XXXX in a day-care center, Kentucky, 1993.

@entity1 @entity281 @entity378 @entity272
In November, 1993, a 33-month-old @entity1 in a day-care center was diagnosed with @entity378 ( @entity378 ). To identify her source of @entity281 , close contacts, other day-care @entity1 and staff were screened by @entity272 ( @entity272 ). @entity378 registry and medical/laboratory records were reviewed. The only 2 community @entity378 cases reported in the past 3 years were investigated. Of 164 @entity1 2 were diagnosed with @entity378 ; their TSTs were > or = 10 mm but no specimens were obtained. Six @entity1 had TSTs > or = 5 mm. Of these 4 had @entity272 conversions between December, 1993, and March, 1994. There were no additional positive @entity272 @entity1 in June, 1994. No @entity378 case was identified among staff or parents. A possible epidemiologic link with the index case was found for 1 community case. No source of @entity281 was found for the other @entity1 . Possible explanations for not finding a source are: an as yet unidentified case in the day-care center or community; or false positive @entity272 results in @entity1 related to low community prevalence of @entity378 .
