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Volume 30, Number 11—November 2024
Dispatch

Evidence of Human Bourbon Virus Infections, North Carolina, USA

Diana L. Zychowski1Comments to Author , Gayan Bamunuarachchi1, Scott P. Commins, Ross M. Boyce, and Adrianus C.M. Boon
Author affiliation: University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA (D.L. Zychowski, S.P. Commins, R.M. Boyce); Washington University School of Medicine in St. Louis, St. Louis, Missouri, USA (G. Bamunuarachchi, A.C.M. Boon).

Main Article

Table

Documented characteristics of patients with bourbon virus–specific neutralizing antibodies, North Carolina, USA*

Case Group Age, y County Recent travel? Tickborne illness? Tick bite history? Outdoor exposures Comorbidities Medical history
1
 Heart valve
 77
 Cumberland
 No
 No
 No
 Outdoor walks
 AS, essential thrombocytopenia, prior nephrectomy, OSA, HTN
 Received care for allergies, possible viral upper respiratory infection, spring 2022.
2
 Heart valve
 78
 Durham
 No
 No
 No
 None
 AS, DMII, CKD, HTN, HLD, MGUS, ILD
 Received antibiotics for possible lower respiratory infection superimposed on ILD, spring 2023.
3
 Heart valve
 79
 Wake
 No
 No
 No
 None
 AS, CAD, childhood rheumatic fever, HTN, HLD, hypothyroidism
 Received care for respiratory viral infection or possible conjunctivitis, 2014.
4 AGS 63 Duplin Arkansas, Montana No Yes, many None HTN, nephrolithiasis Received multiple empiric doxycycline courses.

*AGS, alpha-gal syndrome; AS, aortic stenosis; CAD, coronary artery disease; CKD, chronic kidney disease; DMII, type two diabetes mellitus; HLD, hyperlipidemia; HTN, hypertension; ILD, interstitial lung disease; MGUS, monoclonal gammopathy of undetermined significance; OSA, obstructive sleep apnea.

Main Article

1These first authors contributed equally to this article.

Page created: September 30, 2024
Page updated: October 22, 2024
Page reviewed: October 22, 2024
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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