj; Usman Tahir; Muhammad Y. Jakhrani; Jawad Tayyab; Muhammad A. Kakar; Muhammad F. Shahid; Tahir Yaqub; Jingyuan Zhang; Qiaoli Wu; Fei Deng; Victor M. Corman; Shu Shen; Iahtasham Khan; Zheng-Li Shi

    We detected Crimean-Congo hemorrhagic fever virus infections in 4 provinces of Pakistan during 2017–2018. Overall, seroprevalence was 2.7% in humans and 36.2% in domestic livestock. Antibody prevalence in humans was highest in rural areas, where increased contact with animals is likely.

    更新日期:2020-03-16
  • Detection of Zoonotic Bartonella Pathogens in Rabbit Fleas, Colorado, USA
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Shingo Sato; R. Jory Brinkerhoff; Erin Hollis; Shunta Funada; Avery B. Shannon; Soichi Maruyama

    We detected 3 Bartonella species in wild rabbit fleas from Colorado, USA: B. vinsonii subsp. berkhoffii (n = 16), B. alsatica (n = 5), and B. rochalimae (n = 1). Our results support the establishment of the zoonotic agent B. alsatica in North America.

    更新日期:2020-03-16
  • Whole-Genome Analysis of Salmonella enterica Serovar Enteritidis Isolates in Outbreak Linked to Online Food Delivery, Shenzhen, China, 2018
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Min Jiang; Feng Zhu; Chao Yang; Yinhua Deng; Patrick S.L. Kwan; Yinghui Li; Yiman Lin; Yaqun Qiu; Xiaolu Shi; Hui Chen; Yujun Cui; Qinghua Hu

    In July 2018, an outbreak of 10 cases of Salmonella enterica serovar Enteritidis infection occurred in Shenzhen, China. Outbreak investigation complemented by whole-genome sequencing traced the source to food ordered online. Our investigation highlights the role of online food delivery platforms as a new mode of foodborne disease transmission.

    更新日期:2020-03-16
  • Rift Valley Fever Outbreak, Mayotte, France, 2018–2019
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Hassani Youssouf; Marion Subiros; Genevieve Dennetiere; Louis Collet; Laure Dommergues; Amandine Pauvert; Patrick Rabarison; Christelle Vauloup-Fellous; Gilles Le Godais; Marie-Christine Jaffar-Bandjee; Maxime Jean; Marie-Claire Paty; Harold Noel; Sophie Oliver; Laurent Filleul; Christine Larsen

    From November 2018 through July 2019, an outbreak of Rift Valley fever in humans occurred in Mayotte, France; 142 cases were confirmed. Exposure to animals or their biological fluid was reported by 73% of patients. Health authorities have been implementing control measures, including veterinary surveys, vector control interventions, and prevention measures.

    更新日期:2020-03-16
  • Trombiculiasis in a Dog with Severe Neurologic Disorders, Spain
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Paula Santibáñez; Eva Gallo; Ana M. Palomar; Aránzazu Portillo; José A. Carrillo; José A. Oteo

    Chiggers, the larvae of trombiculid mites, parasitize a wide variety of terrestrial vertebrates worldwide. Their bites cause seasonal trombiculiasis in humans and animals. Affected canines can have a variety of digestive and systemic clinical signs. We describe a case of canine trombiculiasis in a dog exhibiting severe neurologic symptoms.

    更新日期:2020-03-16
  • Needlestick-Associated Rocky Mountain Spotted Fever, Brazil
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-09
    Stefan Vilges de Oliveira; Álvaro A. Faccini-Martínez; Talita Emile Ribeiro Adelino; Ana Íris de Lima Duré; Amalia R.M. Barbieri; Marcelo B. Labruna

    We report a fatal case of Rocky Mountain spotted fever (RMSF) in a man in Brazil without recent history of tick bites or environmental exposure. He received an accidental needlestick while working as a nurse. The nurse and his patient died. Both cases were confirmed as RMSF by molecular methods.

