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1.
Nat Commun ; 14(1): 8078, 2023 Dec 06.
Article in English | MEDLINE | ID: mdl-38057313

ABSTRACT

Omicron BA.2.86 subvariant differs from Omicron BA.2 as well as recently circulating variants by over 30 mutations in the spike protein alone. Here we report on the isolation of the live BA.2.86 subvariant from a diagnostic swab collected in South Africa which we tested for escape from neutralizing antibodies and viral replication properties in cell culture. We found that BA.2.86 does not have significantly more escape relative to Omicron XBB.1.5 from neutralizing immunity elicited by either Omicron XBB-family subvariant infection or from residual neutralizing immunity of recently collected sera from the South African population. BA.2.86 does have extensive escape relative to ancestral virus with the D614G substitution (B.1 lineage) when neutralized by sera from pre-Omicron vaccinated individuals and relative to Omicron BA.1 when neutralized by sera from Omicron BA.1 infected individuals. BA.2.86 and XBB.1.5 show similar viral infection dynamics in the VeroE6-TMPRSS2 and H1299-ACE2 cell lines. We also investigate the relationship of BA.2.86 to BA.2 sequences. The closest BA.2 sequences are BA.2 samples from Southern Africa circulating in early 2022. Similarly, many basal BA.2.86 sequences were sampled in Southern Africa. This suggests that BA.2.86 potentially evolved in this region, and that unobserved evolution led to escape from neutralizing antibodies similar in scale to recently circulating strains of SARS-CoV-2.


Subject(s)
COVID-19 , SARS-CoV-2 , Humans , Africa, Southern , Antibodies, Neutralizing , Antibodies, Viral , COVID-19/virology , SARS-CoV-2/genetics
2.
Emerg Infect Dis ; 29(6): 1206-1209, 2023 06.
Article in English | MEDLINE | ID: mdl-37022936

ABSTRACT

Tanapox is a rarely diagnosed zoonosis known to be endemic to equatorial Africa. All previously reported human cases were acquired within 10° north or south of the Equator, most recently 19 years ago. We describe a human case of tanapox in South Africa (24° south of the Equator). Expanded surveillance for this pathogen is warranted.


Subject(s)
Poxviridae Infections , Yatapoxvirus , Animals , Humans , South Africa/epidemiology , Zoonoses , Poxviridae Infections/diagnosis
3.
South Afr J HIV Med ; 20(1): 993, 2019.
Article in English | MEDLINE | ID: mdl-31534791

ABSTRACT

This article presents a case of an HIV-infected paediatric patient with an unusual Mycobacterium genavense infection with predominantly abdominal organ involvement.

4.
BMJ Case Rep ; 20132013 Feb 21.
Article in English | MEDLINE | ID: mdl-23436887

ABSTRACT

A rare case of caruncular neurofibroma in a patient who did not have neurofibromatosis. To remember peripheral nerve sheath tumours in the differential diagnosis of caruncular lesions. Excisional biopsy proved to be adequate treatment in our case.


Subject(s)
Eye Neoplasms/pathology , Neurofibroma/pathology , Neurofibromatoses/diagnosis , Aged , Biopsy , Diagnosis, Differential , Humans , Skin/pathology
5.
Br J Oral Maxillofac Surg ; 46(5): 391-3, 2008 Jul.
Article in English | MEDLINE | ID: mdl-17942201

ABSTRACT

Actinomycosis is a chronic, suppurative, granulomatous, fibrosing infection that usually occurs in the cervicofacial region. Actinomyces israelii is the most common organism, with sporadic cases being caused by A. odontolyticus. Even though actinomyces are part of the normal oral flora, infections are rare; rarer still is actinomycotic infection of the facial skin. We describe a case of actinomycosis of the skin of the chin, which histologically mimicked a desmoid tumour.


Subject(s)
Actinomycosis, Cervicofacial/pathology , Fibromatosis, Aggressive/pathology , Adult , Chin/pathology , Diagnosis, Differential , Humans , Male
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