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Journal Emerging Infect. Dis.

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Detection of Novel Coronavirus by RT-PCR in Stool Specimen from Asymptomatic Child, China.

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 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. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1337-1339]

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Community Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, Shenzhen, China, 2020.

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 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. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1320-1323]

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COVID-19 in 2 Persons with Mild Upper Respiratory Tract Symptoms on a Cruise Ship, Japan.

Takeshi Arashiro, Keiichi Furukawa, Akira Nakamura,

We describe 2 cases of coronavirus disease 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. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1345-1348]

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Lack of Vertical Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, China.

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 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. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1335-1336]

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Nonpharmaceutical Measures for Pandemic Influenza in Nonhealthcare Settings-International Travel-Related Measures.

Jaspreet Pannu,

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(9):]

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Epidemiologic Changes of Scrub Typhus in China, 1952-2016.

Zhongjie Li, Hualei Xin, Junling Sun, Shengjie Lai, Lingjia Zeng, Canjun Zheng, Sarah E Ray, Nicole Davis Weaver, Liping Wang, Jianxing Yu, Zijian Feng, Simon I Hay, George F Gao,

Scrub typhus, a miteborne rickettsiosis, has emerged in many areas globally. We analyzed the incidence and spatial-temporal distribution of scrub typhus in China during 1952-1989 and 2006-2016 using national disease surveillance data. A total of 133,623 cases and 174 deaths were recorded. The average annual incidence was 0.13 cases/100,000 population ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1091-1101]

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Genomic Epidemiology of 2015-2016 Zika Virus Outbreak in Cape Verde.

Oumar Faye, Maria de Lourdes Monteiro, Bram Vrancken, Matthieu Prot, Sebastian Lequime, Maryam Diarra, Oumar Ndiaye, Tomas Valdez, Sandra Tavarez, Jessica Ramos, Silvânia da Veiga Leal, Cecilio Pires, Antonio Moreira, Maria Filomena Tavares, Linete Fernandes, Jorge Noel Barreto, Maria do Céu Teixeira, Maria da Luz de Lima Mendonça, Carolina Cardoso da Silva Leite Gomes, Mariano Salazar Castellon, Laurence Ma, Frédéric Lemoine, Fabiana Gámbaro-Roglia, Déborah Delaune, Gamou Fall, Ibrahima Socé Fall, Mamadou Diop, Anavaj Sakuntabhai, Cheikh Loucoubar, Philippe Lemey, Edward C Holmes, Ousmane Faye, Amadou Alpha Sall, Etienne Simon-Loriere,

During 2015-2016, Cape Verde, an island nation off the coast of West Africa, experienced a Zika virus (ZIKV) outbreak involving 7,580 suspected Zika cases and 18 microcephaly cases. Analysis of the complete genomes of 3 ZIKV isolates from the outbreak indicated the strain was of the Asian (not African) lineage. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1084-1090]

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Sabiá Virus-Like Mammarenavirus in Patient with Fatal Hemorrhagic Fever, Brazil, 2020.

Fernanda de Mello Malta, Deyvid Amgarten, Ana Catharina de Seixas Santos Nastri, Yeh-Li Ho, Luciana Vilas Boas Casadio, Marcela Basqueira, Gloria Selegatto, Murilo Castro Cervato, Amaro Nunes Duarte-Neto, Hermes Ryoiti Higashino, Felipe Arthur Faustino Medeiros, José Luiz Pinto Lima Gendler, Anna S Levin, João Renato Rebello Pinho,

New World arenaviruses can cause chronic infection in rodents and hemorrhagic fever in humans. We identified a Sabiá virus-like mammarenavirus in a patient with fatal hemorrhagic fever from São Paulo, Brazil. The virus was detected through virome enrichment and metagenomic next-generation sequencing technology. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1332-1334]

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Leishmania infantum in Tigers and Sand Flies from a Leishmaniasis-Endemic Area, Southern Italy.

