Published Date: 2013-01-01 23:39:02
Subject: PRO Coccidioidomycosis – USA: tissue cult. contam. alert
Archive Number: 20130101.1477869
COCCIDIOIDOMYCOSIS – USA: TISSUE CULTURE CONTAMINATION, ALERT
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A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 1 Jan 2013
From: David A Stevens stevens@stanford.edu [edited]
[Re: ProMED-mail Coccidioidomycosis - USA (04): tissue cult. contam. alert 20121231.1476274]
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There are detailed guidelines on what to do in a laboratory exposure to _Coccidioides_: Stevens DA, Clemons KV, Levine HB, et al: Expert opinion: what to do when there is a coccidioidal exposure in a laboratory. Clin Infect Dis 2009; 49: 919-23.
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David A Stevens
stevens@stanford.edu
[The paper cited above can be found at http://cid.oxfordjournals.org/content/49/6/919.full.pdf. The abstract follows.
"Inadvertent exposure to _Coccidioides_ species by laboratory staff and others as a result of a mishap is not an uncommon cause of infection in clinical microbiology laboratories. These types of infection may occur in laboratories outside the endemic areas, because the etiologic agent is unexpected in the submitted specimens and because personnel may be unfamiliar with the hazards of dealing with _Coccidioides_ species in the laboratory. Coccidioidal infections are often difficult to treat, and outcomes can be poor. Here, we emphasize prevention and an approach to a laboratory accident that minimizes the risk of exposure to laboratory staff and staff in adjacent areas. On the basis of an artificially large exposure to arthroconidia that may occur as a result of a laboratory accident, a conservative approach of close observation and early treatment of exposed staff is discussed."
ProMED-mail thanks Dr Stevens for pointing out this paper. This moderator thanks him personally as Dr Stevens was one his mentors during fellowship. - Mod.LL]
See Also
2012
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Coccidioidomycosis – USA (05): tissue cult. contam. alert 20121231.1476274
Coccidioidomycosis – USA (04): (CA) 20120915.1295357
Coccidioidomycosis – USA (03): (CA): 20120628.1184141
Coccidioidomycosis – USA (02): (CA) background 20120529.1149241
Coccidioidomycosis – USA: (CA), alert : 20120527.1146301
2009
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Coccidioidomycosis – Taiwan ex USA (02): background: 20090615.2213
Coccidioidomycosis – Taiwan ex USA 20090610.2140
2007
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Coccidioidomycosis, prison – USA: (CA) 20071231.4201
Coccidioidomycosis – USA (CA) 20070817.2692
Coccidioidomycosis – USA (AZ) (02): background 20070116.0212
Coccidioidomycosis – USA (AZ): RFI 20070114.0188
2001
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Coccidioidomycosis – Europe ex Costa Rica: alert 20011214.3026
Coccidioidomycosis – Europe ex USA: Alert (02) 20011218.3060
Coccidioidomycosis – Europe ex USA (Calif.): Alert 20011214.3026
Coccidioidomycosis, archeologic site – USA (Utah) 20011115.2815
Coccidioidomycosis – USA (California) 20011009.2460
2000
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Coccidioidomycosis – USA (Arizona) 20000503.0676
1996
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Coccidioidomycosis (valley fever) – USA: Correction 19961216.2084
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Article source: http://healthmap.org/ln.php?1477869&promed&0