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Volume 19, Number 10—October 2013

CME ACTIVITY - Research

Cryptococcus gattii Infections in Multiple States Outside the US Pacific Northwest

Julie R. HarrisComments to Author , Shawn R. Lockhart, Gail Sondermeyer, Duc J. Vugia, Matthew B. Crist, Melissa Tobin D’Angelo, Brenda Sellers, Carlos Franco-Paredes, Monear Makvandi, Chad Smelser, John Greene, Danielle Stanek, Kimberly Signs, Randall J. Nett, Tom Chiller, and Benjamin J. Park
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (J.R. Harris, S.R. Lockhart, R.J. Nett, T. Chiller, B.J. Park); California Department of Public Health, Richmond, California, USA (G. Sondemeyer, D.J. Vugia); Georgia Department of Public Health, Atlanta (M.B. Crist, M.T. D’Angelo); Phoebe Putney Memorial Hospital, Albany, Georgia, USA (B. Sellers, C. Franco-Paredes); Hospital Infantil Federico Gomez, Mexico City, Mexico (C. Franco-Paredes); New Mexico Department of Health, Santa Fe, New Mexico, USA (M. Mkvandi, C. Smelser); Moffitt Cancer Center, Tampa, Florida, USA (J. Greene); Florida Department of Health, Tallahassee, Florida, USA (D. Stanek); Michigan Department of Community Health, Lansing, Michigan, USA (K. Signs); Montana Department of Public Health and Human Services, Helena, Montana, USA (R.J. Nett)

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Table 3

Genotype of Cryptococcus gattii infection and known travel history of infected patients from outside the US Pacific Northwest, 2009–2013

State Genotype Known travel history
Alabama VGI No travel for many years; decades before, lived in Hawaii, Australia, and Asia
California VGI Unknown
California VGI Past-year travel to St. Louis, Missouri
California VGI Unknown
California VGI Unknown
California VGI Past-year travel to Betheseda, Maryland
California VGIII Past-year travel to Mexico
California VGIII Unknown
California VGIII Unknown
California VGIII Unknown
California VGIII Unknown
California VGIII Past-year travel to Mexico
California VGIII Unknown
California VGIIb Unknown
Florida VGIIb No travel outside of Florida for 20 years (21)
Georgia VGI No past-year travel
Georgia VGI No past-year travel
Georgia VGI Unknown
Georgia VGIII No travel for at least 2 years
Georgia VGIII Past-year travel to North Dakota; travel 5 years before illness to Montana
Hawaii VGII (not a/b/c) Past-year travel to Grand Canyon, Arizona, and Las Vegas, Nevada
Michigan VGIII Past-year travel to Albuquerque, New Mexico, and Denver, Colorado
Montana VGI Florida travel 3 years before illness; incarcerated in Montana for 7 months before illness onset
New Mexico VGI Frequent travel to Mexico, including during year before illness
New Mexico VGIII Never outside of New Mexico; incarcerated in New Mexico for 2 months before illness (20)

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