Sunday, May 2, 2010

Yikes, a fungus among us

. . . A rare and dangerous fungal infection named Cryptococcus gattii has been quietly spreading from British Columbia southward to the U.S. Pacific Northwest. And it's changing as it goes.

Researchers have discovered that a unique strain of the bug has emerged recently in Oregon and already spread widely there, sickening humans and animals.

So far, over the past 11 years there have been about 220 cases reported in British Columbia. Since 2004, doctors in Washington and Oregon have reported about 50 cases. Among the total 270 cases, 40 people have died from overwhelming infections of the lungs and brain.

Public health officials aren't calling it a public health emergency. The fungus can't be spread from person to person, and there doesn't seem to be any prospect of an explosive epidemic. But they do want doctors to be on the lookout for cases, because early diagnosis and proper treatment is vital to prevent deaths.

Tropical Origin

The most striking thing about this fungus is that it's popping up and establishing itself far afield from its usual range — possibly because of climate change.

"The disease was almost exclusively seen in tropical and subtropical areas of the world," says Dr. Julie Harris, a specialist in fungal diseases at the Centers for Disease Control and Prevention. The hot spots were Australia and Papua New Guinea, along with Egypt and parts of South America. . . .

(The map shows human and animal cases of Cryptococcus gattii infection from 2005 to 2009.)

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