    更新日期:2020-03-16
  • Ebola Virus Neutralizing Antibodies in Dogs from Sierra Leone, 2017
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Kerstin Fischer; Roland Suluku; Sarah Katharina Fehling; Juliet Jabaty; Bashiru Koroma; Thomas Strecker; Martin H. Groschup; Sandra Diederich

    Ebola virus (EBOV) is a highly pathogenic zoonotic virus for which the reservoir host has not been identified. To study the role of dogs as potential hosts, we screened 300 serum samples from dogs in Sierra Leone and found EBOV neutralizing antibodies in 12, suggesting their susceptibility to natural infection.

    更新日期:2020-03-16
  • Outbreak of Dirkmeia churashimaensis Fungemia in a Neonatal Intensive Care Unit, India
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Anuradha Chowdhary; Kothapalli Sharada; Pradeep Kumar Singh; Dalip Kumar Bhagwani; Nitin Kumar; Theun de Groot; Jacques F. Meis

    Bloodstream infections caused by uncommon or novel fungal species are challenging to identify and treat. We report a series of cases of fungemia due to a rare basidiomycete yeast, Dirkmeia churashimaensis, in neonatal patients in India. Whole-genome sequence typing demonstrated that the patient isolates were genetically indistinguishable, indicating a single-source infection.

    更新日期:2020-03-16
  • Guaroa Virus and Plasmodium vivax Co-Infections, Peruvian Amazon
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Crystyan Siles; William H. Elson; Stalin Vilcarromero; Amy C. Morrison; Robert D. Hontz; Freddy Alava; Hugo Valdivia; Vidal Felices; Carolina Guevara; Sarah Jenkins; Eugenio J. Abente; Julia S. Ampuero

    During April–June 2014 in a malaria-endemic rural community close to the city of Iquitos in Peru, we detected evidence of Guaroa virus (GROV) infection in 14 febrile persons, of whom 6 also had evidence of Plasmodium vivax malaria. Cases were discovered through a long-term febrile illness surveillance network at local participating health facilities. GROV cases were identified by using a combination

    更新日期:2020-03-16
  • Tick-Borne Relapsing Fever Caused by Borrelia persica in Traveler to Central Asia, 2019
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Veronika Muigg; Helena M.B. Seth-Smith; Daniel Goldenberger; Adrian Egli; Beatrice Nickel; Roland Dürig; Esther Kuenzli; Vladimira Hinic; Andreas Neumayr

    We report a case of tick-borne relapsing fever caused by Borrelia persica in a traveler returning to Switzerland from central Asia. After the disease was diagnosed by blood smear microscopy, the causative Borrelia species was confirmed by shotgun metagenomics sequencing. PCR and sequencing techniques provide highly sensitive diagnostic tools superior to microscopy.

    更新日期:2020-03-16
  • Brucella melitensis in Asian Badgers, Northwestern China
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Xiafei Liu; Meihua Yang; Shengnan Song; Gang Liu; Shanshan Zhao; Guangyuan Liu; Sándor Hornok; Yuanzhi Wang; Hai Jiang

    We isolated Brucella melitensis biovar 3 from the spleen of an Asian badger (Meles leucurus) in Nilka County, northwestern China. Our investigation showed that this isolate had a common multilocus variable-number tandem-repeat analysis 16 genotype, similar to bacterial isolates from local aborted sheep fetuses.

    更新日期:2020-03-16
  • Multicenter Study of Azole-Resistant Aspergillus fumigatus Clinical Isolates, Taiwan
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Chi-Jung Wu; Wei-Lun Liu; Chih-Cheng Lai; Chien-Ming Chao; Wen-Chien Ko; Hsuan-Chen Wang; Ching-Tzu Dai; Ming-I Hsieh; Pui-Ching Choi; Jia-Ling Yang; Yee-Chun Chen

    In a multicenter study, we determined a prevalence rate of 4% for azole-resistant Aspergillus fumigatus in Taiwan. Resistance emerged mainly from the environment (TR34/L98H, TR34/L98H/S297T/F495I, and TR46/Y121F/T289A mutations) but occasionally during azole treatment. A high mortality rate observed for azole-resistant aspergillosis necessitates diagnostic stewardship in healthcare and antifungal stewardship

