RESUMO
We detected Mayaro virus (MAYV) in 3.4% (28/822) of febrile patients tested during 2018-2021 from Roraima State, Brazil. We also isolated MAYV strains and confirmed that these cases were caused by genotype D. Improved surveillance is needed to better determine the burden of MAYV in the Amazon Region.
Assuntos
Epidemiologia Molecular , Humanos , Brasil/epidemiologia , Febre/virologia , Febre/epidemiologia , Masculino , Filogenia , Adulto , Alphavirus/genética , Alphavirus/classificação , Feminino , Genótipo , Criança , Pessoa de Meia-Idade , Adolescente , Pré-Escolar , História do Século XXI , Adulto Jovem , Idoso , Infecções por Arenaviridae/epidemiologia , Infecções por Arenaviridae/virologia , Infecções por Alphavirus/epidemiologia , Infecções por Alphavirus/virologia , LactenteRESUMO
We report a 3-year-old child who was hospitalized because of severe manifestations of the central nervous system. The child died after 6 days of hospitalization. Analysis of postmortem cerebrospinal fluid showed the presence of yellow fever virus RNA. Nucleotide sequencing confirmed that the virus was wild-type yellow fever virus.
Assuntos
RNA Viral/genética , Febre Amarela/líquido cefalorraquidiano , Febre Amarela/virologia , Vírus da Febre Amarela/genética , Antivirais/farmacologia , Antivirais/uso terapêutico , Autopsia , Biomarcadores , Brasil , Pré-Escolar , Progressão da Doença , Evolução Fatal , Feminino , Humanos , Filogenia , Análise de Sequência de DNA , Avaliação de Sintomas , Tomografia Computadorizada por Raios X , Febre Amarela/diagnóstico , Febre Amarela/tratamento farmacológico , Vírus da Febre Amarela/classificação , Vírus da Febre Amarela/isolamento & purificaçãoRESUMO
Sequencing of isolates from patients in Bahia, Brazil, where most Zika virus cases in Brazil have been reported, resulted in 11 whole and partial Zika virus genomes. Phylogenetic analyses revealed a well-supported Bahia-specific Zika virus lineage, which indicates sustained Zika virus circulation in Salvador, Bahia's capital city, since mid-2014.
Assuntos
Infecção por Zika virus/virologia , Zika virus/classificação , Adulto , Idoso , Brasil/epidemiologia , DNA Viral , Feminino , Genoma Viral , Humanos , Masculino , Tipagem Molecular , Filogenia , Análise de Sequência de DNA , Zika virus/genética , Infecção por Zika virus/epidemiologiaRESUMO
Se presenta un paciente de 80 años de edad, residente en la Ciudad de Buenos Aires, con diagnóstico serológico para el virus de la encefalitis de San Luis (SLE) durante el brote de dengue ocurrido entre enero y mayo de 2009. Presentaba leucemia linfoide crónica en tratamiento con clorambucilo, cáncer de próstata tratado con hormonoterapia y radioterapia, e imágenes óseas compatibles con metástasis. El estudio del líquido cefalorraquídeo demostró pleocitosis con predominio de mononucleares y proteinorraquia elevada. El resultado de los cultivos para bacterias, hongos y micobacterias, así como el PCR en LCR para herpes virus, HSV, CMV y EBV, fue negativo. Se detectaron anticuerpos IgM para virus SLE tanto en LCR como en muestra de suero, con seroconversión IgG por neutralización en cultivos celulares y resultados negativos para los demás Flavivirus con circulación en Argentina. Se revisan evidencias sobre la presencia de virus de San Luis en nuestro país, y se señala la importancia de la confirmación diagnóstica y el estudio de otros Flavivirus en casos sospechosos de dengue con presentación grave o atípica. Este trabajo remarca la necesidad de fortalecer tanto la vigilancia epidemiológica del virus SLE, como el control vectorial para prevenir las diferentes infecciones transmitidas por mosquitos y conocer su efecto en Salud Pública en la Argentina.
We report the case of a male, 80-year-old resident in the City of Buenos Aires, with a diagnosis of St. Louis encephalitis (SLE) during a countrywide dengue outbreak, from January to May 2009. The patient had a chronic lymphocytic leukemia treated with chlorambucil, prostate cancer (hormone therapy and radiotherapy) and images consistent with bone metastases. Cerebrospinal fluid examination showed pleocytosis with a predominance of mononuclear cells and high protein concentration. Bacteria, fungi and mycobacteria cultures, as well as the PCR for herpes virus, HSV, CMV and EBV, were negative. We confirmed the diagnosis of SLE by detection of IgM antibodies in both CSF and serum sample with IgG seroconversion by neutralization in cell cultures and negative results for other flaviviruses with known circulation in Argentina. We review the evidence for the presence of the St. Louis virus in our country and point to the importance of the diagnosis and the search of other Flavivirus in suspected dengue cases with severe or atypical presentation. This work emphasizes the need to strengthen both the epidemiological surveillance of SLE, and vector control to prevent different infections transmitted by mosquitoes and to understand their true impact on public health in Argentina.