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The County of Sonoma Department of Health Services has issued a Health Advisory concerning multiple reports of participants in a Tough Mudder race at Sonoma Raceway on Aug. 19 and 20 having developed rash with fever, muscle pain, or nausea/vomiting occurring about 24 hours after the event.
Numerous race participants have experienced skin and soft tissue infections (SSTIs) (most frequently described as a pustular rash), along with other symptoms such as fever and headache. Multiple wound cultures have yielded Aeromonas.
Officials say if you participated in the race and have a rash with fever or other symptoms, please see your medical provider or, if you do not have a medical provider, your local emergency department. Incubation period is 12 to 48 hours.
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Aeromonas are gram-negative bacteria that grow in freshwater and marine environments and can cause wound infections ranging from mild cellulitis to necrotizing fasciitis. Aeromonas strains may be resistant to antibiotics commonly used to treat SSTIs caused by other bacteria. In addition, Aeromonas infections have been associated with gastroenteritis, sepsis, and involvement of multiple extraintestinal sites.