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Spook House Sporotrichosis: A Point-Source Outbreak of Sporotrichosis Associated With Hay Bale Props in a Halloween Haunted House

Spook House Sporotrichosis: A Point-Source Outbreak of Sporotrichosis Associated With Hay Bale... Abstract While isolated cases of sporotrichosis typically occur following contact with contaminated plant materials, outbreaks are distinctly unusual. A temporal increase in the incidence of sporotrichosis in a dermatology practice at a military installation in southwestern Oklahoma prompted an investigation. Patients with sporotrichosis presenting to a single dermatologist in the winter of 1992-1993 were interviewed, epidemiological data were collected, and fungal cultures were obtained from incriminated hay fields. Five patients presented with cutaneous sporotrichosis during a 5-week period beginning in December 1992. Four patients had maintained hay bales in a Halloween haunted house and the fifth patient had visited the house once. As in 3 previous reports, this outbreak was associated with stored hay or hay bales harvested in the US plains states. Contact with hay should be recognized as a risk factor for infection with Sporothrix schenckii. Outbreaks are possible given adequate intensity of exposure and may be difficult to recognize because of the delayed presentation of clinical illness. Arch Intern Med. 1997;157:1885-1887 References 1. Multistate outbreak of sporotrichosis in seedling handlers, 1988 . MMWR Morb Mortal Wkly Rep. 1988;37:652-653. 2. Coles FB, Schuchat A, Hibbs JR, et al. A multistate outbreak of sporotrichosis associated with sphagnum moss . Am J Epidemiol. 1992;136:475-487. 3. Dahl BA, Silberfarb PM, Sarosi GA, Weeks RJ, Tosh FE. Sporotrichosis in children: report of an epidemic . JAMA. 1971;215:1980-1982.Crossref 4. Sanders E. Cutaneous sporotrichosis: beer, bricks, and bumps . Arch Intern Med. 1971;127:482-483.Crossref 5. Powell KE, Hodges BE. Epidemic sporotrichosis . JAMA. 1971;217:340. 6. Laur WE, Posey RE, Waller JD. A familial epidemic of cutaneous sporotrichosis occurring in north Texas . Cutis. 1979;23:205-208. 7. Cote TR, Kasten MJ, England AC III. Sporotrichosis in association with Arbor Day activities . N Engl J Med. 1988;319:1290-1291. 8. Campos P, Arenas R, Coronado H. Epidemic cutaneous sporotrichosis . Int J Dermatol. 1994;33:38-41.Crossref 9. Sporotrichosis among hay-mulching workers: Oklahoma, New Mexico . MMWR Morb Mortal Wkly Rep. 1984;33:682-683. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Spook House Sporotrichosis: A Point-Source Outbreak of Sporotrichosis Associated With Hay Bale Props in a Halloween Haunted House

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1997.00440370135014
Publisher site
See Article on Publisher Site

Abstract

Abstract While isolated cases of sporotrichosis typically occur following contact with contaminated plant materials, outbreaks are distinctly unusual. A temporal increase in the incidence of sporotrichosis in a dermatology practice at a military installation in southwestern Oklahoma prompted an investigation. Patients with sporotrichosis presenting to a single dermatologist in the winter of 1992-1993 were interviewed, epidemiological data were collected, and fungal cultures were obtained from incriminated hay fields. Five patients presented with cutaneous sporotrichosis during a 5-week period beginning in December 1992. Four patients had maintained hay bales in a Halloween haunted house and the fifth patient had visited the house once. As in 3 previous reports, this outbreak was associated with stored hay or hay bales harvested in the US plains states. Contact with hay should be recognized as a risk factor for infection with Sporothrix schenckii. Outbreaks are possible given adequate intensity of exposure and may be difficult to recognize because of the delayed presentation of clinical illness. Arch Intern Med. 1997;157:1885-1887 References 1. Multistate outbreak of sporotrichosis in seedling handlers, 1988 . MMWR Morb Mortal Wkly Rep. 1988;37:652-653. 2. Coles FB, Schuchat A, Hibbs JR, et al. A multistate outbreak of sporotrichosis associated with sphagnum moss . Am J Epidemiol. 1992;136:475-487. 3. Dahl BA, Silberfarb PM, Sarosi GA, Weeks RJ, Tosh FE. Sporotrichosis in children: report of an epidemic . JAMA. 1971;215:1980-1982.Crossref 4. Sanders E. Cutaneous sporotrichosis: beer, bricks, and bumps . Arch Intern Med. 1971;127:482-483.Crossref 5. Powell KE, Hodges BE. Epidemic sporotrichosis . JAMA. 1971;217:340. 6. Laur WE, Posey RE, Waller JD. A familial epidemic of cutaneous sporotrichosis occurring in north Texas . Cutis. 1979;23:205-208. 7. Cote TR, Kasten MJ, England AC III. Sporotrichosis in association with Arbor Day activities . N Engl J Med. 1988;319:1290-1291. 8. Campos P, Arenas R, Coronado H. Epidemic cutaneous sporotrichosis . Int J Dermatol. 1994;33:38-41.Crossref 9. Sporotrichosis among hay-mulching workers: Oklahoma, New Mexico . MMWR Morb Mortal Wkly Rep. 1984;33:682-683.

Journal

Archives of Internal Medicine – American Medical Association

Published: Sep 8, 1997

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