Creutzfeldt-Jakob Disease (CJD)

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Creutzfeldt-Jakob Disease (CJD)

Creutzfeldt-Jakob disease (CJD) is a rare disease that causes brain lesions in humans and is believed to be caused by an infectious particle called a prion protein. It occurs worldwide and is reported to be about one case per million population each year. The risk of classic CJD increases with a personโ€™s age. For a person with CJD, the median age at death is 68 years old. Classic CJD is not related to โ€œmad cowโ€ disease.


Transmission

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Transmission

In 85% of cases, CJD appears to occur sporadically, caused by the spontaneous transformation of normal prion proteins into abnormal prions 

  • CJD is not transmitted person-to-person by airborne droplets, blood, or sexual contact
  • Some CJD cases acquired their infection from another CJD case accidentally by medical or surgical treatments and procedures
  • No increase in cases of CJD has been observed in people previously transfused with blood or blood components or injected with human plasma derivatives, suggesting that risk of transfusion-transmitted classic sporadic CJD must be very low and regarded as theoretical
  • Except in families with familial forms of the disease, CJD has not been reported in children of mothers who died with CJD
  • Brain, eyes, spinal cord and spinal fluid are tissues associated with disease

Symptoms

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Symptoms

It is unknown how soon symptoms appear after infection in CJD cases, however, CJD progresses rapidly once neurological symptoms appear. 

  • Dementia
  • Confusion
  • Walking difficulties
  • Uncoordinated voluntary muscle movements
  • Visual disturbances
  • Involuntary muscle contractions 

CJD is fatal. Infection with this disease leads to death usually within one year of onset of illness.

Diagnosis

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Diagnosis

CJD is diagnosed by clinical symptoms along with diagnostic tests. However, diagnosis with CJD can be made certain only during an autopsy examination of the brain tissue


Treatment

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Treatment

There is no treatment for CJD. Only supportive treatment to manage symptoms is available. There is no evidence of a protective immune response to CJD, and there is no vaccine available. CJD is always fatal.


Prevention

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Prevention
  • Organs or tissues from infected people should not be used as transplants
  • Contaminated surgical instruments should be properly cleaned and disinfected For more information about the treatment of CJD visit cdc.gov/prions/cjd/index.html or contact your health care provider.

Exclusion Guidance

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Exclusion Guidance

Individuals with CJD likely will not be able to attend work, school or child care; general exclusions apply

For additional information about CJD
contact North Dakota Health and Human Servicesโ€™ Public Health Division at 800.472.2180.

Resources

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Resources
1. Centers for Disease Control and Prevention. (2021, September 10). Creutzfeldt-Jakob Disease, Classic (CJD). Centers for Disease Control and Prevention. Retrieved June 12th, 2023, https://www.cdc.gov/creutzfeldtjakob/about/?CDC_AAref_Val=https://www.cโ€ฆ;
2. Heymann, D. L. (2022). Control of Communicable Diseases Manual, 21st Edition. Prion Diseases. American Public Health Association. 2022: 513-519. 3. Kimberlin, D. W., Barnett, E. D., Lynfield, R., Sawyer, M. H. (2021) Red Book: 2021- Report of the Committee on Infectious Diseases. 31st ed. American Academy of Pediatrics. [Management and Prevention of Infectious Diseases; [Pages 610-614].
08/23/24