    更新日期:2020-03-16
  • Geographic Distribution of Raccoon Roundworm, Baylisascaris procyonis, Germany and Luxembourg
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Mike Heddergott; Peter Steinbach; Sabine Schwarz; Helena E. Anheyer-Behmenburg; Astrid Sutor; Annette Schliephake; Diana Jeschke; Michael Striese; Franz Müller; Elisabeth Meyer-Kayser; Michael Stubbe; Natalia Osten-Sacken; Susann Krüger; Wolfgang Gaede; Martin Runge; Lothar Hoffmann; Hermann Ansorge; Franz J. Conraths; Alain C. Frantz

    Infestation with Baylisascaris procyonis, a gastrointestinal nematode of the raccoon, can cause fatal disease in humans. We found that the parasite is widespread in central Germany and can pose a public health risk. The spread of B. procyonis roundworms into nematode-free raccoon populations needs to be monitored.

    更新日期:2020-03-16
  • West Nile Virus in Farmed Crocodiles, Zambia, 2019
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Edgar Simulundu; Kunda Ndashe; Herman M. Chambaro; David Squarre; Paul Michael Reilly; Simbarashe Chitanga; Katendi Changula; Andrew N. Mukubesa; Joseph Ndebe; John Tembo; Nathan Kapata; Matthew Bates; Yona Sinkala; Bernard M. Hang’ombe; King S. Nalubamba; Masahiro Kajihara; Michihito Sasaki; Yasuko Orba; Ayato Takada; Hirofumi Sawa

    We detected West Nile virus (WNV) nucleic acid in crocodiles (Crocodylus niloticus) in Zambia. Phylogenetically, the virus belonged to lineage 1a, which is predominant in the Northern Hemisphere. These data provide evidence that WNV is circulating in crocodiles in Africa and increases the risk for animal and human transmission.

    更新日期:2020-03-16
  • Severe Fever with Thrombocytopenia Syndrome, Japan, 2013–2017
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Yusuke Kobayashi; Hirofumi Kato; Takuya Yamagishi; Tomoe Shimada; Tamano Matsui; Tomoki Yoshikawa; Takeshi Kurosu; Masayuki Shimojima; Shigeru Morikawa; Hideki Hasegawa; Masayuki Saijo; Kazunori Oishi

    We conducted an epidemiologic study of severe fever with thrombocytopenia syndrome (SFTS) in Japan during 2013–2017. Of 303 cases reported during that period, 133 (44%) were included in this study. The median time between onset of illness and diagnosis of SFTS shortened, from 11.5 to 3.0 days, but the case-fatality rate remained high, at 27%. In 64 patients (48%), a close contact with companion animals

    更新日期:2020-03-16
  • Intensified Short Symptom Screening Program for Dengue Infection during Pregnancy, India
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Shilpa Naik; Matthew L. Robinson; Mallika Alexander; Ajay Chandanwale; Pradip Sambarey; Aarti Kinikar; Renu Bharadwaj; Gajanan N. Sapkal; Puja Chebrolu; Prasad Deshpande; Vandana Kulkarni; Smita Nimkar; Vidya Mave; Amita Gupta; Jyoti Mathad

    Mosquitoborne diseases (e.g., malaria, dengue, and chikungunya) are endemic to India and pose diagnostic challenges during pregnancy. We evaluated an intensified short symptom screening program in India to diagnose dengue during pregnancy. During October 2017–January 2018, we screened pregnant women during antenatal surveillance for symptoms of mosquitoborne diseases (fever only, fever with conjunctivitis

    更新日期:2020-03-16
  • Decreased Susceptibility to Azithromycin in Clinical Shigella Isolates Associated with HIV and Sexually Transmitted Bacterial Diseases, Minnesota, USA, 2012–2015
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Dana Eikmeier; Pamela Talley; Anna Bowen; Fe Leano; Ginette Dobbins; Selina Jawahir; Annastasia Gross; Dawn Huspeni; Allison La Pointe; Stephanie Meyer; Kirk Smith

