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1.
J Med Virol ; 93(11): 6140-6147, 2021 11.
Artículo en Inglés | MEDLINE | ID: mdl-34160830

RESUMEN

To investigate the presence of respiratory viruses in the middle ear cavity of the individuals with a healthy middle ear and the children with otitis media with effusion (OME). A total of 72 middle ear samples were collected from 25 children with OME (Group 1) and 47 individuals with no middle ear disease (Group 2). Multiplex real-time polymerase chain reaction was used to investigate the presence of 20 different respiratory viruses. Virus results were compared with bacteriomes of the same populations. At least one respiratory virus was detected in 56% of the patients in Group 1 and 12.8% of the individuals in Group 2. The viral co-infection rate for Group 1 and 2 was 8% and 2.1%, respectively. In Group 1, adenovirus was the most frequently detected virus with a rate of 24%, either alone (16%) or concurrent with other viruses (8%), followed by influenza B (12%), rhinovirus, and bocavirus (8%) each. Parainfluenza 4, coronavirus OC43, and RSV A/B were detected in 4% of the sample each. In Group 2, rhinovirus was detected in two samples (4.3%) followed by adenovirus, coronavirus OC43, coronavirus E299, and coronavirus NL63 with a rate of 2.1% each. The detection rate of respiratory viruses was significantly higher in children aged 6 to 11 years. There was no positive association between virus and bacteria found in the middle ear cavity. The current study has provided comprehensive data indicating the presence of diverse respiratory viruses in the healthy middle ear cavity. Our results also suggest that respiratory viruses might have a contribution to OME pathogenesis.


Asunto(s)
Oído Medio/virología , Otitis Media con Derrame/virología , Virus/aislamiento & purificación , Adenovirus Humanos/aislamiento & purificación , Bacterias/aislamiento & purificación , Niño , Preescolar , Coinfección , Coronavirus/aislamiento & purificación , Femenino , Bocavirus Humano/aislamiento & purificación , Humanos , Lactante , Masculino , Orthomyxoviridae/aislamiento & purificación , Otitis Media con Derrame/microbiología , Paramyxoviridae/aislamiento & purificación , Rhinovirus/aislamiento & purificación , Virosis/virología
2.
J Virol ; 94(18)2020 08 31.
Artículo en Inglés | MEDLINE | ID: mdl-32581107

RESUMEN

Wild birds are major natural reservoirs and potential dispersers of a variety of infectious diseases. As such, it is important to determine the diversity of viruses they carry and use this information to help understand the potential risks of spillover to humans, domestic animals, and other wildlife. We investigated the potential viral causes of paresis in long-standing, but undiagnosed, disease syndromes in wild Australian birds. RNA from diseased birds was extracted and pooled based on tissue type, host species, and clinical manifestation for metagenomic sequencing. Using a bulk and unbiased metatranscriptomic approach, combined with clinical investigation and histopathology, we identified a number of novel viruses from the families Astroviridae, Adenoviridae, Picornaviridae, Polyomaviridae, Paramyxoviridae, Parvoviridae, and Circoviridae in common urban wild birds, including Australian magpies, magpie larks, pied currawongs, Australian ravens, and rainbow lorikeets. In each case, the presence of the virus was confirmed by reverse transcription (RT)-PCR. These data revealed a number of candidate viral pathogens that may contribute to coronary, skeletal muscle, vascular, and neuropathology in birds of the Corvidae and Artamidae families and neuropathology in members of the Psittaculidae The existence of such a diverse virome in urban avian species highlights the importance and challenges in elucidating the etiology and ecology of wildlife pathogens in urban environments. This information will be increasingly important for managing disease risks and conducting surveillance for potential viral threats to wildlife, livestock, and human health.IMPORTANCE Wildlife naturally harbor a diverse array of infectious microorganisms and can be a source of novel diseases in domestic animals and human populations. Using unbiased RNA sequencing, we identified highly diverse viruses in native birds from Australian urban environments presenting with paresis. This research included the clinical investigation and description of poorly understood recurring syndromes of unknown etiology: clenched claw syndrome and black and white bird disease. As well as identifying a range of potentially disease-causing viral pathogens, this study describes methods that can effectively and efficiently characterize emergent disease syndromes in free-ranging wildlife and promotes further surveillance for specific pathogens of potential conservation and zoonotic concern.


