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Public health response to an imported case of canine melioidosis.
Zoonoses Public Health. 2018 06; 65(4):420-424.ZP

Abstract

Melioidosis in humans presents variably as fulminant sepsis, pneumonia, skin infection and solid organ abscesses. It is caused by Burkholderia pseudomallei, which in the United States is classified as a select agent, with "potential to pose a severe threat to both human and animal health, to plant health or to animal and plant products" (Federal Select Agent Program, http://www.selectagents.gov/, accessed 22 September 2016). Burkholderia pseudomallei is found in soil and surface water in the tropics, especially South-East Asia and northern Australia, where melioidosis is endemic. Human cases are rare in the United States and are usually associated with travel to endemic areas. Burkholderia pseudomallei can also infect animals. We describe a multijurisdictional public health response to a case of subclinical urinary B. pseudomallei infection in a dog that had been adopted into upstate New York from a shelter in Thailand. Investigation disclosed three human contacts with single, low-risk exposures to the dog's urine at his residence, and 16 human contacts with possible exposure to his urine or culture isolates at a veterinary hospital. Contacts were offered various combinations of symptom/fever monitoring, baseline and repeat B. pseudomallei serologic testing, and antibiotic post-exposure prophylaxis, depending on the nature of their exposure and their personal medical histories. The dog's owner accepted recommendations from public health authorities and veterinary clinicians for humane euthanasia. A number of animal rescue organizations actively facilitate adoptions into the United States of shelter dogs from South-East Asia. This may result in importation of B. pseudomallei into almost any community, with implications for human and animal health.

Authors+Show Affiliations

Broome County Health Department, Binghamton, NY, USA.Tompkins County Health Department, Ithaca, NY, USA.Bacterial Special Pathogens Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.Broome County Health Department, Binghamton, NY, USA. New York Medical College, Valhalla, NY, USA.Office of Emergency Management, Environmental Health and Safety, Cornell University, Ithaca, NY, USA.New York State Department of Health, Biodefense Laboratory, Wadsworth Center, New York, NY, USA.Bacterial Special Pathogens Branch, Division of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, GA, USA.Sports Medicine and Rehabilitation and Resident in Clinical Nutrition, Cornell University Hospital for Animals, Ithaca, NY, USA.New York State Department of Health, Bureau of Communicable Disease Control, New York, NY, USA.College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29451368

Citation

Ryan, C W., et al. "Public Health Response to an Imported Case of Canine Melioidosis." Zoonoses and Public Health, vol. 65, no. 4, 2018, pp. 420-424.
Ryan CW, Bishop K, Blaney DD, et al. Public health response to an imported case of canine melioidosis. Zoonoses Public Health. 2018;65(4):420-424.
Ryan, C. W., Bishop, K., Blaney, D. D., Britton, S. J., Cantone, F., Egan, C., Elrod, M. G., Frye, C. W., Maxted, A. M., & Perkins, G. (2018). Public health response to an imported case of canine melioidosis. Zoonoses and Public Health, 65(4), 420-424. https://doi.org/10.1111/zph.12450
Ryan CW, et al. Public Health Response to an Imported Case of Canine Melioidosis. Zoonoses Public Health. 2018;65(4):420-424. PubMed PMID: 29451368.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Public health response to an imported case of canine melioidosis. AU - Ryan,C W, AU - Bishop,K, AU - Blaney,D D, AU - Britton,S J, AU - Cantone,F, AU - Egan,C, AU - Elrod,M G, AU - Frye,C W, AU - Maxted,A M, AU - Perkins,G, Y1 - 2018/02/16/ PY - 2017/09/07/received PY - 2018/2/17/pubmed PY - 2018/11/22/medline PY - 2018/2/17/entrez KW - Burkholderia pseudomallei KW - canine KW - dog importation KW - melioidosis SP - 420 EP - 424 JF - Zoonoses and public health JO - Zoonoses Public Health VL - 65 IS - 4 N2 - Melioidosis in humans presents variably as fulminant sepsis, pneumonia, skin infection and solid organ abscesses. It is caused by Burkholderia pseudomallei, which in the United States is classified as a select agent, with "potential to pose a severe threat to both human and animal health, to plant health or to animal and plant products" (Federal Select Agent Program, http://www.selectagents.gov/, accessed 22 September 2016). Burkholderia pseudomallei is found in soil and surface water in the tropics, especially South-East Asia and northern Australia, where melioidosis is endemic. Human cases are rare in the United States and are usually associated with travel to endemic areas. Burkholderia pseudomallei can also infect animals. We describe a multijurisdictional public health response to a case of subclinical urinary B. pseudomallei infection in a dog that had been adopted into upstate New York from a shelter in Thailand. Investigation disclosed three human contacts with single, low-risk exposures to the dog's urine at his residence, and 16 human contacts with possible exposure to his urine or culture isolates at a veterinary hospital. Contacts were offered various combinations of symptom/fever monitoring, baseline and repeat B. pseudomallei serologic testing, and antibiotic post-exposure prophylaxis, depending on the nature of their exposure and their personal medical histories. The dog's owner accepted recommendations from public health authorities and veterinary clinicians for humane euthanasia. A number of animal rescue organizations actively facilitate adoptions into the United States of shelter dogs from South-East Asia. This may result in importation of B. pseudomallei into almost any community, with implications for human and animal health. SN - 1863-2378 UR - https://www.unboundmedicine.com/medline/citation/29451368/Public_health_response_to_an_imported_case_of_canine_melioidosis_ L2 - https://doi.org/10.1111/zph.12450 DB - PRIME DP - Unbound Medicine ER -