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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1989-10-12
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pubmed:abstractText |
The largest cholera outbreak in the United States in over a century occurred in Louisiana from August through October 1986. Eighteen persons in 12 family clusters had stool culture or serologic evidence of infection with toxigenic Vibrio cholerae 0-group 1. Thirteen of these persons had severe diarrhea, and 4 required intensive care unit treatment. Although all 18 survived, 1 96-year-old woman with suspected cholera died shortly after hospital admission. A case-control study showed that case-patients were more likely than neighborhood control subjects to have eaten cooked crabs or cooked or raw shrimp during the week before illness. Case-patients who ate crabs were more likely than control subjects who ate crabs to have undercooked and mishandled the crabs after cooking. A third vehicle from the Gulf waters, raw oysters, caused V cholerae 01 infection in two persons residing in Florida and Georgia. All three seafood vehicles came from multiple sources. Stool isolates from the Louisiana case-patients were genetically identical to other North American strains isolated since 1973, but differ from African and Asian isolates. While crabs are the most important vehicle for V cholerae 01 infection in the United States, shrimp and oysters from the Gulf coast can also be vehicles of transmission. A persisting reservoir of V cholerae 01 along the Gulf coast may continue to cause sporadic cases and outbreaks of cholera in Gulf states and in states importing Gulf seafood.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
|
pubmed:issn |
0003-9926
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
149
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
N
|
pubmed:pagination |
2079-84
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2774784-Adult,
pubmed-meshheading:2774784-Aged,
pubmed-meshheading:2774784-Aged, 80 and over,
pubmed-meshheading:2774784-Animals,
pubmed-meshheading:2774784-Cholera,
pubmed-meshheading:2774784-Disease Outbreaks,
pubmed-meshheading:2774784-Disease Vectors,
pubmed-meshheading:2774784-Epidemiologic Methods,
pubmed-meshheading:2774784-Feces,
pubmed-meshheading:2774784-Female,
pubmed-meshheading:2774784-Food Contamination,
pubmed-meshheading:2774784-Humans,
pubmed-meshheading:2774784-Louisiana,
pubmed-meshheading:2774784-Male,
pubmed-meshheading:2774784-Middle Aged
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pubmed:year |
1989
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pubmed:articleTitle |
Cholera in Louisiana. Widening spectrum of seafood vehicles.
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pubmed:affiliation |
Division of Field Services, Epidemiology Program Office, Centers for Disease Control, Atlanta, GA 30333.
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pubmed:publicationType |
Journal Article,
Case Reports
|