Asunto(s)
Animales Salvajes/virología , Enfermedades de las Aves/epidemiología , Aves/virología , Infecciones por Virus ADN/veterinaria , Metagenoma , Infecciones por Virus ARN/veterinaria , Transcriptoma , Adenoviridae/clasificación , Adenoviridae/genética , Adenoviridae/aislamiento & purificación , Animales , Astroviridae/clasificación , Astroviridae/genética , Astroviridae/aislamiento & purificación , Australia/epidemiología , Enfermedades de las Aves/virología , Circoviridae/clasificación , Circoviridae/genética , Circoviridae/aislamiento & purificación , Ciudades , Infecciones por Virus ADN/epidemiología , Infecciones por Virus ADN/virología , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Paramyxoviridae/clasificación , Paramyxoviridae/genética , Paramyxoviridae/aislamiento & purificación , Parvoviridae/clasificación , Parvoviridae/genética , Parvoviridae/aislamiento & purificación , Filogenia , Picornaviridae/clasificación , Picornaviridae/genética , Picornaviridae/aislamiento & purificación , Polyomaviridae/clasificación , Polyomaviridae/genética , Polyomaviridae/aislamiento & purificación , Infecciones por Virus ARN/epidemiología , Infecciones por Virus ARN/virología
3.
J Vet Diagn Invest ; 32(3): 429-434, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32194003

RESUMEN

We screened 104 snakes with respiratory disease, collected from 52 snake farms in Guangxi Province, China, for pathogens. Ferlaviruses were detected in 70 of 104 lung samples by reverse-transcription PCR; 34 of 52 of the snake farms were positive for ferlaviruses. No reovirus, adenovirus, sunshine virus, or nidovirus was detected in any of the snakes. We obtained 96 bacterial isolates from snake organs, of which the most commonly isolated species were Salmonella (18) and Proteus (16). Sequence analysis, based on 27 partial RNA-dependent RNA polymerase gene (L) sequences, revealed that ferlaviruses from Guangxi and the known GenBank strains clustered together and formed 3 genogroups. The nucleotide and deduced amino acid homologies of ferlaviruses were 84.3-100% and 95.0-100% within groups, respectively, and 77.0-81.6% and 90.4-95.2% between groups, respectively. Ferlaviruses from Guangxi had close genetic relationships with the known GenBank strains. Our results indicate that ferlaviruses are common in snakes with respiratory disease on the farms of Guangxi that we sampled, and that ferlavirus molecular epidemiology is both diverse and complex.


Asunto(s)
Epidemiología Molecular , Infecciones por Paramyxoviridae/veterinaria , Paramyxoviridae/genética , Paramyxoviridae/aislamiento & purificación , Serpientes/virología , Animales , China/epidemiología , Genotipo , Infecciones por Paramyxoviridae/epidemiología , Infecciones por Paramyxoviridae/virología , Filogenia , Reacción en Cadena de la Polimerasa/veterinaria , Enfermedades Respiratorias/veterinaria
4.
J Med Virol ; 92(8): 971-981, 2020 08.
Artículo en Inglés | MEDLINE | ID: mdl-31769525

RESUMEN

Active surveillance for zoonotic respiratory viruses is essential to inform the development of appropriate interventions and outbreak responses. Here we target individuals with a high frequency of animal exposure in Vietnam. Three-year community-based surveillance was conducted in Vietnam during 2013-2016. We enrolled a total of 581 individuals (animal-raising farmers, slaughterers, animal-health workers, and rat traders), and utilized reverse transcription-polymerase chain reaction to detect 15 common respiratory viruses in pooled nasal-throat swabs collected at baseline or acute respiratory disease episodes. A respiratory virus was detected in 7.9% (58 of 732) of baseline samples, and 17.7% (136 of 770) of disease episode samples (P < .001), with enteroviruses (EVs), rhinoviruses and influenza A virus being the predominant viruses detected. There were temporal and spatial fluctuations in the frequencies of the detected viruses over the study period, for example, EVs and influenza A viruses were more often detected during rainy seasons. We reported the detection of common respiratory viruses in individuals with a high frequency of animal exposure in Vietnam, an emerging infectious disease hotspot. The results show the value of baseline/control sampling in delineating the causative relationships and have revealed important insights into the ecological aspects of EVs, rhinoviruses and influenza A and their contributions to the burden posed by respiratory infections in Vietnam.


Asunto(s)
Exposición Profesional , Infecciones del Sistema Respiratorio/epidemiología , Infecciones del Sistema Respiratorio/virología , Virosis/epidemiología , Virosis/virología , Adenoviridae/aislamiento & purificación , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Coronavirus/aislamiento & purificación , Agricultores , Femenino , Humanos , Masculino , Persona de Mediana Edad , Orthomyxoviridae/aislamiento & purificación , Paramyxoviridae/aislamiento & purificación , Picornaviridae/aislamiento & purificación , Estaciones del Año , Vietnam/epidemiología , Zoonosis Virales/epidemiología , Adulto Joven
5.
PLoS One ; 14(4): e0214227, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30969980

