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Journal of Clinical Microbiology
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Epidemiology

Enterococcus faecium-Related Outbreak with Molecular Evidence of Transmission from Pigs to Humans

Hong-Zhou Lu, Xin-Hua Weng, Haijing Li, You-Kuan Yin, Mao-Yin Pang, Yi-Wei Tang
Hong-Zhou Lu
1Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China
2Departments of Medicine
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Xin-Hua Weng
1Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China
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Haijing Li
2Departments of Medicine
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You-Kuan Yin
1Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China
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Mao-Yin Pang
1Department of Infectious Diseases, Huashan Hospital, Fudan University, Shanghai 200040, People's Republic of China
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Yi-Wei Tang
2Departments of Medicine
3Pathology, Vanderbilt University School of Medicine, Nashville, Tennessee 37232
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  • For correspondence: yiwei.tang@vanderbilt.edu
DOI: 10.1128/JCM.40.3.913-917.2002
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ABSTRACT

Between 24 July and 31 August 1998, thousands of domestic pigs died of hemorrhagic shock in three adjunct counties along the YangZi River in Jiangshu Province, China. From 28 July to 6 September 1998, 40 local farmers (36 males and 4 females, ages 23 to 78 years) were hospitalized with severe illness characterized by high fever, erythematous rash or petechiae, and profound lethargy after contact with sick pigs. Twelve (30%) of these patients died of respiratory failure and shock. Eleven bacterial isolates recovered from 11 blood and cerebrospinal fluid specimens collected from seven patients and two pigs were identified as Enterococcus faecium based on biochemical reactions and 16S rRNA gene sequence analysis. Both pig and human E. faecium isolates displayed indistinguishable antibiotic susceptibility and pulsed-field gel electrophoresis patterns. These data strongly suggest the spread of an outbreak of E. faecium-related sepsis from pigs to humans.

  • Copyright © 2002 American Society for Microbiology
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Enterococcus faecium-Related Outbreak with Molecular Evidence of Transmission from Pigs to Humans
Hong-Zhou Lu, Xin-Hua Weng, Haijing Li, You-Kuan Yin, Mao-Yin Pang, Yi-Wei Tang
Journal of Clinical Microbiology Mar 2002, 40 (3) 913-917; DOI: 10.1128/JCM.40.3.913-917.2002

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Enterococcus faecium-Related Outbreak with Molecular Evidence of Transmission from Pigs to Humans
Hong-Zhou Lu, Xin-Hua Weng, Haijing Li, You-Kuan Yin, Mao-Yin Pang, Yi-Wei Tang
Journal of Clinical Microbiology Mar 2002, 40 (3) 913-917; DOI: 10.1128/JCM.40.3.913-917.2002
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KEYWORDS

Disease Outbreaks
Enterococcus faecium
Gram-Positive Bacterial Infections
Swine Diseases

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