Roberta Iatta, Andrea Zatelli, Pietro Laricchiuta, Matteo Legrottaglie, David Modry, Filipe Dantas-Torres, Domenico Otranto,

We detected Leishmania infantum infection in 45% of tigers and 5.3% of sand flies tested at a zoo in southern Italy in 2019. These infections in tigers and the abundance of Phlebotomus perniciosus sand flies represent a potential risk to other animals and humans living in or visiting the zoo. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1311-1314]

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Temporary Fertility Decline after Large Rubella Outbreak, Japan.

Kenji Mizumoto, Gerardo Chowell,

Japan experienced 2 large rubella epidemics in 2004 and 2012-2014. Because of suboptimal immunization levels, the country has been experiencing a third major outbreak during 2018-2020. We conducted time series analyses to evaluate the effect of the 2012-2014 nationwide rubella epidemic on prefecture-level natality in Japan. We identified a statistically ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1122-1129]

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SARS-CoV-2 RNA Detection on Disposable Wooden Chopsticks, Hong Kong.

Grace Lui, Christopher K C Lai, Zigui Chen, Sylvia L Y Tong, Wendy C S Ho, Apple C M Yeung, Siaw S Boon, Rita W Y Ng, Paul K S Chan,

We detected severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA on disposable wooden chopsticks used by 5 consecutive asymptomatic and postsymptomatic patients admitted for isolation and care at our hospital. Although we did not assess virus viability, our findings may suggest potential for transmission through shared eating utensils. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(9):]

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Encephalopathy and Encephalitis Associated with Cerebrospinal Fluid Cytokine Alterations and Coronavirus Disease, Atlanta, Georgia, USA, 2020.

Karima Benameur, Ankita Agarwal, Sara C Auld, Matthew P Butters, Andrew S Webster, Tugba Ozturk, J Christina Howell, Leda C Bassit, Alvaro Velasquez, Raymond F Schinazi, Mark E Mullins, William T Hu,

There are few detailed investigations of neurologic complications in severe acute respiratory syndrome coronavirus 2 infection. We describe 3 patients with laboratory-confirmed coronavirus disease who development of encephalopathy and encephalitis. Neuroimaging showed nonenhancing unilateral, bilateral, and midline changes not readily attributable to vascular causes. All 3 patients had increased cerebrospinal ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(9):]

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Viral RNA Load in Mildly Symptomatic and Asymptomatic Children with COVID-19, Seoul.

Mi Seon Han, Moon-Woo Seong, Namhee Kim, Sue Shin, Sung Im Cho, Hyunwoong Park, Taek Soo Kim, Sung Sup Park, Eun Hwa Choi,

Along with positive SARS-CoV-2 RNA in nasopharyngeal swabs, viral RNA was detectable at high concentration for >3 weeks in fecal samples from 12 mildly symptomatic and asymptomatic children with COVID-19. Saliva also tested positive during the early phase of infection. If proven infectious, feces and saliva could serve as transmission ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(10):]

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Effectiveness of N95 Respirator Decontamination and Reuse against SARS-CoV-2 Virus.

Robert J Fischer, Dylan H Morris, Neeltje van Doremalen, Shanda Sarchette, M Jeremiah Matson, Trenton Bushmaker, Claude Kwe Yinda, Stephanie N Seifert, Amandine Gamble, Brandi N Williamson, Seth D Judson, Emmie de Wit, James O Lloyd-Smith, Vincent J Munster,

The coronavirus pandemic has created worldwide shortages of N95 respirators. We analyzed 4 decontamination methods for effectiveness in deactivating severe acute respiratory syndrome coronavirus 2 virus and effect on respirator function. Our results indicate that N95 respirators can be decontaminated and reused, but the integrity of respirator fit and seal ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(9):]

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Manifestations of Toxic Shock Syndrome in Children, Columbus, Ohio, USA, 2010-20171.

