Karin A. Ydsten, Joanna Nederby Öhd, Urban Hellgren, Hilmir Asgeirsson
{"title":"Prevalence of Nitroimidazole-Refractory Giardiasis Acquired in Different World Regions, Sweden, 2008–2020","authors":"Karin A. Ydsten, Joanna Nederby Öhd, Urban Hellgren, Hilmir Asgeirsson","doi":"10.3201/eid3106.250076","DOIUrl":"https://doi.org/10.3201/eid3106.250076","url":null,"abstract":"<p>Treatment-refractory giardiasis is an emerging clinical problem. Of 4,285 giardiasis cases identified during 2008–2020 in Stockholm, Sweden, 102 (2.4%) were nitroimidazole-refractory. Among cases acquired in India, the percentage was high (64/545 [12%]) and increased over time. The region of acquisition needs to be taken into consideration when managing patients.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"157 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144067193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nadia Jaidane, Wejdene Mansour, Lamia Tilouche, Pierre Châtre, Pauline François, Agnese Lupo, Saoussen Oueslati, Aymeric Jacquemin, Ali Lazzem, Sonia Karaborni, Laetitia Du Fraysseix, Yomna Ben Lamine, Nidhal Mahdhi, Abdelhalim Trabelsi, Jean-Yves Madec, Marisa Haenni, Thierry Naas
{"title":"OXA-204 Carbapenemase in Clinical Isolate of Pseudomonas guariconensis, Tunisia","authors":"Nadia Jaidane, Wejdene Mansour, Lamia Tilouche, Pierre Châtre, Pauline François, Agnese Lupo, Saoussen Oueslati, Aymeric Jacquemin, Ali Lazzem, Sonia Karaborni, Laetitia Du Fraysseix, Yomna Ben Lamine, Nidhal Mahdhi, Abdelhalim Trabelsi, Jean-Yves Madec, Marisa Haenni, Thierry Naas","doi":"10.3201/eid3106.250131","DOIUrl":"https://doi.org/10.3201/eid3106.250131","url":null,"abstract":"<p>We report an OXA-204–producing <em>Pseudomonas guariconensis</em> clinical isolate in, Tunisia, proving the spread of OXA-48 variants beyond Enterobacterales. The <em>bla</em><sub>OXA-204</sub> gene was carried on a 119-kb chromosomally integrated plasmid fragment, along with multiple additional resistance genes. Surveillance, diagnostic tools, and antimicrobial drug access are needed to mitigate spread of carbapenem-resistant pathogens.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"28 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tjaša Vivoda, Tereza Rojko, Barbara Kokošar Ulčar, Katja Strašek Smrdel, Andraž Celar Šturm, Darja Keše, Tina Triglav, Željka Večerić Haler
{"title":"Mycoplasma arginini Cellulitis, Tenosynovitis, and Arthritis in Kidney Transplant Recipient, Slovenia, 2024","authors":"Tjaša Vivoda, Tereza Rojko, Barbara Kokošar Ulčar, Katja Strašek Smrdel, Andraž Celar Šturm, Darja Keše, Tina Triglav, Željka Večerić Haler","doi":"10.3201/eid3106.250149","DOIUrl":"https://doi.org/10.3201/eid3106.250149","url":null,"abstract":"<p><em>Mycoplasma arginini</em> is a bacterium primarily found in animals and is seldom reported in human infections. We identified <em>M. arginini</em> infection in a severely immunocompromised kidney transplant recipient in Slovenia. Clinicians should be aware of <em>M. arginini’s</em> potential as a pathogen in immunocompromised persons with animal contact. </p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"121 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Rouse, Jeremy Buttler, Kristy Pabilonia, Christina Weller, Laurel Respicio-Kingry, Elizabeth Dietrich, Jeannine Petersen, Ganna Kovalenko, Eric Bortz, Kathy Burek Huntington