RESUMEN

Bats are implicated as natural reservoirs for a wide range of zoonotic viruses including SARS and MERS coronaviruses, Ebola, Marburg, Nipah, Hendra, Rabies and other lyssaviruses. Accordingly, many One Health surveillance and viral discovery programs have focused on bats. In this report we present viral metagenomic data from bats collected in the Kingdom of Saudi Arabia [KSA]. Unbiased high throughput sequencing of fecal samples from 72 bat individuals comprising four species; lesser mouse-tailed bat (Rhinopoma hardwickii), Egyptian tomb bat (Taphozous perforatus), straw-colored fruit bat (Eidolon helvum), and Egyptian fruit bat (Rousettus aegyptiacus) revealed molecular evidence of a diverse set of viral families: Picornaviridae (hepatovirus, teschovirus, parechovirus), Reoviridae (rotavirus), Polyomaviridae (polyomavirus), Papillomaviridae (papillomavirus), Astroviridae (astrovirus), Caliciviridae (sapovirus), Coronaviridae (coronavirus), Adenoviridae (adenovirus), Paramyxoviridae (paramyxovirus), and unassigned mononegavirales (chuvirus). Additionally, we discovered a bastro-like virus (Middle East Hepe-Astrovirus), with a genomic organization similar to Hepeviridae. However, since it shared homology with Hepeviridae and Astroviridae at ORF1 and in ORF2, respectively, the newly discovered Hepe-Astrovirus may represent a phylogenetic bridge between Hepeviridae and Astroviridae.


Asunto(s)
Quirópteros/virología , Metagenoma/genética , Metagenómica , Filogenia , Animales , Caliciviridae/genética , Caliciviridae/aislamiento & purificación , Quirópteros/genética , Egipto , Heces/virología , Secuenciación de Nucleótidos de Alto Rendimiento , Humanos , Mamíferos/virología , Medio Oriente , Coronavirus del Síndrome Respiratorio de Oriente Medio , Paramyxoviridae/genética , Paramyxoviridae/aislamiento & purificación , Picornaviridae/genética , Picornaviridae/aislamiento & purificación , Virus ARN/genética , Rotavirus/genética , Rotavirus/aislamiento & purificación , Arabia Saudita
6.
J Zoo Wildl Med ; 49(4): 983-995, 2018 12 13.
Artículo en Inglés | MEDLINE | ID: mdl-30592933

RESUMEN

Between June and October 2013, 26 snakes of six viperid species kept in two adjoining rooms died ( n = 16) or were euthanized on medical (1) or welfare grounds (9). Two were from the main zoo collection, but the other 24 had been imported and quarantined for a minimum of 6 mo. Four of those that died and the single snake euthanized on medical grounds showed minor signs of respiratory disease prior to death, and five were weak, lethargic, and/or poor feeders. Frequent postmortem findings among all snakes were poor body condition (18) and respiratory disease (13). Seventeen cases were examined histologically, and pneumonia, sometimes with air sacculitis and/or tracheitis, was present in 15 individuals. Lung samples from 24 snakes were ferlavirus polymerase chain reaction (PCR) positive, and one of the two snakes for which only liver was available was also positive. The negative liver sample was from a snake that died of sepsis following anesthesia for surgical removal of a spindle cell sarcoma. Correlation with antemortem PCR testing of glottal and cloacal swabs in five cases was poor (sensitivity = 40%). Immunohistochemistry (IHC) for ferlaviruses on the tissues of 13 PCR-positive cases showed positive labeling in 7 only. Tissues samples from 22 ferlavirus PCR-positive snakes were examined for Chlamydia species by PCR, and 9 were positive, although DNA sequencing only confirmed two of three tested as Chlamydia pneumoniae. Immunohistochemistry for Chlamydia pneumoniae of seven cases (two Chlamydiales PCR positive, one of which was sequenced as C. pneumoniae, plus five negative) confirmed the Chlamydia PCR results. These two Chlamydiales PCR and IHC positive snakes were ferlavirus PCR positive, but IHC negative suggesting that, even though a ferlavirus was the predominant cause of the outbreak, in a few cases death may have been due to chlamydiosis with ferlavirus present, but not acting as the primary pathogen.


