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Volume 23, Number 11—November 2017
Dispatch

Emergence of Bordetella holmesii as a Causative Agent of Whooping Cough, Barcelona, Spain

Alba Mir-Cros, Gema Codina, M. Teresa Martín-Gómez, Anna FàbregaComments to Author , Xavier Martínez, Mireia Jané, Diego Van Esso, Thais Cornejo, Carlos Rodrigo, Magda Campins, Tomàs Pumarola, and Juan José González-LópezComments to Author 
Author affiliations: Hospital Universitari Vall d’Hebron, Barcelona, Spain (A. Mir-Cros, G. Codina, M.T. Martín-Gómez, A. Fàbrega, X. Martínez, T. Cornejo, C. Rodrigo, M. Campins, T. Pumarola, J.J. González-López); Universitat Autònoma de Barcelona, Barcelona (A. Mir-Cros, G. Codina, C. Rodrigo, M. Campins, T. Pumarola, J.J. González-López); Public Health Agency of Catalonia, Barcelona (M. Jané); Primary Care Health Centre Service ‘Muntanya,’ Barcelona (D. Van Esso)

Main Article

Table 1

Demographic, clinical, and epidemiologic characteristics of 16 patients with diagnosed whooping cough associated with Bordetella holmesii infection, Hospital Vall d’Hebron, Barcelona, Spain, 2015–2016*

Patient no.
 Age, y/sex
 No. vaccine doses received
 Date last vaccine dose received
 Diagnosis date
 Treatment
 Co-infections
 Outbreak relatedness
 Site of exposure
1 10/F 5 2010 Mar 16 2015 Apr 17 AZM B. pertussis Yes School
2 12/F 5 2008 Jul 18 2015 May 5 AZM ND Yes School†
3 9/F 5 2011 Dec 12 2015 May 13 AZM ND Yes School†
4 13/F 5 2007 Oct 23 2015 May 25 AZM ND Yes School†
5 12/F 5 2008 Sep 6 2015 Apr 6 AZM B. pertussis Yes School
6 28/F UNK UNK 2015 Apr 6 AZM B. pertussis Yes Home
7 4/F 4 2012 Mar 8 2015 Aug 14 AZM ND Yes School and home
8 9/M 5 2012 Oct 18 2016 Sep 3 UNK ND Yes School
9 1/M 2 2015 Jun 8 2016 April 13 AZM B. pertussis Yes Home
10 8/M 5 2012 Jun 26 2016 Apr 21 AZM ND Yes School and home
11 6/M 4 2011 Aug 8 2016 Mar 5 AZM B. parapertussis/ S. pyogenes Yes School
12 40/F UNK UNK 2016 Sep 5 AZM ND UNK UNK
13 14/F 3 2002 Aug 5 2016 May 24 AZM ND No –
14 5/F 4 2012 Mar 2 2016 Sep 6 AZM ND Yes School and home
15 9/M 5 2013 Sep 10 2016 Nov 7 AZM ND Yes School
16 6/M 4 2011 Feb 16 2016 Jul 28 AZM B. pertussis Yes School

*AZM, azithromycin; ND, not detected; UNK, unknown.
†These 3 patients’ illnesses were related to the same school outbreak.

Main Article

Page created: October 17, 2017
Page updated: October 17, 2017
Page reviewed: October 17, 2017
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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