title: Infections Acquired in the Garden.
abstract: Gardening is a wonderful pastime, and the garden is a very peaceful place to enjoy one's vacation. However, the garden may be a treacherous place for very young or compromised hosts when one takes into account the infectious potential residing in the soil, as well as the insect vectors on plants and animals. Even normal hosts may acquire a variety of infections from the soil, animals, or animal-related insect bites. The location of the garden, its natural animal and insect inhabitants, and the characteristics of the soil play a part in determining its infectious potential. The most important factor making the garden an infectious and dangerous place is the number and interaction of animals, whether they are pets or wild, that temporarily use the garden for part of their daily activities. The clinician should always ask about garden exposure, which will help in eliminating the diagnostic possibilities for the patient. The diagnostic approach is to use epidemiological principles in concert with clinical clues, which together should suggest a reasonable list of diagnostic possibilities. Organ involvement and specific laboratory tests help further narrow the differential diagnosis and determine the specific tests necessary to make a definitive diagnosis.
authors.affiliation: Division of Infectious Disease, Rhode Island Hospital, Providence, RI 02903, The Miriam Hospital, Providence, RI 02906 and Brown University Alpert School of Medicine, Providence, RI 02903.
authors.forename: Cheston B
authors.initials: CB
authors.lastname: Cunha
authors.affiliation: Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501 and State University of New York School of Medicine, Stony Brook, NY 11794.
authors.forename: Burke A
authors.initials: BA
authors.lastname: Cunha
mesh_terms: D000383:Agriculture; D000818:Animals; D000835:Animals, Wild; D003141:Communicable Diseases / Q000453:epidemiology* / Q000635:transmission*; D004197:Disease Reservoirs; D018562:Disease Transmission, Infectious; D051639:Gardening; D006801:Humans; D007299:Insect Bites and Stings / Q000150:complications; D007313:Insecta; D057805:Pets; D010944:Plants; D012988:Soil Microbiology