Asunto(s)
Brotes de Enfermedades/veterinaria , Infecciones por Paramyxoviridae/veterinaria , Paramyxoviridae/aislamiento & purificación , Viperidae , Animales , Animales de Zoológico , Femenino , Londres/epidemiología , Masculino , Infecciones por Paramyxoviridae/epidemiología , Infecciones por Paramyxoviridae/mortalidad , Infecciones por Paramyxoviridae/virología
7.
Sci Rep ; 8(1): 12744, 2018 08 24.
Artículo en Inglés | MEDLINE | ID: mdl-30143747

RESUMEN

Bats are implicated as the natural reservoirs for several highly pathogenic viruses that can infect other animal species, including man. Here, we investigate the potential for two recently discovered bat rubulaviruses, Achimota virus 1 (AchPV1) and Achimota virus 2 (AchPV2), isolated from urine collected under urban bat (Eidolon helvum) roosts in Ghana, West Africa, to infect small laboratory animals. AchPV1 and AchPV2 are classified in the family Paramyxoviridae and cluster with other bat derived zoonotic rubulaviruses (i.e. Sosuga, Menangle and Tioman viruses). To assess the susceptibility of AchPV1 and AchPV2 in animals, infection studies were conducted in ferrets, guinea pigs and mice. Seroconversion, immunohistological evidence of infection, and viral shedding were identified in ferrets and guinea pigs, but not in mice. Infection was associated with respiratory disease in ferrets. Viral genome was detected in a range of tissues from ferrets and guinea pigs, however virus isolation was only achieved from ferret tissues. The results from this study indicate Achimota viruses (AchPVs) are able to cross the species barrier. Consequently, vigilance for infection with and disease caused by these viruses in people and domesticated animals is warranted in sub-Saharan Africa and the Arabian Peninsula where the reservoir hosts are present.


Asunto(s)
Quirópteros/virología , Infecciones por Paramyxoviridae/veterinaria , Paramyxoviridae/fisiología , Animales , Anticuerpos Antivirales/sangre , Antígenos Virales/metabolismo , Bronquios/patología , Células Epiteliales/patología , Células Epiteliales/virología , Femenino , Hurones/sangre , Hurones/virología , Cobayas/sangre , Cobayas/virología , Masculino , Ratones Endogámicos BALB C , Pruebas de Neutralización , Paramyxoviridae/aislamiento & purificación , Infecciones por Paramyxoviridae/sangre , Infecciones por Paramyxoviridae/virología , ARN Viral/aislamiento & purificación , Factores de Tiempo , Viremia/sangre , Viremia/virología , Esparcimiento de Virus/fisiología
8.
PLoS One ; 13(3): e0195135, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29596527

RESUMEN

BACKGROUND: Influenza is an important cause of acute lower respiratory tract infection (aLRTI), hospitalization, and mortality in children. This study aimed to describe the clinical and epidemiologic patterns and infection factors associated with influenza, and compare case features of influenza A and B. METHODS: In a prospective, cross-sectional study, patients admitted for aLRTI, between 2000 and 2015, were tested for respiratory syncytial virus, adenovirus, influenza, or parainfluenza, and confirmed by fluorescent antibody (FA) or real-time polymerase chain reaction (RT-PCR) assay of nasopharyngeal aspirates. RESULTS: Of 14,044 patients, 37.7% (5290) had FA- or RT-PCR-confirmed samples that identified influenza in 2.8% (394/14,044; 91.4% [360] influenza A, 8.6% [34] influenza B) of cases. Influenza frequency followed a seasonal epidemic pattern (May-July, the lowest average temperature months). The median age of cases was 12 months (interquartile range: 6-21 months); 56.1% (221/394) of cases were male. Consolidated pneumonia was the most frequent clinical presentation (56.9%; 224/394). Roughly half (49.7%; 196/394) of all cases had previous respiratory admissions; 9.4% (37/394) were re-admissions; 61.5% (241/392) had comorbidities; 26.2% (102/389) had complications; 7.8% (30/384) had nosocomial infections. The average case fatality rate was 2.1% (8/389). Chronic neurologic disease was significantly higher in influenza B cases compared to influenza A cases (p = 0.030). The independent predictors for influenza were: age ≥6 months, odds ratio (OR): 1.88 (95% confidence interval [CI]: 1.44-2.45); p<0.001; presence of chronic neurologic disease, OR: 1.48 (95% CI: 1.01-2.17); p = 0.041; previous respiratory admissions, OR: 1.71 (95% CI: 1.36-2.14); p<0.001; re-admissions, OR: 1.71 (95% CI: 1.17-2.51); p = 0.006; clinical pneumonia, OR: 1.50 (95% CI: 1.21-1.87); p<0.001; immunodeficiency, OR: 1.87 (95% CI: 1.15-3.05); p = 0.011; cystic fibrosis, OR: 4.42 (95% CI: 1.29-15.14); p = 0.018. CONCLUSION: Influenza showed an epidemic seasonal pattern (May-July), with higher risk in children ≥6 months, or with pneumonia, previous respiratory admissions, or certain comorbidities.