{"title":"Francisella tularensis Subspecies holarctica in Stranded Beluga Whales, Cook Inlet, Alaska, USA","authors":"Natalie Rouse, Jeremy Buttler, Kristy Pabilonia, Christina Weller, Laurel Respicio-Kingry, Elizabeth Dietrich, Jeannine Petersen, Ganna Kovalenko, Eric Bortz, Kathy Burek Huntington","doi":"10.3201/eid3106.250033","DOIUrl":"https://doi.org/10.3201/eid3106.250033","url":null,"abstract":"<p>We report fatal tularemia in stranded beluga whales in Cook Inlet, Alaska, USA. <em>Francisella tularensis</em> was detected by nanopore metagenomics, confirmed by quantitative PCR and immunohistochemistry, and characterized as <em>F. tularensis</em> subspecies <em>holarctica</em> by multilocus sequence typing. Our findings should be considered when assessing biosecurity and marine mammal health in the North Pacific.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"17 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anatevka S. Ribeiro, Andrew B. Wolf, Ellen W. Leschek, Lawrence B. Schonberger, Joseph Y. Abrams, Ryan A. Maddox, Brian S. Appleby, Katie Glisic, Aaron Carlson, Elizabeth Matthews
{"title":"Cadaveric Human Growth Hormone–Associated Creutzfeldt-Jakob Disease with Long Latency Period, United States","authors":"Anatevka S. Ribeiro, Andrew B. Wolf, Ellen W. Leschek, Lawrence B. Schonberger, Joseph Y. Abrams, Ryan A. Maddox, Brian S. Appleby, Katie Glisic, Aaron Carlson, Elizabeth Matthews","doi":"10.3201/eid3106.241519","DOIUrl":"https://doi.org/10.3201/eid3106.241519","url":null,"abstract":"<p>We report a case of iatrogenic Creutzfeldt-Jakob disease (iCJD) after a 48.3-year incubation period in a patient treated with cadaveric human growth hormone. iCJD was pathologically confirmed; genetic analysis was negative for pathogenic mutations. Clinicians should consider iCJD in patients with progressive neurologic signs who had received cadaveric human growth hormone treatment.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"129 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phoebe Stevenson-Leggett, Lorin Adams, David Greenwood, Abi Lofts, Vincenzo Libri, Bryan Williams, Sonia Gandhi, Charles Swanton, Steve Gamblin, Edward J. Carr, Ruth Harvey, Nicola S. Lewis, Mary Y. Wu, Emma C. Wall
{"title":"Investigation of Influenza A(H5N1) Virus Neutralization by Quadrivalent Seasonal Vaccines, United Kingdom, 2021–2024","authors":"Phoebe Stevenson-Leggett, Lorin Adams, David Greenwood, Abi Lofts, Vincenzo Libri, Bryan Williams, Sonia Gandhi, Charles Swanton, Steve Gamblin, Edward J. Carr, Ruth Harvey, Nicola S. Lewis, Mary Y. Wu, Emma C. Wall","doi":"10.3201/eid3106.241796","DOIUrl":"https://doi.org/10.3201/eid3106.241796","url":null,"abstract":"<p>We tested cross-neutralization against highly pathogenic avian influenza A(H5N1) virus in adults vaccinated with 2021–2023 seasonal quadrivalent influenza vaccine in the United Kingdom. Seasonal quadrivalent influenza vaccines are unlikely to protect vulnerable persons against severe H5N1 disease during widespread transmission. Enhanced measures are needed to protect vulnerable people from H5N1 virus infection.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"10 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erwin de Bruin, Jurrian van Irsel, Felicity Chandler, Robert Kohl, Tess van de Voorde, Anne van der Linden, Fred de Boer, Marion Koopmans, Henk van der Jeugd, Chantal Reusken