Aliza Cook, Sarah Janse, Joshua R Watson, Guliz Erdem,

Data are limited on the incidence and management of streptococcal toxic shock syndrome (TSS) and nonstreptococcal TSS in children. We aimed to define the clinical patterns of TSS at Nationwide Children's Hospital in Ohio as they relate to published criteria, diagnostic decisions, and treatment options. Through retrospective chart reviews, we ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1077-1083]

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Effectiveness and Tolerability of Oral Amoxicillin in Pregnant Women with Active Syphilis, Japan, 2010-2018.

Takeshi Nishijima, Kei Kawana, Ichio Fukasawa, Naoko Ishikawa, Melanie M Taylor, Hiroshige Mikamo, Kiyoko Kato, Jo Kitawaki, Tomoyuki Fujii, , ,

We conducted a nationwide retrospective study in Japan to evaluate the effectiveness of oral amoxicillin or ampicillin as alternatives to injectable benzathine penicillin G for treating pregnant women with syphilis and preventing congenital syphilis (CS). We investigated 80 pregnant women with active syphilis treated with amoxicillin or ampicillin during 2010-2018. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1192-1200]

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Zoonotic Alphaviruses in Fatal and Neurologic Infections in Wildlife and Nonequine Domestic Animals, South Africa.

Jumari Steyn, Isabel Fourie, Johan Steyl, June Williams, Voula Stivaktas, Elizabeth Botha, Stefanie van Niekerk, Bjorn Reininghaus, Marietjie Venter,

Alphaviruses from Africa, such as Middelburg virus (MIDV), and Sindbis virus (SINV), were detected in horses with neurologic disease in South Africa, but their host ranges remain unknown. We investigated the contribution of alphaviruses to neurologic infections and death in wildlife and domestic animals in this country. During 2010-2018, a ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1182-1191]

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Zoonotic Vectorborne Pathogens and Ectoparasites of Dogs and Cats in Eastern and Southeast Asia.

Vito Colella, Viet L Nguyen, Do Y Tan, Na Lu, Fang Fang, Yin Zhijuan, Jiangwei Wang, Xin Liu, Xinghui Chen, Junyan Dong, Wisnu Nurcahyo, Upik K Hadi, Virginia Venturina, Kenneth B Y Tong, Yi-Lun Tsai, Piyanan Taweethavonsawat, Saruda Tiwananthagorn, Thong Q Le, Khanh L Bui, Malaika Watanabe, Puteri A M A Rani, Giada Annoscia, Frédéric Beugnet, Domenico Otranto, Lénaïg Halos,

To provide data that can be used to inform treatment and prevention strategies for zoonotic pathogens in animal and human populations, we assessed the occurrence of zoonotic pathogens and their vectors on 2,381 client-owned dogs and cats living in metropolitan areas of 8 countries in eastern and Southeast Asia during ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1221-1233]

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Donor-Derived Transmission of Cryptococcus gattii sensu lato in Kidney Transplant Recipients.

Daniel W C L Santos, Ferry Hagen, Jacques F Meis, Marina P Cristelli, Laila A Viana, Fabiola D C Bernardi, Hélio Tedesco-Silva, José O Medina-Pestana, Arnaldo L Colombo,

We describe cases of donor-derived transmission of Cryptococcus deuterogattii in 2 kidney transplant recipients in Brazil and published information on other cases. Prompt reduction of immunosuppression and initiation of antifungal therapy was required to successfully control the fungal infections and preserve engraftment. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1329-1331]

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Distribution of Streptococcal Pharyngitis and Acute Rheumatic Fever, Auckland, New Zealand, 2010-2016.

Jane Oliver, Arlo Upton, Susan J Jack, Nevil Pierse, Deborah A Williamson, Michael G Baker,

Group A Streptococcus (GAS) pharyngitis is a key initiator of acute rheumatic fever (ARF). In New Zealand, ARF cases occur more frequently among persons of certain ethnic and socioeconomic groups. We compared GAS pharyngitis estimates (1,257,058 throat swab samples) with ARF incidence (792 hospitalizations) in Auckland during 2010-2016. Among children ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1113-1121]

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Statin Use and Influenza Vaccine Effectiveness in Persons >65 Years of Age, Taiwan.