Asunto(s)
Infecciones por Adenoviridae/epidemiología , Niño Hospitalizado/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Gripe Humana/epidemiología , Infecciones por Paramyxoviridae/epidemiología , Infecciones por Virus Sincitial Respiratorio/epidemiología , Infecciones del Sistema Respiratorio/epidemiología , Adenoviridae/aislamiento & purificación , Infecciones por Adenoviridae/diagnóstico , Infecciones por Adenoviridae/virología , Argentina/epidemiología , Preescolar , Estudios Transversales , Femenino , Humanos , Lactante , Recién Nacido , Virus de la Influenza A/aislamiento & purificación , Gripe Humana/diagnóstico , Gripe Humana/virología , Masculino , Paramyxoviridae/aislamiento & purificación , Infecciones por Paramyxoviridae/diagnóstico , Infecciones por Paramyxoviridae/virología , Prevalencia , Estudios Prospectivos , Infecciones por Virus Sincitial Respiratorio/diagnóstico , Infecciones por Virus Sincitial Respiratorio/virología , Virus Sincitial Respiratorio Humano/aislamiento & purificación , Infecciones del Sistema Respiratorio/diagnóstico , Infecciones del Sistema Respiratorio/virología , Factores de Riesgo
9.
Arch Virol ; 163(6): 1663-1669, 2018 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-29460003

RESUMEN

Over a period of 7 years (2004-2011), samples from 34 diseased reptiles provided by local governments, zoos, and pet shops were tested for viral infection. Animals were diagnosed based on clinical signs, including loss of appetite, diarrhea, rhinorrhea, and unexpected sudden death. Most of the exotic animals had gastrointestinal problems, such as mucosal redness and ulcers, while the native animals had no clinical symptoms. Viral sequences were found in seven animals. Retroviral genes were amplified from samples from five Burmese pythons (Python molurus bivittatus), an adenovirus was detected in a panther chameleon (Furcifer pardalis), and an adenovirus and a paramyxovirus were detected in a tropical girdled lizard (Cordylus tropidosternum). Phylogenetic analysis of retroviruses and paramyxoviruses showed the highest sequence identity to both a Python molurus endogenous retrovirus and a Python curtus endogenous retrovirus and to a lizard isolate, respectively. Partial sequencing of an adenoviral DNA polymerase gene from the lizard isolate suggested that the corresponding virus was a novel isolate different from the reference strain (accession no. AY576677.1). The virus was not isolated but was detected, using molecular genetic techniques, in a lizard raised in a pet shop. This animal was also coinfected with a paramyxovirus.


Asunto(s)
Adenoviridae/genética , ADN Polimerasa Dirigida por ADN/genética , Paramyxoviridae/genética , Filogenia , Reptiles/virología , Retroviridae/genética , Proteínas Virales/genética , Adenoviridae/clasificación , Adenoviridae/aislamiento & purificación , Adenoviridae/patogenicidad , Infecciones por Adenoviridae/mortalidad , Infecciones por Adenoviridae/patología , Infecciones por Adenoviridae/veterinaria , Infecciones por Adenoviridae/virología , Animales , ADN Viral/genética , Paramyxoviridae/clasificación , Paramyxoviridae/aislamiento & purificación , Paramyxoviridae/patogenicidad , Infecciones por Paramyxoviridae/mortalidad , Infecciones por Paramyxoviridae/patología , Infecciones por Paramyxoviridae/veterinaria , Infecciones por Paramyxoviridae/virología , República de Corea , Retroviridae/clasificación , Retroviridae/aislamiento & purificación , Retroviridae/patogenicidad , Infecciones por Retroviridae/mortalidad , Infecciones por Retroviridae/patología , Infecciones por Retroviridae/veterinaria , Infecciones por Retroviridae/virología
10.
Antivir Ther ; 23(6): 523-527, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-29424696

RESUMEN

BACKGROUND: Community respiratory viruses (CRVs) are associated with upper respiratory viral infections (URI), pneumonia or life-threatening respiratory disease in patients with allogeneic haematopoietic stem cell transplantation (allo-HSCT). Our aim is to demonstrate our URI experience related to CRVs after allo-HSCT. METHODS: From January 2013 to November 2015, 39 post allo-HSCT patients with acute URI symptoms were included in the study. We evaluated CRVs by multiplex PCR from nasopharyngeal wash and throat swabs. RESULTS: The median age of the patients was 39 (range 20-67 years). A total of 25 patients (64%) had viral panel positivity at a median 140 days post-transplant (range 3-617 days). The most common agents detected were respiratory syncytial virus (32%) and parainfluenza (32%). The patients with viral panel positivity had significantly lower lymphocyte count (1.05×109/l versus 3.09×109/l; P=0.013). During follow-up, 20 patients (80%) were diagnosed with pneumonia. Patients with concurrent bacterial or fungal infections were more likely to have pneumonia (100% versus 68%; P=0.023). 10 patients (40%) died due to pneumonia and related complications. Lower lymphocyte counts and higher C-reactive protein levels at the time of viral panel positivity were risk factors for mortality (1.5×109/l versus 0.39×109/l, P=0.007; 74.2 versus 199.7, P=0.006). CONCLUSIONS: The viral panel was positive in 64% of patients with acute URI symptoms. Lower lymphocyte count was detected in CRV-positive patients. The onset of concomitant bacterial or fungal infections increased the risk of lower respiratory infection disease. Indeed, prospective studies should be designed for risks and outcomes of CRVs in allo-HSCT recipients.