{"title":"Usutu Virus Antibody Dynamics in Naturally Infected Blackbirds, the Netherlands, 2016–2018","authors":"Erwin de Bruin, Jurrian van Irsel, Felicity Chandler, Robert Kohl, Tess van de Voorde, Anne van der Linden, Fred de Boer, Marion Koopmans, Henk van der Jeugd, Chantal Reusken","doi":"10.3201/eid3106.241744","DOIUrl":"https://doi.org/10.3201/eid3106.241744","url":null,"abstract":"<p>Usutu virus is a zoonotic arbovirus that causes massive mortality in blackbirds. Using a unique longitudinal dataset on the kinetics of virus-specific antibodies in naturally infected wild blackbirds (<em>Turdus merula</em>), we found that individual birds may remain seropositive for >1 year and that reinfection can occur despite low-level virus neutralizing antibodies.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"13 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Flea Preventive to Control Rickettsia typhi–Infected Fleas on Reservoir Opossums, Galveston, Texas, USA, 2023–2024","authors":"Lucas S. Blanton, Alejandro Villasante-Tezanos","doi":"10.3201/eid3106.241817","DOIUrl":"https://doi.org/10.3201/eid3106.241817","url":null,"abstract":"<p>Murine typhus, a fleaborne bacterial disease caused by <em>Rickettsia typhi</em>, has reemerged and spread in the United States. We tested spinosad, an oral flea preventive, in opossum flea reservoirs. Spinosad killed 98% of fleas infesting opossums. Oral preventives could control fleas in host species and curb murine typhus spread to humans.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"9 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143945675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prospective Multicenter Surveillance of Non–H. pylori Helicobacter Infections during Medical Checkups, Japan, 2022","authors":"Kengo Tokunaga, Emiko Rimbara, Toshihisa Tsukadaira, Katsuhiro Mabe, Koji Yahara, Hidekazu Suzuki, Tadashi Shimoyama, Mitsushige Sugimoto, Tadayoshi Okimoto, Hidenori Matsui, Masato Suzuki, Keigo Shibayama, Hiroyoshi Ota, Kazunari Murakami, Mototsugu Kato","doi":"10.3201/eid3106.241315","DOIUrl":"https://doi.org/10.3201/eid3106.241315","url":null,"abstract":"<p>To evaluate non–<em>H. pylori Helicobacter</em> (NHPH) infections in Japan, we enrolled 673 consecutive patients who underwent gastric endoscopy during annual medical checkups at 4 hospitals during May–August 2022. We collected intragastric fluid and serum samples to detect NHPH infection by PCR and serologic tests. The prevalence of NHPH was 3% (20/673); 70% (14/20) of patients were infected with <em>H. suis</em> and 30% (6/20) with non–<em>H. suis</em> NHPH species. All 14 <em>H. suis</em>–infected patients were men and had a history of pork offal ingestion. Among non–<em>H. suis</em> NHPH-infected patients, 50% (3/6) owned pet cats, whereas only 22% (145/667) of other patients owned cats. Endoscopic evaluation revealed marbled crack-like gastritis was present in 93% (13/14) of <em>H. suis</em>–infected patients, a significantly higher prevalence than for <em>H. pylori</em>–infected (28.6%) and <em>H. pylori</em> eradication therapy (27.6%) groups. Pork offal ingestion and having pet cats increase risk for <em>Helicobacter</em> spp. infections.</p>","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"36 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143945905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Duncan MacCannell, Bronwyn MacInnis, Scott Santibanez
{"title":"Beyond the Brushstrokes—Illuminating Patterns and Interactions to Find Order in Complex Systems","authors":"Duncan MacCannell, Bronwyn MacInnis, Scott Santibanez","doi":"10.3201/eid3113.ac3113","DOIUrl":"https://doi.org/10.3201/eid3113.ac3113","url":null,"abstract":"About the Cover","PeriodicalId":11595,"journal":{"name":"Emerging Infectious Diseases","volume":"110 1","pages":""},"PeriodicalIF":11.8,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}