title: Outbreak of rash in children associated with recreational mud exposure.
abstract: We conducted an investigation of a rash outbreak in children who attended the "Mud Mania Festival." The mean incubation period of illness was 26 hours, and mean duration was 4.3 days. Time spent in mud was associated with the extent of rash in a dose-response fashion. The cultures from lesions of two unrelated cases yielded Enterobacter cloacae.
authors.affiliation: Missouri Department of Health and Senior Services, Eastern District Office, 220 S. Jefferson Street, St. Louis, MO 63103, USA. george.turabelidze@dhss.mo.gov
authors.forename: George
authors.initials: G
authors.lastname: Turabelidze
authors.forename: Alison
authors.initials: A
authors.lastname: Tucker
authors.forename: Cindy
authors.initials: C
authors.lastname: Butler
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Gibbs
authors.forename: Frank
authors.initials: F
authors.lastname: Fick
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004196:Disease Outbreaks; D016972:Enterobacter cloacae / Q000302:isolation & purification; D005076:Exanthema / Q000453:epidemiology* / Q000209:etiology* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D011998:Recreation; D012720:Severity of Illness Index; D012987:Soil; D013997:Time Factors
chemical_list: D012987:Soil