Biggar R J, Woodall J P, Walter P D, Haughie G E
JAMA. 1975 May 5;232(5):494-500.
An outbreak of lymphocytic choriomeningitis (LCM) associated with pet hamsters adquired through nationwide distributor was recognized in New York in February 1974. In upstate a New York, 57 cases occurred in a four-month period. Complete information was obtained on 49 patients ranging in age from 3 to 70 years. Characteristic findings included fever (90%), headache (85%), and severe myalgia (80%). Typically, laboratory findings consisted of a normal blood cell count and cerebrospinal fluid with mononuclear leukocyte pleocytosis and moderate hypoglycorrhacia. Al patients had contact with hamsters from one distributor. Most of the hamsters were acquired in mid to late December 1973, but some as late as March 1974. From each of eight families in which hamsters were available, at least one hamster had detectable complement-fixing antibodies for LCM. Infection rates within families varied with location and type of hamster cage; open cages and cages situated in common living areas were associated with highest infection rates (45% and 52%, respectively). Severity of illness was not associated with direct contact with hamsters. Onset of illness occurred between 8 and 90 days after initial exposure to hamsters.
1974年2月,纽约发现了一起与通过全国经销商购买的宠物仓鼠相关的淋巴细胞性脉络丛脑膜炎(LCM)疫情。在纽约州北部,四个月内发生了57例病例。获得了49例年龄在3岁至70岁之间患者的完整信息。特征性表现包括发热(90%)、头痛(85%)和严重肌痛(80%)。典型的实验室检查结果包括血细胞计数正常,脑脊液单核细胞增多和中度低糖。所有患者都接触过来自同一经销商的仓鼠。大多数仓鼠是在1973年12月中旬至下旬购买的,但有些迟至1974年3月。在有仓鼠的八个家庭中,每个家庭至少有一只仓鼠检测到LCM补体结合抗体。家庭内的感染率因仓鼠笼的位置和类型而异;开放式笼子和位于公共生活区的笼子感染率最高(分别为45%和52%)。疾病严重程度与直接接触仓鼠无关。发病发生在首次接触仓鼠后的8至90天之间。