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Outbreak of rash in children associated with recreational mud exposure

George Turabelidze1, Alison Tucker, Cindy Butler

  • 1Missouri Department of Health and Senior Services, Eastern District Office, 220 S. Jefferson Street, St. Louis, MO 63103, USA. george.turabelidze@dhss.mo.gov

Pediatric Dermatology
|December 11, 2008
PubMed

Insights

A rash outbreak occurred at the "Mud Mania Festival" in children. Increased time in mud correlated with rash severity, and Enterobacter cloacae was identified in two cases.

Area of Science:

  • Pediatric infectious diseases
  • Dermatology
  • Environmental health

Background:

  • Community events like festivals can present unique public health challenges.
  • Skin infections can arise from environmental exposures, particularly in children.
  • Understanding the etiology of infectious outbreaks is crucial for prevention.

Purpose of the Study:

  • To investigate a rash outbreak among children at the "Mud Mania Festival."
  • To determine the incubation period and duration of the illness.
  • To identify potential causative agents and risk factors.

Main Methods:

  • Descriptive epidemiology of a pediatric rash outbreak.
  • Clinical assessment of rash severity and duration.
  • Microbiological cultures from skin lesions.

Main Results:

  • The mean incubation period for the rash illness was 26 hours.
  • The mean duration of the illness was 4.3 days.
  • A dose-response relationship was observed between time spent in mud and rash extent. Enterobacter cloacae was isolated from lesions in two unrelated children.

Conclusions:

  • Exposure to mud at the festival was linked to the rash outbreak in a dose-dependent manner.
  • Enterobacter cloacae may be a contributing pathogen in this type of outbreak.
  • Public health guidance on environmental exposures at outdoor events is warranted.

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