Vaccinia Virus Infections in Martial Arts Gym, Maryland, USA, 2008
Christine M. Hughes , David Blythe, Yu Li, Ramani Reddy, Carol Jordan, Cindy Edwards, Celia Adams, Holly Conners, Catherine Rasa, Sue Wilby, Jamaal Russell, Kelly S. Russo, Patricia Somsel, Danny L. Wiedbrauk, Cindy Dougherty, Christopher Allen, Mike Frace, Ginny Emerson, Victoria A. Olson, Scott K. Smith, Zachary Braden, Jason Abel, Whitni Davidson, Mary Reynolds, and Inger K. Damon
Author affiliations: Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (C.M. Hughes, Y. Li, C. Dougherty, C. Allen, M. Frace, G. Emerson, V.A. Olson, S.K. Smith, Z. Braden, J. Abel, W. Davidson, M. Reynolds, I.K. Damon) ; Maryland Department of Health and Mental Hygiene, Baltimore, Maryland, USA (D. Blythe); Maximed Associates, Silver Spring, Maryland, USA (R. Reddy); Montgomery County Department of Health and Human Services, Silver Spring (C. Jordan, C. Edwards, C. Adams, H. Conners, C. Rasa, S. Wilby, J. Russell, K.S. Russo); Michigan Department of Community Health, Lansing, Michigan, USA (P. Somsel); Warde Medical Laboratory, Ann Arbor, Michigan, USA (D. Wiedbrauk)
Figure 1. Timeline of the vaccinia cluster, Maryland, USA, 2008. The photo of case-patient 1’s skin lesions was taken on ≈day 8 of illness (courtesy of R. Reddy). The photo of case-patient 2’s skin lesions was taken ≈3 weeks after lesion onset (courtesy of K. Russo). Blue shading, case-patient 1; yellow shading, case-patieint 2; green shading, case-patient 3. CDC, Centers for Disease Control and Prevention; Ig, immunoglobulin; DHMH, Department of Health and Mental Hygiene.
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