Table 2. Creutzfeldt-Jakob disease patients investigated for a possible causal link of their illness with chronic wasting disease of deer and elk, United Statesa.
Case no. | Age at death (y) | Year of death | Codon 129 | Western blot | Final diagnosis | Eating of venison from CWD-endemic area |
---|---|---|---|---|---|---|
1 | 25 | 2001 | M/V | Type 1 | GSS 102 | Yes |
2 | 26 | 2001 | M/M | Type 2 | CJD | No |
3b | 28 | 2002 | nd | nd | GSS 102 | No |
4 | 28 | 1997 | M/M | nd | CJD | No |
5 | 28 | 2000 | M/V | Type 1 | CJD | No |
6 | 30 | 1999 | V/V | Type 1 | CJD | No |
7 | 54 | 2002 | V/V | Type 2 | CJD | No |
8c | 55 | 1999 | M/M | Type 1 | CJD | No |
9d | 61 | 2000 | M/M | Type 1 | CJD | Yes |
10 | 63 | 2002 | V/V | Type 1 | CJD | No |
11e | 64 | 2002 | M/M | Type 1 | CJD | Yes |
12 | 66 | 2001 | M/M | Type 1 | CJD | No |
aCWD, chronic wasting disease; GSS, Gerstmann-Sträussler-Scheinker syndrome; CJD, Creutzfeldt-Jakob disease; nd, not done. bImmunohistochemical analysis of postmortem brain tissue was consistent with GSS, and a GSS 102 mutation was confirmed in the family. cInvestigated as part of a cluster of three case-patients who participated in "wild game feasts" in a cabin owned by one of the decedents. dPatient grew up in an area known to be endemic for CWD and ate venison harvested locally; however, the CJD phenotype fits the most common form of sporadic CJD. ePatient may have been successful in harvesting two deer since 1996 from a CWD-endemic area, but both deer tested negative for CWD.