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40 BACTERIOSESlogical study on 70 sudden <strong>and</strong> unexpected infant deaths: Toxigenic intestinal Clostridiumbotulinum infection in 9 cases of sudden infant death syndrome. Lancet 2:237–241, 1985.Spika, J.S., N. Schaffer, N. Hargrett-Bean, et al. Risk fac<strong>to</strong>rs for infant botulism in theUnited States. Am J Dis Child 143:828–832, 1989.Suen, J.C., C.L. Hatheway, A.G. Steigerwalt, D.J. Brenner. Genetic confirmation of identitiesof neuro<strong>to</strong>xigenic Clostridium baratii <strong>and</strong> Clostridium butyricum implicated as agents ofinfant botulism. J Clin Microbiol 26:2191–2192, 1988a.Suen, J.C., C.L. Hatheway, A.G. Steigerwalt, D.J. Brenner. Clostridium argentinense spnov; a genetically homogenous group of all strains of Clostridium botulinum <strong>to</strong>xin type G <strong>and</strong>some non<strong>to</strong>xigenic strains previously identified as Clostridium subterminale <strong>and</strong> Clostridiumhastiforme. Int J Syst Bacteriol 38:375–381, 1988b.Swerczek, T.W. Toxicoinfectious botulism in foals <strong>and</strong> adult horses. J Am Vet Med Assoc176:217–220, 1980.Terranova, W., J.G. Breman, R.P. Locey, S. Speck. Botulism type B: Epidemiologic aspectsof an extensive outbreak. Am J Epidemiol 180:150–156, 1978.Thomas, R.J., D.V. Rosenthal, R.J. Rogers. A Clostridium botulinum type B vaccine forprevention of shaker foal syndrome. Aust Vet J 65:78–80, 1988.United States of America, Department of Health <strong>and</strong> Human Services, Centers for DiseaseControl <strong>and</strong> Prevention (CDC). Botulism in the United States 1899–1973. H<strong>and</strong>book forEpidemiologists, Clinicians, <strong>and</strong> Labora<strong>to</strong>ry Workers. Atlanta: CDC; 1974.United States of America, Department of Health <strong>and</strong> Human Services, Centers for DiseaseControl <strong>and</strong> Prevention (CDC). Wound botulism associated with parenteral cocaine abuse.MMWR Morb Mortal Wkly Rep 31:87–88, 1982.United States of America, Department of Health <strong>and</strong> Human Services, Centers for DiseaseControl <strong>and</strong> Prevention (CDC). International outbreak of type E botulism associated withungutted, salted whitefish. MMWR Morb Mortal Wkly Rep 36:812–813, 1987.United States of America, Department of Health <strong>and</strong> Human Services, Centers for DiseaseControl <strong>and</strong> Prevention (CDC). Outbreak of type E botulism associated with an uneviscerated,salt-cured fish product—New Jersey, 1992. MMWR Morb Mortal Wkly Rep 41:521–522, 1992.Ying, S., C. Shuan. Botulism in China. Rev Infec Dis 8:984–990, 1986.BRUCELLOSISICD-10 A23.0 brucellosis due <strong>to</strong> Brucella melitensis; A23.1 brucellosisdue <strong>to</strong> Brucella abortus; A23.2 brucellosis due <strong>to</strong> Brucella suis;A23.3 brucellosis due <strong>to</strong> Brucella canisSynonyms: Meli<strong>to</strong>coccosis, undulant fever, Malta fever, Mediterranean fever (inman); contagious abortion, infectious abortion, epizootic abortion (in animals);Bang’s disease (in cattle).Etiology: Six species are presently known in the genus Brucella: B. melitensis, B.abortus, B. suis, B. neo<strong>to</strong>mae, B. ovis, <strong>and</strong> B. canis.The first three species (called “classic brucella”) have been subdivided in<strong>to</strong> biovarsthat are distinguished by their different biochemical characteristics <strong>and</strong>/or reac-

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