First Reported Outbreak of Abdominal Angiostrongyliasis
Human abdominal angiostrongyliasis is a potentially fatal disease caused by Angiostrongylus costaricensis, a nematode found in the Americas. During the period of December 1994 through August 1995, an outbreak of this disease occurred in Guatemala. We identified 22 cases of abdominal angiostrongylias...
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| Veröffentlicht in: | Clinical infectious diseases 1998-02, Vol.26 (2), p.365-372 |
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| creator | Kramer, Michael H. Greer, George J. Quiñonez, Jorge F. Padilla, Norma R. Hernández, Beatriz Arana, Byron A. Lorenzana, Rodolfo Morera, Pedro Hightower, Allen W. Eberhard, Mark L. Herwaldt, Barbara L. |
| description | Human abdominal angiostrongyliasis is a potentially fatal disease caused by Angiostrongylus costaricensis, a nematode found in the Americas. During the period of December 1994 through August 1995, an outbreak of this disease occurred in Guatemala. We identified 22 cases of abdominal angiostrongyliasis and conducted a matched case-control study to identify risk factors for illness. The median age of the 18 cases enrolled in the study was 37 years (range, 9–68 years), and 11 (61.1%) were male. Consumption of the following six raw food items was associated with angiostrongyliasis: mint (odds ratio [OR], 6.9; 95% confidence interval [CI], 1.5–66.0), shrimp (OR, infinite; 95% CI, 1.4 to infinite), and four kinds of ceviche that reportedly contained raw mint (OR for consumption of mint or ceviche that contained mint, 7.0; 95% CI, 1.0–315). We conclude that raw mint was the likely vehicle of infection for this outbreak. To our knowledge, this is the first reported outbreak of abdominal angiostrongyliasis and the first time that a specific food item has been epidemiologically linked to the disease. |
| doi_str_mv | 10.1086/516325 |
| format | Article |
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During the period of December 1994 through August 1995, an outbreak of this disease occurred in Guatemala. We identified 22 cases of abdominal angiostrongyliasis and conducted a matched case-control study to identify risk factors for illness. The median age of the 18 cases enrolled in the study was 37 years (range, 9–68 years), and 11 (61.1%) were male. Consumption of the following six raw food items was associated with angiostrongyliasis: mint (odds ratio [OR], 6.9; 95% confidence interval [CI], 1.5–66.0), shrimp (OR, infinite; 95% CI, 1.4 to infinite), and four kinds of ceviche that reportedly contained raw mint (OR for consumption of mint or ceviche that contained mint, 7.0; 95% CI, 1.0–315). We conclude that raw mint was the likely vehicle of infection for this outbreak. To our knowledge, this is the first reported outbreak of abdominal angiostrongyliasis and the first time that a specific food item has been epidemiologically linked to the disease.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/516325</identifier><identifier>PMID: 9580096</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Abdomen ; Adolescent ; Adult ; Aged ; Angiostrongylus ; Animals ; Biological and medical sciences ; Case control studies ; Child ; Clinical Articles ; Cohort Studies ; Disease Outbreaks ; Diseases ; Diseases caused by nematodes ; Environment ; Epidemiology ; Female ; Food Microbiology ; Guatemala - epidemiology ; Helminthic diseases ; Humans ; Incidence ; Infections ; Infectious diseases ; Larvae ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Parasitic diseases ; Raw foods ; Specimens ; Strongylida Infections - epidemiology ; Strongylida Infections - pathology ; Strongylida Infections - physiopathology ; Tropical medicine</subject><ispartof>Clinical infectious diseases, 1998-02, Vol.26 (2), p.365-372</ispartof><rights>Copyright 1998 The University of Chicago</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-930f2c77c126a883aa1151ec2005e4eee20aaf1a3635f197eb6123ba445498d83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4481361$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4481361$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2144319$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9580096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kramer, Michael H.