Asunto(s)
Neoplasias Hematológicas/virología , Infecciones por Paramyxoviridae/virología , Neumonía Viral/virología , Infecciones por Virus Sincitial Respiratorio/virología , Infecciones del Sistema Respiratorio/virología , Adulto , Anciano , Proteína C-Reactiva/metabolismo , Femenino , Neoplasias Hematológicas/inmunología , Neoplasias Hematológicas/mortalidad , Neoplasias Hematológicas/terapia , Trasplante de Células Madre Hematopoyéticas , Humanos , Recuento de Linfocitos , Masculino , Persona de Mediana Edad , Paramyxoviridae/inmunología , Paramyxoviridae/aislamiento & purificación , Infecciones por Paramyxoviridae/inmunología , Infecciones por Paramyxoviridae/mortalidad , Infecciones por Paramyxoviridae/terapia , Neumonía Viral/inmunología , Neumonía Viral/mortalidad , Neumonía Viral/terapia , Infecciones por Virus Sincitial Respiratorio/inmunología , Infecciones por Virus Sincitial Respiratorio/mortalidad , Infecciones por Virus Sincitial Respiratorio/terapia , Virus Sincitial Respiratorio Humano/inmunología , Virus Sincitial Respiratorio Humano/aislamiento & purificación , Infecciones del Sistema Respiratorio/inmunología , Infecciones del Sistema Respiratorio/mortalidad , Infecciones del Sistema Respiratorio/terapia , Estudios Retrospectivos , Factores de Riesgo , Análisis de Supervivencia , Trasplante Homólogo
11.
BMJ Case Rep ; 20172017 Jun 05.
Artículo en Inglés | MEDLINE | ID: mdl-28583925

RESUMEN

Isolated submandibular swellings pose a diagnostic challenge to the practising otolaryngologist. We report an unusual case of mumps isolated to bilateral submandibular glands. We discuss the case and the literature surrounding this condition and remind clinicians that mumps should be considered as a diagnosis in the presence of submandibular gland swelling in the absence of typical parotid swelling associated with mumps. Early consideration of this differential diagnosis, serological testing and a multidisciplinary approach may help to clinch the diagnosis earlier and prevent spread of the virus.


Asunto(s)
Paperas/diagnóstico , Enfermedades de la Glándula Submandibular/patología , Glándula Submandibular/patología , Glándula Submandibular/virología , Cuidados Posteriores , Diagnóstico Diferencial , Femenino , Humanos , Linfadenopatía/patología , Paperas/epidemiología , Paperas/virología , Paramyxoviridae/aislamiento & purificación , Glándula Parótida/patología , Glándula Parótida/virología , Pruebas Serológicas/métodos , Glándula Submandibular/diagnóstico por imagen , Enfermedades de la Glándula Submandibular/virología , Tomografía Computarizada por Rayos X/métodos , Resultado del Tratamiento , Adulto Joven
12.
Rev. chil. infectol ; 33(5): 501-504, oct. 2016. graf, tab
Artículo en Español | LILACS | ID: biblio-844399

RESUMEN

Parainfluenza virus infections (PIV) were evaluated in patients with mild and severe infections through real time PCR. One thousand and sixty-seven samples were collected from subjects as follows: 233 adult renal transplanted outpatients, 129 children with congenital heart disease, 381 with adult hematopoietic stem cell patients and 324 hospitalized patients suspected of influenza A (H1N1) pdm09 infection. PIV was detected in 74 (6.9%) samples. VPI-3 was the most frequent (60.8%) and a higher risk was observed for older adults (p = 0.018) and for those who were hematopoietic stem cell transplanted. Further studies are needed to understand the VPI role in patients' at risk for developing serious illness.


Se evaluó la infección por virus parainfluenza (VPI) en pacientes con infecciones leves y graves mediante RPC en tiempo real. Se analizó un total de 1.067 muestras: 233 provenían de pacientes ambulatorios adultos receptores de trasplantes renales, 129 de niños con cardiopatía congénita, 381 de pacientes receptores de trasplantes de precursores hematopoyéticos adultos y 324 de pacientes hospitalizados con sospecha de influenza A (H1N1) pdm09. Se detectó VPI en 74 muestras (6,9%). Siendo VPI-3 el virus más frecuente (60,8%), se observó un mayor riesgo para los adultos mayores (p = 0,018) y para aquellos que fueron receptores de precursores hematopoyéticos. Son necesarios estudios adicionales para entender el papel del VPI en pacientes de riesgo para desarrollar enfermedad grave.


