- Brainerd diarrhea
Brainerd diarrhea is a sudden-onset watery, explosive
diarrhea that lasts for months and does not respond to antibiotics; the cause of Brainerd diarrhea is unknown. Brainerd diarrhea was first described inBrainerd, Minnesota in 1983.cite journal | author=Osterholm MT, MacDonald KL, White KE, "et al." | title=An Outbreak of newly recognized chronic diarrhea associated with raw milk consumption | journal=JAMA | year=1986 | volume=256 | pages=484–90 | doi=10.1001/jama.256.4.484 | pmid=3487659 ] It has been associated with the consumption of raw milk and untreated water [cite journal | author=Parsonnet J, Trock SC, Bopp CA, "et al." | title=Chronic diarrhea associated with drinking untreated water | year=1989 | journal=Ann Intern Med | volume=110 | pages=985–91 ] [cite journal | author=Mintz ED, Weber JT, Guris D, "et al." | title=An outbreak of Brainerd diarrhea among travelers to the Galapagos Islands | year=1998 | journal=J Infect Dis | volume=177 | pages=1041–5 ] . Of the ten outbreaks reported since 1983, nine have been in the US. The characteristics of each outbreak have been similar to that caused by an infectious agent. Although a very large outbreak (117 patients) occurred in 1996 inFannin County, Texas . [cite journal | author=Kimura AC, Mead P, Walsh B, "et al." | title=A large outbreak of Brainerd diarrhea associated with a restaurant in the Red River Valley, Texas | year=2006 | volume=43 | issue=1 | pages=55–61 ] , the largest outbreak (122 patients) was the original one in Brainerd, MN. There have been no secondary cases reported in any of the outbreaks, suggesting that the causative agent cannot be passed from person to person, but boiling water appears to inactivate the Brainerd agent. Although there is no treatment available, the disease does appear to resolve itself, although this process takes months if not years. [cite journal | author=Mintz ED, Parsonnet J, Osterholm MT | title=Chronic idiopathic diarrhea | journal=New Engl J Med | year=1993 | volume=328 | pages=1713–4 | doi=10.1056/NEJM199306103282314 | pmid=8487837 ] [cite journal | author=Afzalpurkar RG, Schiller LR, Little KH, "et al." | title=The self limiting nature of chronic idiopathic diarrhea | journal=New Engl J Med | volume=327 | pages=1849–52 | year=1992 ]External links
* [http://www.cdc.gov/ncidod/dbmd/diseaseinfo/brainerddiarrhea_g.htm CDC information] on Brainerd Diarrhea
References
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