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 personโs age. For a person with CJD, the median age at death is 68 years old. Classic CJD is not related to โmad cowโ disease.
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
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
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
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
- 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
Individuals with CJD likely will not be able to attend work, school or child care; general exclusions apply.