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Original Article
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Volume 342:246-248 January 27, 2000 Number 4
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Transmission of Mycobacterium tuberculosis from a Cadaver to an Embalmer
Timothy R. Sterling, M.D., Diana S. Pope, R.N., M.S., William R. Bishai, M.D., Ph.D., Susan Harrington, M.P.H., Robyn R. Gershon, M.H.S., Dr.P.H., and Richard E. Chaisson, M.D.

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The risk of acquiring tuberculosis varies according to occupation and is high among funeral-home workers.1 Embalmers are at particularly high risk for reactivity on tuberculin skin testing.2 The increased risk may be due to exposure to Mycobacterium tuberculosis during the embalming process, which involves the aspiration of blood and other body fluids from the cadaver, resulting in the generation of potentially infectious aerosols. To our knowledge, however, the transmission of M. tuberculosis from a cadaver to an embalmer, with the subsequent development of active tuberculosis, has not been described.

DNA fingerprinting by restriction-fragment–length polymorphism (RFLP) analysis can be useful in . . . [Full Text of this Article]

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From the Division of Infectious Diseases (T.R.S., W.R.B., R.E.C.) and the Department of Pathology (S.H.), Johns Hopkins University School of Medicine; the Baltimore City Health Department Eastern Chest Clinic (T.R.S., D.S.P., R.E.C.); and the Departments of Epidemiology (T.R.S., D.S.P., R.E.C.), International Health (W.R.B., R.E.C.), and Environmental Health Sciences (R.R.G.), Johns Hopkins University School of Public Health — all in Baltimore.

Address reprint requests to Dr. Sterling at the Division of Infectious Diseases, 1830 E. Monument St., Rm. 444, Baltimore, MD 21287, or at tsterls@jhmi.edu.

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