A cluster of primary pneumonic plague transmitted in a truck cab in a new enzootic focus in China.
Am J Trop Med Hyg
; 88(5): 923-8, 2013 May.
Article
em En
| MEDLINE
| ID: mdl-23509116
ABSTRACT
We investigated a cluster of five cases of severe pneumonia from one village in Yunnan Province, China. We searched for severe pneumonia in the village and hospitals. We interviewed patients and family members about exposures. We tested acute and convalescent sera for antigen and antibody of severe acute respiratory syndrome, avian influenza, and plague. The only common exposure of the five patients was riding together in the enclosed cab of a truck for 1.5 hours while taking the first patient to the hospital. Seroconversion to plague F1 antigen confirmed plague in three survivors. Unfamiliarity of clinicians with plague and lack of sputum examination, blood culture, or postmortem examination delayed the diagnosis. No plague cases occurred among family and village contacts and health care workers. High infectivity in this cluster was limited to a crowded, poorly ventilated truck.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Peste
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Proteínas de Bactérias
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Yersinia pestis
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Veículos Automotores
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Anticorpos Antibacterianos
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article