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Possible Outbreak Of
Flesh-Eating Disease In NB
'Very Aggressive Strain' Of Necrotizing Fasciitis

The Globe and Mail
5-2-4
 
SAINT JOHN (CP) -- Health officials in New Brunswick placed a hospital patient in isolation and five others under observation on the weekend after the flesh-eating disease claimed the life of one person.
 
The steps were taken after the bacterial infection, also known as necrotizing fasciitis, killed an unidentified patient in Saint John on Friday.
 
The second patient, who was also been diagnosed with the disease, was in listed in serious condition Sunday at the Saint John Regional hospital, according to officials with the Atlantic Health Sciences Corp.
 
Officials have yet to determine the source of the infection.
 
The bacteria that causes the disease consumes flesh, often leading to amputation or death. It can be transmitted through body secretions exchanged during close contact, such as kissing.
 
Dr. James O'Brien, head of the Atlantic Health Sciences, said the two patients arrived at the hospital "in fairly rapid succession."
 
Both were very ill with soft-tissue infections that were quickly identified as flesh-eating disease.
 
"One person succumbed within 24 hours of beginning treatment," he said at a news conference Sunday.
 
The only link found between the two infected individuals so far is that they were both treated at St. Joseph's hospital in Saint John last week.
 
"That's the only similarity we've found," said health authority spokeswoman Patricia Crowdis. "And it's not even enough to be called a link."
 
It was initially reported that a 37-year-old woman had died, however officials later said the health authority would not provide any information about either patient.
 
When the condition spreads into the muscle tissue, it is called necrotizing myositis. Death can occur within 12 to 24 hours of infection.
 
Meanwhile, officials have contacted everyone who was a patient at the day-surgery unit on Monday and Tuesday. That's when the two infected patients received medical attention.
 
"We have instituted precautions to contain the spread of this infection and now feel the situation is under control, as no new cases have developed," Dr. O'Brien said.
 
The five patients under observation are being treated with antibiotics as a preventive measure.
 
"As of today, none of those patients are exhibiting symptoms," said Ms. Crowdis.
 
"That particular strain is a very aggressive strain, it acts differently in different individuals."
 
The incubation period for the flesh-eating disease is believed to be about three days.
 
Public health officials usually monitor at-risk patients for double that length of time, which means it could be four days before the five at-risk patients are released.
 
Ms. Crowdis said health officials were "confident in our sterilization procedure in our instruments."
 
In Canada, there are between 90 and 200 cases of the flesh-eating disease each year, according to Health Canada.
 
The disease is fatal in about 20 to 30 per cent of cases.
 
Symptoms of necrotizing fasciitis include fever, severe pain and a red, painful swelling that spreads rapidly.
 
Last April, a woman in Ottawa and a man in Montreal died within days of each other after both were infected with the flesh-eating disease in separate incidents.
 
Former Quebec premier Lucien Bouchard was forced to have his left leg amputated in 1994 after he was afflicted with the disease.
 
© Copyright 2004 Bell Globemedia Publishing Inc. All Rights Reserved. http://www.globeandmail.com/servlet/story/RTGAM.20040502.wflesh0502/BNStory/National/
 


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