    Shigellosis outbreaks caused by Shigella with decreased susceptibility to azithromycin (DSA-Shigella) among men who have sex with men (MSM) have been reported worldwide. We describe sexual health indicators and antimicrobial drug resistance for shigellosis cases in Minnesota, USA. We analyzed a sample of isolates received during 2012–2015 and cross-referenced cases with the Minnesota Department of

    更新日期:2020-03-16
  • Isolation of Drug-Resistant Gallibacterium anatis from Calves with Unresponsive Bronchopneumonia, Belgium
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-05
    Laura Van Driessche; Kevin Vanneste; Bert Bogaerts; Sigrid C.J. De Keersmaecker; Nancy H. Roosens; Freddy Haesebrouck; Lieze De Cremer; Piet Deprez; Bart Pardon; Filip Boyen

    Gallibacterium anatis is an opportunistic pathogen, previously associated with deaths in poultry, domestic birds, and occasionally humans. We obtained G. anatis isolates from bronchoalveolar lavage samples of 10 calves with bronchopneumonia unresponsive to antimicrobial therapy. Collected isolates were multidrug-resistant to extensively drug-resistant, exhibiting resistance against 5–7 classes of antimicrobial

    更新日期:2020-03-16
  • Health-Related Quality of Life after Dengue Fever, Morelos, Mexico, 2016–2017
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-03
    Annika Schulte; Ingo Weber; Diana Carolina Tiga-Loza; Irma Y. Amaya Larios; Donald S. Shepard; Cynthia A. Tschampl; Eduardo A. Undurraga; Ruth A. Martínez-Vega; Florian Fischer; Lilia Chihu; Jose Ramos-Castañeda

    We adapted the EQ-5D-3L questionnaire and visual analog scale to assess health-related quality of life (HRQOL) and persistent symptoms in 79 patients with laboratory-confirmed dengue in Morelos, Mexico. The lowest HRQOLs were 0.53 and 38.1 (febrile phase). Patients recovered baseline HRQOL in ≈2 months.

    更新日期:2020-03-16
  • Person-to-Person Transmission of Andes Virus in Hantavirus Pulmonary Syndrome, Argentina, 2014
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-03
    Daniel O. Alonso; Unai Pérez-Sautu; Carla M. Bellomo; Karla Prieto; Ayelén Iglesias; Rocío Coelho; Natalia Periolo; Isabel Domenech; Gabriel Talmon; Romina Hansen; Gustavo Palacios; Valeria P. Martinez

    Andes virus is unique among hantaviruses because it can be transmitted from person to person. This mechanism was previously supported by epidemiologic data and genetic evidence based only on partial sequences. We used full-length virus sequencing to confirm person-to-person transmission of this virus in a cluster of 3 cases in Argentina in 2014.

    更新日期:2020-03-16
  • Pruritic Cutaneous Nematodiasis Caused by Avian Eyeworm Oxyspirura Larvae, Vietnam
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-03
    Do T. Dung; Nguyen T. Hop; Tran H. Tho; Yukifumi Nawa; Pham N. Doanh

    A 41-year-old man from Son La Province, Vietnam, sought care for disseminated prurigo-like skin lesions from which nematode larvae were emerging. We morphologically and molecularly identified the larvae as Oxyspirura sp. Our findings confirm this nematode species as a zoonotic pathogen for emerging disease.