</creatorcontrib><creatorcontrib>Greer, George J.</creatorcontrib><creatorcontrib>Quiñonez, Jorge F.</creatorcontrib><creatorcontrib>Padilla, Norma R.</creatorcontrib><creatorcontrib>Hernández, Beatriz</creatorcontrib><creatorcontrib>Arana, Byron A.</creatorcontrib><creatorcontrib>Lorenzana, Rodolfo</creatorcontrib><creatorcontrib>Morera, Pedro</creatorcontrib><creatorcontrib>Hightower, Allen W.</creatorcontrib><creatorcontrib>Eberhard, Mark L.</creatorcontrib><creatorcontrib>Herwaldt, Barbara L.</creatorcontrib><title>First Reported Outbreak of Abdominal Angiostrongyliasis</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><description>Human abdominal angiostrongyliasis is a potentially fatal disease caused by Angiostrongylus costaricensis, a nematode found in the Americas. During the period of December 1994 through August 1995, an outbreak of this disease occurred in Guatemala. We identified 22 cases of abdominal angiostrongyliasis and conducted a matched case-control study to identify risk factors for illness. The median age of the 18 cases enrolled in the study was 37 years (range, 9–68 years), and 11 (61.1%) were male. Consumption of the following six raw food items was associated with angiostrongyliasis: mint (odds ratio [OR], 6.9; 95% confidence interval [CI], 1.5–66.0), shrimp (OR, infinite; 95% CI, 1.4 to infinite), and four kinds of ceviche that reportedly contained raw mint (OR for consumption of mint or ceviche that contained mint, 7.0; 95% CI, 1.0–315). We conclude that raw mint was the likely vehicle of infection for this outbreak. To our knowledge, this is the first reported outbreak of abdominal angiostrongyliasis and the first time that a specific food item has been epidemiologically linked to the disease.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Angiostrongylus</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Case control studies</subject><subject>Child</subject><subject>Clinical Articles</subject><subject>Cohort Studies</subject><subject>Disease Outbreaks</subject><subject>Diseases</subject><subject>Diseases caused by nematodes</subject><subject>Environment</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Food Microbiology</subject><subject>Guatemala - epidemiology</subject><subject>Helminthic diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Larvae</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Parasitic diseases</subject><subject>Raw foods</subject><subject>Specimens</subject><subject>Strongylida Infections - epidemiology</subject><subject>Strongylida Infections - pathology</subject><subject>Strongylida Infections - physiopathology</subject><subject>Tropical medicine</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j81Kw0AURgdRaq36BApZiLvo3MxPZpal2FYpFKQWcTPcJJOSNk3KTAr27Y2kZHUvnMMHh5B7oC9AlXwVIFkkLsgQBItDKTRctj8VKuSKqWty4_2WUgBFxYAMtFCUajkk8bRwvgk-7aF2jc2C5bFJnMVdUOfBOMnqfVFhGYyrTVH7xtXV5lQW6At_S65yLL29O98R-Zq-rSbzcLGcvU_GizBlWjahZjSP0jhOIZKoFEMEEGDTiFJhubU2oog5IJNM5KBjm0iIWIKcC65VptiIPHe7qau9dzY3B1fs0Z0MUPMfbrrwVnzsxMMx2dus186lLX86c_QplrnDKi18r0XAOQPdag-dtvVN7XrMuQImocVhhwvf2N8eo9sZGbNYmPn3j-Gz9cd8PVkZxf4AzAt2VA</recordid><startdate>19980201</startdate><enddate>19980201</enddate><creator>Kramer, Michael H.</creator><creator>Greer, George J.</creator><creator>Quiñonez, Jorge F.</creator><creator>Padilla, Norma R.</creator><creator>Hernández, Beatriz</creator><creator>Arana, Byron A.</creator><creator>Lorenzana, Rodolfo</creator><creator>Morera, Pedro</creator><creator>Hightower, Allen W.</creator><creator>Eberhard, Mark L.</creator><creator>Herwaldt, Barbara L.