Volume 21, Number 4—April 2015
Dispatch
Outbreak of Severe Zoonotic Vaccinia Virus Infection, Southeastern Brazil
Jônatas Santos Abrahão, Rafael Kroon Campos, Giliane de Souza Trindade, Flávio Guimarães da Fonseca, Paulo César Peregrino Ferreira, and Maurício Teixeira Lima
Table
Clinical data of vaccinia virus–infected patients, Brazil, 2010*
| Patient no. | Age, y | Signs/symptoms | Reported similar clinical features in previous years | Hospitalization, d | Case definition | Smallpox vaccinated |
|---|---|---|---|---|---|---|
| 1 | 17 | F, L, Ls hands, P | No | 4 | CC, H | No |
| 2 | 25 | F, L, Ls hands/arms, P | No | 3 | CC, H | No |
| 3 | 24 | F, L, Ls hands/knees, P | No | 3 | CC, H | No |
| 4 | 20 | F, L, Ls hands, P | No | 3 | CC, H, LC | No |
| 5 | 21 | F, L, Ls hands/face, P | No | 4 | CC, H, LC | No |
| 6 | 21 | F, L, Ls hands, P, C, V, D, M | NA | 5 | C, H | No |
| 7 | 23 | F, L, Ls hands, P | No | 7 | CC, H, LC | No |
| 8 | 21 | F, L, Ls hands, P, C, V, D, M | No | 3 | C, H | No |
| 9 | 18 | F, L, Ls hands, P | Yes | 10 | C, H | No |
| 10 | 15 | F, L, Ls hands/arms, P, C, V, D, M | No | 18 | CC, H, LC | No |
| 11 | 26 | F, L, Ls hands, P | NA | 15 | CC, H | No |
| 12 | 18 | F, L, Ls hands, P | NA | 6 | CC, H | No |
| 13 | 46 | F, L, Ls hands, P | No | No | CC, H | No |
| 14 | 17 | F, L, Ls hands/arms, P | No | No | CC, H | No |
| 15 | 25 | F, L, Ls hands, P | No | No | CC, H | NA |
| 16 | 28 | F, L, Ls hands, P | No | No | CC, H | NA |
| 17 | 42 | F, L, Ls hands/arm, P | No | No | CC, H, LC | NA |
| 18 | 56 | F, L, Ls hands, P | NA | No | CC, H | Yes |
| 19 | 51 | F, L, Ls hands, P | No | No | CC, H | NA |
| 20 | 62 | F, L, Ls hands, P | No | No | CC, H | Yes |
| 21 | 55 | F, L, Ls hands/knee, P | No | No | CC, H | Yes |
| 22 | 43 | F, L, Ls hands, P | NA | No | CC, H | NA |
| 23 | 19 | F, L, Ls hands/arm, P | NA | No | CC, H | No |
| 24 | 18 | F, L, Ls hands, P | NA | No | CC, H | No |
| 25 | 25 | F, L, Ls hands/arms, P | NA | No | CC, H | No |
| 26 | 26 | F, L, Ls hands, P | No | No | CC, H | No |
*Data were obtained from the health center and based on observations and patient reports. C, convulsion; CC, clinical confirmation; D, diarrhea; F, fever; H, history of exposure; L, lymphadenopathy; LC, laboratory confirmation; Ls, exhanthematous lesion(s); M, mental confusion; NA, information not available; P, prostration; V, vomiting.
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