Lung-Wen Tsai, Yung-Tai Chen, Chia-Jen Shih, Shuo-Ming Ou, Pei-Wen Chao, Shih-Hsiu Lo,

Debates on whether statin use reduces the effectiveness of influenza vaccines against critical illness and death among persons >65 years of age continue. We conducted a study of 9,427,392 persons >65 years of age who did and did not receive influenza vaccinations during 12 consecutive influenza seasons, 2000-01 through 2011-12. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):]

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Parotitis-Like Symptoms Associated with COVID-19, France, March-April 2020.

Jerome R Lechien, Annaelle Chetrit, Younes Chekkoury-Idrissi, Lea Distinguin, Marta Circiu, Sven Saussez, Najete Berradja, Myriam Edjlali, Stephane Hans, Robert Carlier,

We report the clinical features of 3 patients in France who had parotitis (inflammation of the parotid salivary glands) as a clinical manifestation of confirmed coronavirus disease. Results from magnetic resonance imaging support the occurrence of intraparotid lymphadenitis, leading to a parotitis-like clinical picture. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(9):]

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Effect of Nonpharmaceutical Interventions on Transmission of Severe Acute Respiratory Syndrome Coronavirus 2, South Korea, 2020.

Sukhyun Ryu, Seikh Taslim Ali, Cheolsun Jang, Baekjin Kim, Benjamin J Cowling,

We analyzed transmission of coronavirus disease outside of the Daegu-Gyeongsangbuk provincial region in South Korea. We estimated that nonpharmaceutical measures reduced transmissibility by a maximum of 34% without resorting to a strict lockdown strategy. To optimize epidemic control, continuous efforts to monitor the transmissibility are needed. ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(10):]

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Characterization of Sporadic Creutzfeldt-Jakob Disease and History of Neurosurgery to Identify Potential Iatrogenic Cases.

Tsuyoshi Hamaguchi, Kenji Sakai, Atsushi Kobayashi, Tetsuyuki Kitamoto, Ryusuke Ae, Yosikazu Nakamura, Nobuo Sanjo, Kimihito Arai, Mizuho Koide, Fumiaki Katada, Masafumi Harada, Hiroyuki Murai, Shigeo Murayama, Tadashi Tsukamoto, Hidehiro Mizusawa, Masahito Yamada,

We previously reported a phenotype of Creutzfeldt-Jakob disease (CJD), CJD-MMiK, that could help identify iatrogenic CJD. To find cases mimicking CJD-MMiK, we investigated clinical features and pathology of 1,155 patients with diagnosed sporadic CJD or unclassified CJD with and without history of neurosurgery. Patients with history of neurosurgery more frequently ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1140-1146]

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Endemic Chromoblastomycosis Caused Predominantly by Fonsecaea nubica, Madagascar1.

Tahinamandranto Rasamoelina, Danièle Maubon, Malalaniaina Andrianarison, Irina Ranaivo, Fandresena Sendrasoa, Njary Rakotozandrindrainy, Fetra A Rakotomalala, Sébastien Bailly, Benja Rakotonirina, Abel Andriantsimahavandy, Fahafahantsoa Rakato Rabenja, Mala R Andrianarivelo, Muriel Cornet, Lala S Ramarozatovo,

Chromoblastomycosis is an implantation fungal infection. Twenty years ago, Madagascar was recognized as the leading focus of this disease. We recruited patients in Madagascar who had chronic subcutaneous lesions suggestive of dermatomycosis during March 2013-June 2017. Chromoblastomycosis was diagnosed in 50 (33.8%) of 148 patients. The highest prevalence was in ... Read more >>

Emerging Infect. Dis. (Emerging infectious diseases)
[2020, 26(6):1201-1211]

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