Asunto(s)
Humanos , Masculino , Femenino , Recién Nacido , Lactante , Preescolar , Niño , Adolescente , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Adulto Joven , Huésped Inmunocomprometido/inmunología , Infecciones por Paramyxoviridae/inmunología , Estaciones del Año , Índice de Severidad de la Enfermedad , Brasil , Paramyxoviridae/aislamiento & purificación , Estudios Retrospectivos , Infecciones por Paramyxoviridae/virología , Centros de Atención Terciaria
13.
J Trop Pediatr ; 62(5): 352-60, 2016 10.
Artículo en Inglés | MEDLINE | ID: mdl-27037248

RESUMEN

OBJECTIVES: We investigated mortality and morbidity of patients admitted to a pediatric intensive care unit (PICU) with paramyxovirus infection. METHODS: A retrospective study between October 2002 and March 2015 of children with a laboratory-confirmed paramyxovirus infection was included. RESULTS: In all, 98 (5%) PICU admissions were tested positive to have paramyxovirus infection (respiratory syncytial virus = 66, parainfluenza = 27 and metapneumovirus = 5). The majority of admissions were young patients (median age 1.05 years). Bacteremia and bacterial isolation in any site were present in 10% and 28%, respectively; 41% were mechanically ventilated, and 20% received inotropes. The three respiratory viruses caused similar mortality and morbidity in the PICU. Fatality (seven patients) was associated with malignancy, positive bacterial culture in blood, the use of mechanical ventilation, inotrope use, lower blood white cell count and higher C reactive protein (p = 0.02-0.0005). Backward binary logistic regression for these variables showed bacteremia (odds ratio [OR]: 31.7; 95% CI: 2.3-427.8; p = 0.009), malignancy (OR: 45.5; 95% CI: 1.4-1467.7; p = 0.031) and use of inotropes (OR: 15.0; 95% CI: 1.1-196.1; p = 0.039) were independently associated with non-survival. March and July appeared to be the two peak months for PICU hospitalizations with paramyxovirus infection. CONCLUSIONS: Infections with paramyxoviruses account for 5% of PICU admissions and significant morbidity. Patient with premorbid history of malignancy and co-morbidity of bacteremia are associated with non-survival. March and July appeared to be the two peak months for PICU admissions with paramyxoviruses.


Asunto(s)
Unidades de Cuidado Intensivo Pediátrico/estadística & datos numéricos , Infecciones por Paramyxoviridae/mortalidad , Paramyxoviridae/aislamiento & purificación , Infecciones por Virus Sincitial Respiratorio/epidemiología , Niño , Preescolar , Comorbilidad , Femenino , Hong Kong/epidemiología , Humanos , Lactante , Tiempo de Internación , Masculino , Morbilidad , Infecciones por Paramyxoviridae/diagnóstico , Infecciones por Virus Sincitial Respiratorio/diagnóstico , Virus Sincitiales Respiratorios/aislamiento & purificación , Estudios Retrospectivos , Estaciones del Año
14.
Leuk Lymphoma ; 57(8): 1807-13, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26699199

RESUMEN

Community respiratory viruses (CRV) are important agents of morbidity and mortality within the allogeneic hematopoietic stem cell transplant (HCT) population. Few proven methods to prevent CRV infections exist. No studies have specifically investigated their impact on older patients. We reviewed patients 50 years and older undergoing HCT between 2009-2013 to determine the incidence of CRV infection using multiplex PCR and risk factors for infection including geriatric assessment (GA). Thirty-two first episode CRV infections occurred in 118 patients for a 1-year cumulative incidence of 27.2% (CI: 19.4-35.6%). Hospitalization and mortality were restricted to those who developed lower respiratory tract infections (LRTI) (n = 22, 69%). CRV infection contributed to 8 deaths (36% of LRTIs) and 7 of these patients were taking steroids for GvHD at the time of infection. Health impairments by GA did not translate into increased risk for CRV infection. Steroid use at time of LRTI was associated with high mortality.


