Medical examiner searching for links between infection victims

By Sharna Johnson: Freedom New Mexico

Health investigators probing three Curry County cases involving an
invasive bacteria have found no direct connection between the victims,
according to an epidemiologist with the state health department.

Wednesday, the New Mexico Health Department announced that two Curry
County residents — a 23-year-old woman and a 53-year-old man — have
died and a 58-year-old man is hospitalized, suffering from an invasive
bacteria known as group A streptococcus.

Citing medical privacy, officials have declined to release any identifying information other than age and gender.

However, two Amarillo television stations reported late Thursday
that the 23-year-old was a pregnant woman who, along with her infant,
died in childbirth because of complications from the bacteria.

Stations KFDA and KAMR said the woman and her baby died on New
Year’s Eve at Plains Regional Medical Center. The stations also
reported the 53-year-old man was transferred from PRMC to Veterans
Affairs Hospital in Amarillo, where he died from the infection.

The 58-year-old man is reportedly recovering in a Lubbock Hospital.

Dr. Chad Smelser, a medical epidemiologist with the state, is
working with local, state and federal disease agencies to investigate
the incidents.

Investigators are interviewing people who had contact with the three
individuals and examining their circumstances in an effort to
understand how and why they came down with the infections.

“We haven’t found a link (between the three) but we’re investigating
to determine if there was any link other than (the fact) there was a
similar time frame and they’re from Curry County,” Smelser said
Thursday, explaining if a link is identified that could impact others,
the public would be notified.

For now, officials want residents to be aware, and to seek help if
they develop symptoms, such as: fever, severe pain and swelling,
redness at the site of a wound, a rash over large areas of the body,
dizziness or confusion.

Trying to communicate with and educate the public on incidents of
group A strep is a difficult chore because experts recognize the
symptoms are somewhat nondescript and similar in many ways to other
common ailments, NMHD spokeswoman Deborah Busemeyer said Thursday.

“It’s a hard public health message because you have a mild illness
that can escalate very quickly and we don’t have great advice for
(people),” she said.

“With other kinds of diseases, we can say ‘look for this’, but (it’s
harder with group A strep). … It’s one of those bacteria that’s
everywhere.”

But doctors and medical providers know what to look for and when to test, Smelser said.

“Doctors will know what to do. … It’s a common bacteria. The
invasive, deadly disease is less common, but doctors are relatively
(familiar with the condition),” he said.

Group A strep is found on the skin, in the throat and can cause strep throat.

While it can often be easily treated with antibiotics, Smelser said,
it can also cause an invasive infection in the blood, skin or organs,
which progress rapidly and with high mortality rates.

“The biggest issue is these stories are tragic because these people
are a little sick and all of a sudden they get sicker very fast,” he
said.

Often by the time people seek help, they are already in the throws
of rapid progression, he said, explaining, “It can be difficult when
you see them because they’re already having multiple medical issues.”

People with diminished immune systems, young children, the elderly,
people with skin wounds or lesions and those with a history of alcohol
or intravenous drug use, he said, are particularly susceptible, though
healthy people too can develop it.

Of the three Curry County cases, Smelser said one was discovered
through a throat culture and the other two through blood cultures.

Group A strep is a reportable condition in the state of New Mexico,
he said, meaning health officials must be notified when it’s discovered
and its occurrence is tracked.

Medical providers throughout the region and even hospitals in
neighboring Texas communities have been alerted to the incidents and
given protocol for diagnoses, treatment and reporting, Smelser said.

Interviewing those who had contact with the three Curry County
patients and continuing to do active surveys to monitor the region are
all part of the investigation being conducted by health officials.

As with any contagious disease or bacteria, people can help protect
themselves by using basic health precautions — sanitation, hand
washing, covering coughs and sneezes, staying home when sick and
seeking medical attention if serious symptoms develop, Smelser said.

Facts about severe strep infections:

Some types of group A strep bacteria cause severe infections, such as: