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US: Four states report unusual HFMD cases

Shiloh

Editor, Senior Moderator
Source: http://www.cidrap.umn.edu/cidrap/content/other/news/mar2912newsscan.html

Four states report unusual HFMD cases

The US Centers for Disease Control and Prevention (CDC) today reported unusual outbreaks of hand, foot, and mouth disease (HFMD) in four states that were caused by a type of enterovirus known to cause a more extensive rash. The report, by health officials working in several jurisdictions where the cases were reported, appeared today in MMWR. The CDC said it received reports of 63 cases of HFMD from Alabama (38), California (7), Connecticut (1), and Nevada (17) between Nov 11, 2011, and Feb 29, 2012, which differs from the typical summer and autumn season for the disease. Clinical specimens were available in 34 of the cases, and coxsackievirus A6 (CVA6), a type not commonly found in the United States, was detected in 25 of the samples. Though 40 of the 63 patients were age 2 or younger, 15 were adults, an age-group not typically sickened by HFMD. About half of the adults who had HMFD had links to children in childcare settings where HFMD was reported. The CDC said that although CVA6 outbreaks have been linked internationally to outbreaks in children and adults, no US cases have been identified. The agency said it continues to receive CVA6-associated HFMD reports.
Mar 29 MMWR report
 
Re: US: Four states report unusual HFMD cases

Updated: 7:41 PM Mar 30, 2012

Rare Hand, Foot, Mouth Disease Seen In Washoe

Posted:
4:58 PM Mar 30, 2012
Reporter:
Ed Pearce
Email Address:
ed.pearce@kolotv,cim

RENO, NV - A rare form of a hand, foot and mouth disease has made an appearance in northern Nevada, infecting 30 kids and their parents at a local day care center.

The disease causes sores and rashes as well as a low grade fever. It's usual victims are children, though adults can catch it as well.
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Coxsachie virus A-6 is usually seen in Asia and Europe, but there was a recent outbreak in Alabama and scattered cases in California and Connecticut.

"I expect there will be more," says Dr. Randall Todd of the Washoe County Health Department.

Another version of the virus coxsachie A-16 is more commonly seen here usually in the summer months.

The first cases of A-6 infections began showing up in early February, a clue that this outbreak was something different. The severity of the sores and their location beyond the hands, feet and mouth were another.

More...
http://www.kolotv.com/home/headlines/Rare_Hand_Foot_Mouth_Disease_Seen_In_Washoe_145243055.html
 
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