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Vibrio mimicus Infection Associated with Crayfish Consumption, Spokane, Washington, 2010

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Abstract:

We report a cluster of severe diarrheal disease caused by Vibrio mimicus infection among four persons who had consumed leftover crayfish the day after a private crayfish boil. Gastrointestinal illness caused by Vibrio mimicus has not been reported previously in Washington State. Three cases were laboratory confirmed by stool culture; using PCR, isolates were found to have ctx genes that encode cholera toxin (CT). Two of the cases were hospitalized under intensive care with a cholera-like illness. The illnesses were most likely caused by cross-contamination of cooked crayfish with uncooked crayfish; however, V. mimicus was not isolated nor were CT genes detected by PCR in leftover samples of frozen crayfish. Clinicians should be aware that V. mimicus can produce CT and that V. mimicus infection can cause severe illness.

Document Type: Research Article

DOI: https://doi.org/10.4315/0362-028X.JFP-11-410

Affiliations: 1: Epidemic Intelligence Service Program, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA; Public Health - Seattle & King Co., 401 5th Avenue Suite 900, Seattle, Washington 98104, USA., Email: meagan.kay@kingcounty.gov 2: Epidemic Intelligence Service Program, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 3: Spokane Regional Health District, 1101 West College Avenue, Spokane, Washington 99201, USA 4: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, Georgia 30333, USA 5: Public Health - Seattle & King Co., 401 5th Avenue Suite 900, Seattle, Washington 98104, USA 6: Washington State Department of Health, 1610 N. E. 150th Street, Shoreline, Washington 98155, USA

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