    更新日期:2020-03-16
  • Severe Dengue Epidemic, Sri Lanka, 2017
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Hasitha A. Tissera; Bernard D.W. Jayamanne; Rajendra Raut; Sakunthala M.D. Janaki; Yesim Tozan; Preshila C. Samaraweera; Prasad Liyanage; Azhar Ghouse; Chaturaka Rodrigo; Aravinda M. de Silva; Sumadhya D. Fernando

    In 2017, a dengue epidemic of unexpected magnitude occurred in Sri Lanka. A total of 186,101 suspected cases and 440 dengue-related deaths occurred. We conducted a comprehensive analysis of this epidemic by comparing national surveillance data for 2017 with data from the preceding 5 years. In all Sri Lanka districts, dengue incidence in 2017 increased significantly over incidence during the previous

    更新日期:2020-03-16
  • Genomic Insight into the Spread of Meropenem-Resistant Streptococcus pneumoniae Spain-ST81, Taiwan
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Yi-Yin Chen; Yu-Chia Hsieh; Yu-Nong Gong; Wei-Chao Liao; Shiao-Wen Li; Ian Yi-Feng Chang; Tzu-Lung Lin; Ching-Tai Huang; Cheng-Hsiu Chiu; Tsu-Lan Wu; Lin-Hui Su; Ting-Hsuan Li; Ya-Yu Huang

    Incidence of invasive pneumococcal disease caused by antimicrobial-resistant Streptococcus pneumoniae types not included in pneumococcal conjugate vaccines has increased, including a penicillin- and meropenem-resistant serotype 15A-ST63 clone in Japan. During 2013–2017, we collected 206 invasive pneumococcal isolates in Taiwan for penicillin and meropenem susceptibility testing. We found serotypes

    更新日期:2020-03-16
  • Detection of Rocio Virus SPH 34675 during Dengue Epidemics, Brazil, 2011–2013
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Marielena V. Saivish; Vivaldo G. da Costa; Roger L. Rodrigues; Valéria C.R. Féres; Eduardo Montoya-Diaz; Marcos L. Moreli

    Recent seroprevalence studies in animals detected Rocio virus in regions of Brazil, indicating risk for re-emergence of this pathogen. We identified Rocio virus RNA in samples from 2 human patients for whom dengue fever was clinically suspected but ruled out by laboratory findings. Testing for infrequent flavivirus infections should expedite diagnoses.

    更新日期:2020-03-16
  • Epidemiology of Lassa Fever and Factors Associated with Deaths, Bauchi State, Nigeria, 2015–2018
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Mohammed A. Abdulkarim; Sufiyan M. Babale; Chukwuma D. Umeokonkwo; Eniola A. Bamgboye; Adebobola T. Bashorun; Auwal A. Usman; Muhammad S. Balogun

    We report the epidemiology of Lassa fever in Bauchi State, a disease-endemic region, in Nigeria. Since 2015, major increases in Lassa fever attack rate and in the case-fatality rate have occurred in this state. A delay in seeking care by a case-patient for >7 days after symptom onset was the major predictor of death.

    更新日期:2020-03-16
  • Imported Arbovirus Infections in Spain, 2009–2018
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-03-02
    Francesca F. Norman; César Henríquez-Camacho; Marta Díaz-Menendez; Sandra Chamorro; Diana Pou; Israel Molina; Josune Goikoetxea; Azucena Rodríguez-Guardado; Eva Calabuig; Clara Crespillo; Inés Oliveira; José-Antonio Pérez-Molina; Rogelio López-Velez

    To determine the epidemiologic and clinical characteristics of patients in Spain with imported arbovirus infections, we analyzed 22,655 records from a collaborative network for January 2009–December 2018. Among 861 arbovirus infections, 845 were monoinfections (456 [53%] dengue, 280 [32.5%] chikungunya, 109 [12.7%] Zika) and 16 (1.8%) were co-infections. Most patients were travelers (56.3%) or immigrants

    更新日期:2020-03-16
  • Recurrent Herpes Simplex Virus 2 Lymphocytic Meningitis in Patient with IgG Subclass 2 Deficiency
    Emerg. Infect. Dis. (IF 7.185) Pub Date : 2020-02-25
    Tanvi Goyal; Imran Ali

    We report a case of a patient with a lifetime history of 8 episodes of recurrent lymphocytic meningitis. Our findings suggest that susceptibility to recurrent lymphocytic meningitis might be caused by low serum IgG subclass 2 immunodeficiency.

    更新日期:2020-03-16
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