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>19980201</creationdate><title>First Reported Outbreak of Abdominal Angiostrongyliasis</title><author>Kramer, Michael H. ; Greer, George J. ; Quiñonez, Jorge F. ; Padilla, Norma R. ; Hernández, Beatriz ; Arana, Byron A. ; Lorenzana, Rodolfo ; Morera, Pedro ; Hightower, Allen W. ; Eberhard, Mark L. ; Herwaldt, Barbara L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-930f2c77c126a883aa1151ec2005e4eee20aaf1a3635f197eb6123ba445498d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Abdomen</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Angiostrongylus</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Case control studies</topic><topic>Child</topic><topic>Clinical Articles</topic><topic>Cohort Studies</topic><topic>Disease Outbreaks</topic><topic>Diseases</topic><topic>Diseases caused by nematodes</topic><topic>Environment</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Food Microbiology</topic><topic>Guatemala - epidemiology</topic><topic>Helminthic diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Larvae</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Parasitic diseases</topic><topic>Raw foods</topic><topic>Specimens</topic><topic>Strongylida Infections - epidemiology</topic><topic>Strongylida Infections - pathology</topic><topic>Strongylida Infections - physiopathology</topic><topic>Tropical medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kramer, Michael H.</creatorcontrib><creatorcontrib>Greer, George J.</creatorcontrib><creatorcontrib>Quiñonez, Jorge F.</creatorcontrib><creatorcontrib>Padilla, Norma R.</creatorcontrib><creatorcontrib>Hernández, Beatriz</creatorcontrib><creatorcontrib>Arana, Byron A.</creatorcontrib><creatorcontrib>Lorenzana, Rodolfo</creatorcontrib><creatorcontrib>Morera, Pedro</creatorcontrib><creatorcontrib>Hightower, Allen W.</creatorcontrib><creatorcontrib>Eberhard, Mark L.</creatorcontrib><creatorcontrib>Herwaldt, Barbara L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kramer, Michael H.</au><au>Greer, George J.</au><au>Quiñonez, Jorge F.</au><au>Padilla, Norma R.</au><au>Hernández, Beatriz</au><au>Arana, Byron A.</au><au>Lorenzana, Rodolfo</au><au>Morera, Pedro</au><au>Hightower, Allen W.</au><au>Eberhard, Mark L.</au><au>Herwaldt, Barbara L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>First Reported Outbreak of Abdominal Angiostrongyliasis</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1998-02-01</date><risdate>1998</risdate><volume>26</volume><issue>2</issue><spage>365</spage><epage>372</epage><pages>365-372</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Human abdominal angiostrongyliasis is a potentially fatal disease caused by Angiostrongylus costaricensis, a nematode found in the Americas. During the period of December 1994 through August 1995, an outbreak of this disease occurred in Guatemala. We identified 22 cases of abdominal angiostrongyliasis and conducted a matched case-control study to identify risk factors for illness. The median age of the 18 cases enrolled in the study was 37 years (range, 9–68 years), and 11 (61.1%) were male. Consumption of the following six raw food items was associated with angiostrongyliasis: mint (odds ratio [OR], 6.9; 95% confidence interval [CI], 1.5–66.0), shrimp (OR, infinite; 95% CI, 1.4 to infinite), and four kinds of ceviche that reportedly contained raw mint (OR for consumption of mint or ceviche that contained mint, 7.0; 95% CI, 1.0–315). We conclude that raw mint was the likely vehicle of infection for this outbreak. To our knowledge, this is the first reported outbreak of abdominal angiostrongyliasis and the first time that a specific food item has been epidemiologically linked to the disease.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>9580096</pmid><doi>10.1086/516325</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical infectious diseases, 1998-02, Vol.26 (2), p.365-372 |
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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Abdomen Adolescent Adult Aged Angiostrongylus Animals Biological and medical sciences Case control studies Child Clinical Articles Cohort Studies Disease Outbreaks Diseases Diseases caused by nematodes Environment Epidemiology Female Food Microbiology Guatemala - epidemiology Helminthic diseases Humans Incidence Infections Infectious diseases Larvae Male Medical sciences Middle Aged Miscellaneous Parasitic diseases Raw foods Specimens Strongylida Infections - epidemiology Strongylida Infections - pathology Strongylida Infections - physiopathology Tropical medicine |
| title | First Reported Outbreak of Abdominal Angiostrongyliasis |
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