Volume 15, Number 4—April 2009
THEME ISSUE
The Amazon Region
Letter
Suspected Brazilian Purpuric Fever, Brazilian Amazon Region
Eucilene A. Santana-Porto
, Adriana A. Oliveira, Marcos R.M. da Costa, Amiraldo S. Pinheiro, Consuelo Oliveira, Maria L. Lopes, Luiz E. Pereira, Claudio Sacchi, Wildo N. Aráujo, and Jeremy Sobel
, Adriana A. Oliveira, Marcos R.M. da Costa, Amiraldo S. Pinheiro, Consuelo Oliveira, Maria L. Lopes, Luiz E. Pereira, Claudio Sacchi, Wildo N. Aráujo, and Jeremy Sobel
Table
Characteristics of 7 case-patients with suspected Brazilian purpuric fever, Amazon region, Brazil, August 2007*
| Case- patient no. | Sex/age, y | Date of conjunctivitis onset | Date admitted to hospital | Hospitalization, d | Antimicrobial drug treatment | Date of death | Type of sample(s) collected | WBC/mL |
|---|---|---|---|---|---|---|---|---|
| 1 | M/2 | Aug 1 | Aug 5 | <1 | No | Aug 5 | NC | NT |
| 2 | F/3 | Aug 10 | Aug 13 | <1 | No | Aug 14 | Blood | 3,700 |
| 3 | M/3 | Aug 14 | Unknown | Unknown | No | Aug 21 | NC | NT |
| 4 | M/6 | Jul 19 | Aug 22 | <1 | No | Aug 23 | Blood | 2,300 |
| 5† | M/8 | Unknown | Sep 3 | 7 | Yes | – | CSF, conjunctival swab | 9,060 |
| 6 | F/4 | Aug 23 | Aug 26 | <1 | No | Aug 26 | CSF, blood‡ | 2,000 |
| 7 | F/4 | Aug 31 | Sept 3 | 12 | Yes | – | Oropharyngeal and conjunctival swabs, CSF, blood, serum | 4,800 |
*Case-patients 5 and 7 underwent testing for dengue and yellow fever by immunoglobulin M antibody-capture ELISA, for dengue by reverse transcription–PCR, and for Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae serotypes a, b, c, and d and conventional PCR for detecting the ompP2 gene. All tests were negative. WBC, white blood cells; NC, not collected; NT, not tested; CSF, cerebrospinal fluid.
†Sample collected 20 days after admission.
‡Non-standard collection, transport, storage, or processing.
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