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CDC Unknown Infection Disease

Case Surveillance Report


State Case No: 317

CSID No735..

Case No: 14-860

Patient name (last, first): Geraghty, Yolande


Date of Birth: 04/14/1954

Date of symptom onset of this attack:


(mm/dd/yyyy): 01/01

Is patient pregnant? Y N

Patient admitted to hospital:

Hospital: University of Washington Medical Center

Date returned/arrived in U.S.:


Duration in country:

____/____/______
_________________

Unknown

Yes

No

If yes, specify:

____/____/_____

____/____/_____

_________________ ________________

Principal reason for travel for most recent trip:


Tourism
Visiting friends/relatives
Military
Airline/ship crew
Business
Missionary or dependent
Peace Corps
Refugee/immigrant
Unknown
Student/teacher
Other _____________________

Blood transfusion/organ transplant within last 12 months:


If yes, Date: ____/____/______

No

1. _________________ 2._______________ 3. ________________

Did patient reside in U.S. prior to most recent travel?


Yes
No, (specify country): __ ________

Yes

Date: 01/01

Has patient traveled or lived outside the U.S. during the past 2 years? :
Country:

Unknown

Height __4_ft. and _9_in. Weight: __107__lbs

Physician name (last, first): Blaisdel, R.

Sate reporting case: Seattle, WA


County: King County

Sex:
Male
Female

Yes

No

Unknown

CDC Unknown Infectious Disease


Patient Medical History

Name: _________Yolanda Geraghty_______

Phone #__________N/A_____________

D.O.B. _____01/14/1954_______ Height __49_ Weight__107__ Date of Visit ___01/01 __


Address 521 Lake Washington Blvd E, Seattle, WA 98112
Reason for visit: Unknown illness, unable to be roused

Personal Medical History


Medication allergies: ___None_____

Reaction: _____None______

Latex Sensitivity
Heart Problem
High blood pressure
Valve replacement
Pacemaker/AICD
Stroke
Diabetes
Kidney Problems
Seizures
Liver Problems

Pregnant
Yes
No
Breast Feeding
Yes
No
Smoker
Yes
No
Breathing problems
Yes
No
If Yes, explain ______________
Sleep Apnea
Yes
No
Alcohol Use:
Yes
No
Cancer:
Yes
No
If Yes, type:
_________________

Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes

No
No
No
No
No
No
No
No
No
No

CDC Unknown Infectious Disease

Patient Medical History

Family History of illness:


No known family history. Yolande has been treated for precancerous moles and other suspect skin
problems.

Recent travel (local and abroad):


San Francisco, CA for Christmas last year

Treatment: Given general antibiotics and fluids to unknown infection. Given antiviral agents and
steroids via IV as condition worsened. Succumbed to unknown infection on 01/12 of this year

CDC Unknown Infectious Disease


Patient Medical History
Full Background

Yolande Geraghty was a manager at Starbucks in Seattle, Washington. She had grown up in the city, and
spent much of her time either at work or enjoying the numerous outdoor actives available. Yolande had
two pets: an Australian Shepard, which was very energetic and caused Yolande to have to go on
frequent walks, and an elderly calico cat. The cat had been very sick for most of the past two years, and
had gone downhill in recent months. Yolande was forced to give the animal dialysis on a regular basis,
but it wasnt too bad, and the cat had lived long enough to make it worth it. Yolande was expecting the
cat to day within the next few weeks, and wanted it to die at home.
Yolande liked her job, but was upset it didnt allow her to travel more. She only got to travel once a year,
during the Christmas holidays. Her last trip was to San Francisco last year, where her sister lived in the
city. Yolande enjoyed visiting with her sisters family, and liked to walk through the city and the
California hills around the family home. She spent a week in San Francisco, and for the first time decided
to get a pet sitter to take care of the animals while she was away. She knew that her cat needed daily
care, and the vet thought that care in the home would be much better for the cat than trying to put it in
a kennel.
During her trip, Yolande got a call that her cat had died. She was sad, but glad that the animal was
comfortable and at home when it happened. The pet sitter also told her that there were some fleas in
the house. Yolande scheduled an exterminator to arrive a few days after she returned from her trip.
After she got back, she found that the flea infestation was worse than she thought. Her pet sitter was
nice enough to bring a new bed for the dog, but Yolande noticed that it was jumping with fleas. She had
never had a problem with fleas before, and didnt quite know how to take care of it. She bought a new
bed and the sitter took the old one back. Yolande just suffered through the flea infestation until the
exterminator arrived on 12/29 of last year, after which there were no further problems.
Yolande presented with general malaise and a migraine headache on the morning of 01/01 of this year,
five days after returning from her trip. She started to feel really, really sick, and drove herself to the
hospital.
Doctors were unable to diagnose her disease. Her symptoms worsened, and Yolande slipped into
unconsciousness on 01/09. She was treated with broad spectrum antibiotics and antivirals, but did not
respond to the treatment. Attempts to identify the infecting agent were unsuccessful. Her condition
worsened, and she succumbed to the infection on 01/12 of this year. Tissue and fluid samples were
saved and are awaiting testing instructions.