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Outbreak of Sporotrichosis among Tree Nursery Workers
In spring 1994, an outbreak of sporotrichosis occurred at a tree nursery in Florida; 9 (14%) of 65 workers involved in production of sphagnum moss topiaries developed lymphocutaneous sporotrichosis. A cohort study of all 65 employees was conducted to identify risk factors for sporotrichosis, and an...
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| Published in: | The Journal of infectious diseases 1997-08, Vol.176 (2), p.499-504 |
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| Main Authors: | , , , , , , , , , , , , |
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| Language: | English |
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| container_end_page | 504 |
| container_issue | 2 |
| container_start_page | 499 |
| container_title | The Journal of infectious diseases |
| container_volume | 176 |
| creator | Hajjeh, Rana McDonnell, Sharon Reef, Susan Licitra, Carmelo Hankins, Michael Toth, Bill Padhye, Arvind Kaufman, Leo Pasarell, Lester Cooper, Chester Hutwagner, Lori Hopkins, Richard McNeil, Michael |
| description | In spring 1994, an outbreak of sporotrichosis occurred at a tree nursery in Florida; 9 (14%) of 65 workers involved in production of sphagnum moss topiaries developed lymphocutaneous sporotrichosis. A cohort study of all 65 employees was conducted to identify risk factors for sporotrichosis, and an environmental investigation was done. The risk of sporotrichosis increased significantly with the duration of working with sphagnum moss (P < .05), in particular with filling topiaries (P < .05), and with having less gardening experience (P < .05). Wearing gloves was protective (P < .005). Sporothrix schenckii was cultured from patients and sphagnum moss used in topiary production. Use of restriction fragment length polymorphism revealed an identical pattern for patient isolates that was different from the patterns of environmental isolates. Physicians should be aware of sporotrichosis in patients with ulcerative skin lesions who have a history of occupational or recreational exposure to sphagnum moss. |
| doi_str_mv | 10.1086/514070 |
| format | article |
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A cohort study of all 65 employees was conducted to identify risk factors for sporotrichosis, and an environmental investigation was done. The risk of sporotrichosis increased significantly with the duration of working with sphagnum moss (P < .05), in particular with filling topiaries (P < .05), and with having less gardening experience (P < .05). Wearing gloves was protective (P < .005). Sporothrix schenckii was cultured from patients and sphagnum moss used in topiary production. Use of restriction fragment length polymorphism revealed an identical pattern for patient isolates that was different from the patterns of environmental isolates. Physicians should be aware of sporotrichosis in patients with ulcerative skin lesions who have a history of occupational or recreational exposure to sphagnum moss.</description><identifier>ISSN: 0022-1899</identifier><identifier>EISSN: 1537-6613</identifier><identifier>DOI: 10.1086/514070</identifier><identifier>PMID: 9237718</identifier><identifier>CODEN: JIDIAQ</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adult ; Agricultural Workers' Diseases - epidemiology ; Agricultural Workers' Diseases - microbiology ; Antibodies, Fungal - blood ; Antifungal Agents - therapeutic use ; Biological and medical sciences ; Bryopsida - microbiology ; Cohort Studies ; Disease Outbreaks ; DNA, Fungal - genetics ; Entertainment ; Epidemiology ; Female ; Florida - epidemiology ; Fungal diseases ; Fungal infections ; Hands ; Human mycoses ; Humans ; Infectious diseases ; Itraconazole - therapeutic use ; Lesions ; Lymphangitis - microbiology ; Major Articles ; Male ; Medical sciences ; Middle Aged ; Mosses ; Mycoses ; Polymorphism, Restriction Fragment Length ; Potassium Iodide - therapeutic use ; Risk Factors ; Skin - microbiology ; Sphagnum ; Sporothrix - genetics ; Sporothrix - isolation & purification ; Sporothrix schenckii ; Sporotrichosis ; Sporotrichosis - drug therapy ; Sporotrichosis - epidemiology ; Sporotrichosis - microbiology ; Topiary ; Trees ; Tropical mycoses</subject><ispartof>The Journal of infectious diseases, 1997-08, Vol.176 (2), p.499-504</ispartof><rights>Copyright 1997 The University of Chicago</rights><rights>1997 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Aug 1997</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-45c7937e44707c8ea9188481e2245043e5fb4999207d18708255741ba8096c8c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/30106810$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/30106810$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,58213,58446</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2768544$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9237718$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hajjeh, Rana</creatorcontrib><creatorcontrib>McDonnell, Sharon</creatorcontrib><creatorcontrib>Reef, Susan</creatorcontrib><creatorcontrib>Licitra, Carmelo</creatorcontrib><creatorcontrib>Hankins, Michael</creatorcontrib><creatorcontrib>Toth, Bill</creatorcontrib><creatorcontrib>Padhye, Arvind</creatorcontrib><creatorcontrib>Kaufman, Leo</creatorcontrib><creatorcontrib>Pasarell, Lester</creatorcontrib><creatorcontrib>Cooper, Chester</creatorcontrib><creatorcontrib>Hutwagner, Lori</creatorcontrib><creatorcontrib>Hopkins, Richard</creatorcontrib><creatorcontrib>McNeil, Michael</creatorcontrib><title>Outbreak of Sporotrichosis among Tree Nursery Workers</title><title>The Journal of infectious diseases</title><addtitle>J Infect Dis</addtitle><description>In spring 1994, an outbreak of sporotrichosis occurred at a tree nursery in Florida; 9 (14%) of 65 workers involved in production of sphagnum moss topiaries developed lymphocutaneous sporotrichosis. 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Physicians should be aware of sporotrichosis in patients with ulcerative skin lesions who have a history of occupational or recreational exposure to sphagnum moss.</description><subject>Adult</subject><subject>Agricultural Workers' Diseases - epidemiology</subject><subject>Agricultural Workers' Diseases - microbiology</subject><subject>Antibodies, Fungal - blood</subject><subject>Antifungal Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bryopsida - microbiology</subject><subject>Cohort Studies</subject><subject>Disease Outbreaks</subject><subject>DNA, Fungal - genetics</subject><subject>Entertainment</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Florida - epidemiology</subject><subject>Fungal diseases</subject><subject>Fungal infections</subject><subject>Hands</subject><subject>Human mycoses</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Itraconazole - therapeutic use</subject><subject>Lesions</subject><subject>Lymphangitis - microbiology</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mosses</subject><subject>Mycoses</subject><subject>Polymorphism, Restriction Fragment Length</subject><subject>Potassium Iodide - therapeutic use</subject><subject>Risk Factors</subject><subject>Skin - microbiology</subject><subject>Sphagnum</subject><subject>Sporothrix - genetics</subject><subject>Sporothrix - isolation & purification</subject><subject>Sporothrix schenckii</subject><subject>Sporotrichosis</subject><subject>Sporotrichosis - drug therapy</subject><subject>Sporotrichosis - epidemiology</subject><subject>Sporotrichosis - microbiology</subject><subject>Topiary</subject><subject>Trees</subject><subject>Tropical mycoses</subject><issn>0022-1899</issn><issn>1537-6613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNpdkMlKBDEURYMo2k5_IBQi7kpf5mQp4kir4IDiJqRjSquntC9VoH9vSTctuMriHO67uYTsUjiiYNSxpAI0rJAelVyXSlG-SnoAjJXUWLtBNnMeAoDgSq-Tdcu41tT0iLxrmwFGPypSVTzMEqYG6_CRcp0LP0nT9-IRYyxuW8wRv4vnhKOIeZusVX6c487i3SJP52ePp5dl_-7i6vSkXwYhZVMKGbTlOgqhQQcTvaXGCEMjY0J2VaKsBsJay0C_UaPBMCm1oANvwKpgAt8ih_PcGabPNubGTeoc4njspzG12VHV_R1AdeL-P3GYWpx23Rxj3FIO1PylBUw5Y6zcDOuJx29Hwf2O6OYjduLeIq0dTOLbUlus1vGDBfc5-HGFfhrqvNSYVkYK8RczzE3CJe66gDL090w553Vu4teSexw5pbmW7vLl1Z2_PtxfX9ww1-c_vrCNNA</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>Hajjeh, Rana</creator><creator>McDonnell, Sharon</creator><creator>Reef, Susan</creator><creator>Licitra, Carmelo</creator><creator>Hankins, Michael</creator><creator>Toth, Bill</creator><creator>Padhye, Arvind</creator><creator>Kaufman, Leo</creator><creator>Pasarell, Lester</creator><creator>Cooper, Chester</creator><creator>Hutwagner, Lori</creator><creator>Hopkins, Richard</creator><creator>McNeil, Michael</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>M7N</scope></search><sort><creationdate>19970801</creationdate><title>Outbreak of Sporotrichosis among Tree Nursery Workers</title><author>Hajjeh, Rana ; McDonnell, Sharon ; Reef, Susan ; Licitra, Carmelo ; Hankins, Michael ; Toth, Bill ; Padhye, Arvind ; Kaufman, Leo ; Pasarell, Lester ; Cooper, Chester ; Hutwagner, Lori ; Hopkins, Richard ; McNeil, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-45c7937e44707c8ea9188481e2245043e5fb4999207d18708255741ba8096c8c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Agricultural Workers' Diseases - epidemiology</topic><topic>Agricultural Workers' Diseases - microbiology</topic><topic>Antibodies, Fungal - blood</topic><topic>Antifungal Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Bryopsida - microbiology</topic><topic>Cohort Studies</topic><topic>Disease Outbreaks</topic><topic>DNA, Fungal - genetics</topic><topic>Entertainment</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Florida - epidemiology</topic><topic>Fungal diseases</topic><topic>Fungal infections</topic><topic>Hands</topic><topic>Human mycoses</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Itraconazole - therapeutic use</topic><topic>Lesions</topic><topic>Lymphangitis - microbiology</topic><topic>Major Articles</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mosses</topic><topic>Mycoses</topic><topic>Polymorphism, Restriction Fragment Length</topic><topic>Potassium Iodide - therapeutic use</topic><topic>Risk Factors</topic><topic>Skin - microbiology</topic><topic>Sphagnum</topic><topic>Sporothrix - genetics</topic><topic>Sporothrix - isolation & purification</topic><topic>Sporothrix schenckii</topic><topic>Sporotrichosis</topic><topic>Sporotrichosis - drug therapy</topic><topic>Sporotrichosis - epidemiology</topic><topic>Sporotrichosis - microbiology</topic><topic>Topiary</topic><topic>Trees</topic><topic>Tropical mycoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hajjeh, Rana</creatorcontrib><creatorcontrib>McDonnell, Sharon</creatorcontrib><creatorcontrib>Reef, Susan</creatorcontrib><creatorcontrib>Licitra, Carmelo</creatorcontrib><creatorcontrib>Hankins, Michael</creatorcontrib><creatorcontrib>Toth, Bill</creatorcontrib><creatorcontrib>Padhye, Arvind</creatorcontrib><creatorcontrib>Kaufman, Leo</creatorcontrib><creatorcontrib>Pasarell, Lester</creatorcontrib><creatorcontrib>Cooper, Chester</creatorcontrib><creatorcontrib>Hutwagner, Lori</creatorcontrib><creatorcontrib>Hopkins, Richard</creatorcontrib><creatorcontrib>McNeil, Michael</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><jtitle>The Journal of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hajjeh, Rana</au><au>McDonnell, Sharon</au><au>Reef, Susan</au><au>Licitra, Carmelo</au><au>Hankins, Michael</au><au>Toth, Bill</au><au>Padhye, Arvind</au><au>Kaufman, Leo</au><au>Pasarell, Lester</au><au>Cooper, Chester</au><au>Hutwagner, Lori</au><au>Hopkins, Richard</au><au>McNeil, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outbreak of Sporotrichosis among Tree Nursery Workers</atitle><jtitle>The Journal of infectious diseases</jtitle><addtitle>J Infect Dis</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>176</volume><issue>2</issue><spage>499</spage><epage>504</epage><pages>499-504</pages><issn>0022-1899</issn><eissn>1537-6613</eissn><coden>JIDIAQ</coden><abstract>In spring 1994, an outbreak of sporotrichosis occurred at a tree nursery in Florida; 9 (14%) of 65 workers involved in production of sphagnum moss topiaries developed lymphocutaneous sporotrichosis. A cohort study of all 65 employees was conducted to identify risk factors for sporotrichosis, and an environmental investigation was done. The risk of sporotrichosis increased significantly with the duration of working with sphagnum moss (P < .05), in particular with filling topiaries (P < .05), and with having less gardening experience (P < .05). Wearing gloves was protective (P < .005). Sporothrix schenckii was cultured from patients and sphagnum moss used in topiary production. Use of restriction fragment length polymorphism revealed an identical pattern for patient isolates that was different from the patterns of environmental isolates. Physicians should be aware of sporotrichosis in patients with ulcerative skin lesions who have a history of occupational or recreational exposure to sphagnum moss.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>9237718</pmid><doi>10.1086/514070</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0022-1899 |
| ispartof | The Journal of infectious diseases, 1997-08, Vol.176 (2), p.499-504 |
| issn | 0022-1899 1537-6613 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_16108006 |
| source | JSTOR Archival Journals and Primary Sources Collection; Oxford Journals Online |
| subjects | Adult Agricultural Workers' Diseases - epidemiology Agricultural Workers' Diseases - microbiology Antibodies, Fungal - blood Antifungal Agents - therapeutic use Biological and medical sciences Bryopsida - microbiology Cohort Studies Disease Outbreaks DNA, Fungal - genetics Entertainment Epidemiology Female Florida - epidemiology Fungal diseases Fungal infections Hands Human mycoses Humans Infectious diseases Itraconazole - therapeutic use Lesions Lymphangitis - microbiology Major Articles Male Medical sciences Middle Aged Mosses Mycoses Polymorphism, Restriction Fragment Length Potassium Iodide - therapeutic use Risk Factors Skin - microbiology Sphagnum Sporothrix - genetics Sporothrix - isolation & purification Sporothrix schenckii Sporotrichosis Sporotrichosis - drug therapy Sporotrichosis - epidemiology Sporotrichosis - microbiology Topiary Trees Tropical mycoses |
| title | Outbreak of Sporotrichosis among Tree Nursery Workers |
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