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Kitching A, Addiman S, Cathcart S, Bishop L, Krahé D, Nicholas M, Coakley J, Lloyd G, Brooks T, Morgan D, Turbitt D. A fatal case of Lassa fever in London, January 2009. Euro Surveill 2009. [DOI: 10.2807/ese.14.06.19117-en] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
In January 2009, the eleventh case of Lassa fever imported to the United Kingdom was diagnosed in London. Risk assessment of 328 healthcare contacts with potential direct exposure to Lassa virus - through contact with the case or exposure to bodily fluids - was undertaken. No contacts were assessed to be at high risk of infection and no secondary clinical cases identified.
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Affiliation(s)
- A Kitching
- Health Protection Agency, London Region Epidemiology Unit, London, United Kingdom
- European Programme for Intervention Epidemiology Training, European Centre for Disease Prevention and Control, Stockholm
| | - S Addiman
- Health Protection Agency, North East and North Central London Health Protection Unit, London, United Kingdom
| | - S Cathcart
- Health Protection Agency, North East and North Central London Health Protection Unit, London, United Kingdom
| | - L Bishop
- Health Protection Agency, London Region Epidemiology Unit, London, United Kingdom
| | - D Krahé
- Homerton University Hospital NHS Foundation Trust, London, United Kingdom
| | - M Nicholas
- Homerton University Hospital NHS Foundation Trust, London, United Kingdom
| | - J Coakley
- Homerton University Hospital NHS Foundation Trust, London, United Kingdom
| | - G Lloyd
- Health Protection Agency, Novel and Dangerous Pathogens (NaDP) Laboratory, Centre for Emergency Preparedness and Response (CEPR), Porton Down, United Kingdom
| | - T Brooks
- Health Protection Agency, Novel and Dangerous Pathogens (NaDP) Laboratory, Centre for Emergency Preparedness and Response (CEPR), Porton Down, United Kingdom
| | - D Morgan
- Health Protection Agency, Gastrointestinal, Emerging and Zoonotic Infections (GEZI) Department, Centre for Infections, Colindale, United Kingdom
| | - D Turbitt
- Health Protection Agency, North East and North Central London Health Protection Unit, London, United Kingdom
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Kitching A, Addiman S, Cathcart S, Bischop L, Krahé D, Nicholas M, Coakley J, Lloyd G, Brooks T, Morgan D, Turbitt D. A fatal case of Lassa fever in London, January 2009. Euro Surveill 2009; 14:19117. [PMID: 19215723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
In January 2009, the eleventh [corrected] case of Lassa fever imported to the United Kingdom was diagnosed in London. Risk assessment of 328 healthcare contacts with potential direct exposure to Lassa virus - through contact with the case or exposure to bodily fluids - was undertaken. No contacts were assessed to be at high risk of infection and no secondary clinical cases identified.
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Affiliation(s)
- A Kitching
- European Programme for Intervention Epidemiology Training, European Centre for Disease Prevention and Control, Stockholm, Sweden.
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Anaraki S, Addiman S, Nixon G, Krahé D, Ghosh R, Brooks T, Lloyd G, Spencer R, Walsh A, McCloskey B, Lightfoot N. Investigations and control measures following a case of inhalation anthrax in East London in a drum maker and drummer, October 2008. Euro Surveill 2008; 13:19076. [PMID: 19094916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
The patient is believed to have acquired the infection from making animal hide drums. Environmental investigations identified one drum and two pieces of animal skins contaminated with anthrax spores.
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Affiliation(s)
- S Anaraki
- North East and North Central London Health Protection Unit, Health Protection Agency, London, United Kingdom
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Anaraki S, Addiman S, Nixon G, Krahé D, Ghosh R, Brooks T, Lloyd G, Spencer R, Walsh A, McCloskey B, Lightfoot N. Investigations and control measures following a case of inhalation anthrax in East London in a drum maker and drummer, October 2008. Euro Surveill 2008. [DOI: 10.2807/ese.13.51.19076-en] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
We discuss the investigations and control measures undertaken following the notification of a fatal case of inhalation anthrax in East London. The patient is believed to have acquired the infection from making animal hide drums. Environmental investigations identified one drum and two pieces of animal skins contaminated with anthrax spores.
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Affiliation(s)
- S Anaraki
- North East and North Central London Health Protection Unit, Health Protection Agency, London, United Kingdom
| | - S Addiman
- North East and North Central London Health Protection Unit, Health Protection Agency, London, United Kingdom
| | - G Nixon
- North East and North Central London Health Protection Unit, Health Protection Agency, London, United Kingdom
| | - D Krahé
- Homerton University Hospital, London, United Kingdom
| | - R Ghosh
- Homerton University Hospital, London, United Kingdom
| | - T Brooks
- Laboratory for Novel and Dangerous Pathogens, Health Protection Agency, London, United Kingdom
| | - G Lloyd
- Laboratory for Novel and Dangerous Pathogens, Health Protection Agency, London, United Kingdom
| | - R Spencer
- Laboratory for Novel and Dangerous Pathogens, Health Protection Agency, London, United Kingdom
| | - A Walsh
- Centre for Infections, Health Protection Agency, London, United Kingdom
| | - B McCloskey
- London Regional Director’s Office, Health Protection Agency, London, United Kingdom
| | - N Lightfoot
- Health Protection Agency, Central Office, London, United Kingdom
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Abstract
Leptospirosis is a re-emerging zoonosis with worldwide distribution. Antibiotic treatment is available, but leptospirosis is rarely suspected due to the non-specific clinical presentation, and is also underreported due to the difficulty in confirming the diagnosis. The syndrome of leptospirosis pulmonary haemorrhage is increasingly described; it is severe and can present without the classical manifestations of Weil's disease. We discuss two cases of leptospirosis with pulmonary haemorrhage; both our patients experienced a dramatic deterioration hours after their admission, and required emergency intubation and intensive therapy unit support. Massive haemoptysis is a life threatening complication of leptospirosis, even outside tropical areas.
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Affiliation(s)
- M Dall'Antonia
- Queen Elizabeth Hospital NHS Trust, Stadium Road, Woolwich, London, SE184QH, UK.
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Khanna P, Wareham D, Bean D, Krahé D. Microbiological surveillance of gram-negative bactaeremia in the intensive care unit: a teaching hospital experience. J Infect 2007. [DOI: 10.1016/j.jinf.2007.04.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Persaud R, Krahé D, Georgalas C, Kaniyur S, Das S, Alusi G. Authors' Response. Ann R Coll Surg Engl 2005. [DOI: 10.1308/003588405x51047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Persaud R, Krahé D, Georgalas C, Kaniyur S, Das S, Alusi G. Life-threatening necrotizing fasciitis of the neck: an unusual consequence of a sore throat. Ann R Coll Surg Engl 2004; 86:253-7. [PMID: 15239865 PMCID: PMC1964218 DOI: 10.1308/147870804533] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Necrotizing fasciitis is life-threatening bacterial infection which spreads with frightening speed along the fascial planes resulting in extensive tissue necrosis and often death. The infection is caused by either Group A streptococci or a combination of aerobic and anaerobic bacteria. Necrotizing fasciitis of the neck is rare and commonly has a dental origin. CASE REPORT Here we present a unique case of the condition that was preceded by a sore throat in a young immunocompetent woman. We also describe, for the first time, a successful outcome involving primary skin closure and daily irrigation of the wound with hydrogen peroxide.
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Affiliation(s)
- R Persaud
- St Bartholomew's Hospital, London, UK.
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