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Volume 15, Number 4—April 2009
THEME ISSUE
The Amazon Region
Letter

Suspected Brazilian Purpuric Fever, Brazilian Amazon Region

Eucilene A. Santana-PortoComments to Author , Adriana A. Oliveira, Marcos R.M. da Costa, Amiraldo S. Pinheiro, Consuelo Oliveira, Maria L. Lopes, Luiz E. Pereira, Claudio Sacchi, Wildo N. Aráujo, and Jeremy Sobel
Author affiliations: Ministry of Health, Brasília, Brazil (E.A. Santana-Porto, A.A. Oliveira, W.N. Aráujo, J. Sobel); Municipal Secretariat of Health, Anajás, Brazil (M.R.M. da Costa); Secretariat of Health of Pará State, Belém, Brazil (A. Pinheiro); Ministry of Health, Belém (C. Oliveira, M.L. Lopes); Instituto Adolfo Lutz, Secretariat of Health of São Paulo State, São Paulo, Brazil (L.E. Pereira, C. Sacchi); Centers for Disease Control and Prevention, Atlanta, GA, USA (J. Sobel)

Main Article

Table

Characteristics of 7 case-patients with suspected Brazilian purpuric fever, Amazon region, Brazil, August 2007*

Case- patient no. Sex/age, y Date of conjunctivitis onset Date admitted to hospital Hospitalization, d Antimicrobial drug treatment Date of death Type of sample(s) collected WBC/mL
1 M/2 Aug 1 Aug 5 <1 No Aug 5 NC NT
2 F/3 Aug 10 Aug 13 <1 No Aug 14 Blood 3,700
3 M/3 Aug 14 Unknown Unknown No Aug 21 NC NT
4 M/6 Jul 19 Aug 22 <1 No Aug 23 Blood 2,300
5† M/8 Unknown Sep 3 7 Yes CSF, conjunctival swab 9,060
6 F/4 Aug 23 Aug 26 <1 No Aug 26 CSF, blood‡ 2,000
7 F/4 Aug 31 Sept 3 12 Yes Oropharyngeal and conjunctival swabs, CSF, blood, serum 4,800

*Case-patients 5 and 7 underwent testing for dengue and yellow fever by immunoglobulin M antibody-capture ELISA, for dengue by reverse transcription–PCR, and for Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae serotypes a, b, c, and d and conventional PCR for detecting the ompP2 gene. All tests were negative. WBC, white blood cells; NC, not collected; NT, not tested; CSF, cerebrospinal fluid.
†Sample collected 20 days after admission.
‡Non-standard collection, transport, storage, or processing.

Main Article

Page created: December 10, 2010
Page updated: December 10, 2010
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The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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