Abstract:
: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.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Harris JR,Lockhart SR,Sondermeyer G,Vugia DJ,Crist MB,D'Angelo MT,Sellers B,Franco-Paredes C,Makvandi M,Smelser C,Greene J,Stanek D,Signs K,Nett RJ,Chiller T,Park BJdoi
10.3201/eid1910.130441subject
Has Abstractpub_date
2013-10-01 00:00:00pages
1620-6issue
10eissn
1080-6040issn
1080-6059journal_volume
19pub_type
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