Cryptococcus gattii infections in multiple states outside the US Pacific Northwest.

Clonal VGII subtypes (outbreak strains) of Cryptococcus gattii have caused an outbreak in the US Pacific Northwest since 2004. Outbreak-associated infections occur equally in male and female patients (median age 56 years) and usually cause pulmonary disease in persons with underlying medical conditi...

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Publicado en:Emerging Infectious Diseases Vol. 19; no. 10; pp. 1621 - 1628
Autores principales: Harris, Julie R, Lockhart, Shawn R, Sondermeyer, Gail, Vugia, Duc J, Crist, Matthew B, D'Angelo, Melissa Tobin, Sellers, Brenda, Franco-Paredes, Carlos, Makvandi, Monear, Smelser, Chad, Greene, John, Stanek, Danielle, Signs, Kimberly, Nett, Randall J, Chiller, Tom, Park, Benjamin J
Formato: Journal Article
Publicado: Centers for Disease Control & Prevention (CDC) Oct2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2013
      vid: 19
      iid: 10
      pid: 1493
      pub: Centers for Disease Control & Prevention (CDC)
      place: Atlanta, Georgia
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        atl: Cryptococcus gattii infections in multiple states outside the US Pacific Northwest.
      aug:
        au:
          Harris, Julie R
          Lockhart, Shawn R
          Sondermeyer, Gail
          Vugia, Duc J
          Crist, Matthew B
          D'Angelo, Melissa Tobin
          Sellers, Brenda
          Franco-Paredes, Carlos
          Makvandi, Monear
          Smelser, Chad
          Greene, John
          Stanek, Danielle
          Signs, Kimberly
          Nett, Randall J
          Chiller, Tom
          Park, Benjamin J
      sug:
        subj:
          Cryptococcosis Mortality
          Cryptococcus Immunology
          Lung Diseases, Fungal Mortality
          Adolescence
          Adult
          Aged
          Aged, 80 and Over
          Cryptococcosis Immunology
          Cryptococcosis Microbiology
          Cryptococcus
          Disease Outbreaks
          Female
          Genotype
          Lung Diseases, Fungal Immunology
          Lung Diseases, Fungal Microbiology
          Male
          Middle Age
          Evolution
          United States
          Young Adult
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Clonal VGII subtypes (outbreak strains) of Cryptococcus gattii have caused an outbreak in the US Pacific Northwest since 2004. Outbreak-associated infections occur equally in male and female patients (median age 56 years) and usually cause pulmonary disease in persons with underlying medical conditions. Since 2009, a total of 25 C. gattii infections, 23 (92%) caused by non-outbreak strain C. gattii, have been reported from 8 non-Pacific Northwest states. Sixteen (64%) patients were previously healthy, and 21 (84%) were male; median age was 43 years (range 15-83 years). Ten patients who provided information reported no past-year travel to areas where C. gattii is known to be endemic. Nineteen (76%) patients had central nervous system infections; 6 (24%) died. C. gattii infection in persons without exposure to known disease-endemic areas suggests possible endemicity in the United States outside the outbreak-affected region; these infections appear to differ in clinical and demographic characteristics from outbreak-associated C. gattii. Clinicians outside the outbreak-affected areas should be aware of locally acquired C. gattii infection and its varied signs and symptoms.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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