Asunto(s)
Infecciones Comunitarias Adquiridas/epidemiología , Evaluación Geriátrica , Glucocorticoides/uso terapéutico , Trasplante de Células Madre Hematopoyéticas/efectos adversos , Paramyxoviridae/aislamiento & purificación , Infecciones del Sistema Respiratorio/epidemiología , Acondicionamiento Pretrasplante/efectos adversos , Factores de Edad , Anciano , Infecciones Comunitarias Adquiridas/virología , Femenino , Enfermedad Injerto contra Huésped/tratamiento farmacológico , Humanos , Inmunosupresores/uso terapéutico , Incidencia , Masculino , Persona de Mediana Edad , Reacción en Cadena de la Polimerasa Multiplex , Infecciones del Sistema Respiratorio/virología , Factores de Riesgo , Receptores de Trasplantes , Trasplante Homólogo/efectos adversos
15.
Rev Chilena Infectol ; 33(5): 501-504, 2016 Oct.
Artículo en Español | MEDLINE | ID: mdl-28112331

RESUMEN

Parainfluenza virus infections (PIV) were evaluated in patients with mild and severe infections through real time PCR. One thousand and sixty-seven samples were collected from subjects as follows: 233 adult renal transplanted outpatients, 129 children with congenital heart disease, 381 with adult hematopoietic stem cell patients and 324 hospitalized patients suspected of influenza A (H1N1) pdm09 infection. PIV was detected in 74 (6.9%) samples. VPI-3 was the most frequent (60.8%) and a higher risk was observed for older adults (p = 0.018) and for those who were hematopoietic stem cell transplanted. Further studies are needed to understand the VPI role in patients' at risk for developing serious illness.


Asunto(s)
Huésped Inmunocomprometido/inmunología , Infecciones por Paramyxoviridae/inmunología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Brasil , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Paramyxoviridae/aislamiento & purificación , Infecciones por Paramyxoviridae/virología , Estudios Retrospectivos , Estaciones del Año , Índice de Severidad de la Enfermedad , Centros de Atención Terciaria , Adulto Joven
16.
PLoS One ; 10(9): e0136526, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26332375

RESUMEN

BACKGROUND: Molecular techniques can often reveal a broader range of pathogens in respiratory infections. We aim to investigate the prevalence and age pattern of viral co-infection in children hospitalized with lower tract acute respiratory infection (LT-ARI), using molecular techniques. METHODS: A nested polymerase chain reaction approach was used to detect Influenza (A, B), metapneumovirus, respiratory syncytial virus (RSV), parainfluenza (1-4), rhinovirus, adenovirus (A-F), bocavirus and coronaviruses (NL63, 229E, OC43) in respiratory samples of children with acute respiratory infection prospectively admitted to any of the GENDRES network hospitals between 2011-2013. The results were corroborated in an independent cohort collected in the UK. RESULTS: A total of 204 and 97 nasopharyngeal samples were collected in the GENDRES and UK cohorts, respectively. In both cohorts, RSV was the most frequent pathogen (52.9% and 36.1% of the cohorts, respectively). Co-infection with multiple viruses was found in 92 samples (45.1%) and 29 samples (29.9%), respectively; this was most frequent in the 12-24 months age group. The most frequently observed co-infection patterns were RSV-Rhinovirus (23 patients, 11.3%, GENDRES cohort) and RSV-bocavirus / bocavirus-influenza (5 patients, 5.2%, UK cohort). CONCLUSION: The presence of more than one virus in pediatric patients admitted to hospital with LT-ARI is very frequent and seems to peak at 12-24 months of age. The clinical significance of these findings is unclear but should warrant further analysis.


Asunto(s)
Coinfección/epidemiología , Infecciones por Parvoviridae/epidemiología , Infecciones por Picornaviridae/epidemiología , Infecciones por Virus Sincitial Respiratorio/epidemiología , Infecciones del Sistema Respiratorio/epidemiología , Enfermedad Aguda , Adenoviridae/aislamiento & purificación , Niño , Preescolar , Estudios de Cohortes , Coinfección/virología , Coronavirus/aislamiento & purificación , Hospitalización , Bocavirus Humano/aislamiento & purificación , Humanos , Lactante , Virus de la Influenza A/aislamiento & purificación , Betainfluenzavirus/aislamiento & purificación , Metapneumovirus/aislamiento & purificación , Paramyxoviridae/aislamiento & purificación , Infecciones por Parvoviridae/virología , Infecciones por Picornaviridae/virología , Prevalencia , Infecciones por Virus Sincitial Respiratorio/virología , Virus Sincitiales Respiratorios/aislamiento & purificación , Sistema Respiratorio/virología , Infecciones del Sistema Respiratorio/virología , Rhinovirus/aislamiento & purificación , Reino Unido/epidemiología , Estados Unidos/epidemiología , Virosis/epidemiología , Virosis/virología
17.
Mem. Inst. Oswaldo Cruz ; 109(6): 716-721, 09/09/2014. tab, graf
Artículo en Inglés | LILACS | ID: lil-723990

RESUMEN

Viruses are the major contributors to the morbidity and mortality of upper and lower acute respiratory infections (ARIs) for all age groups. The aim of this study was to determine the frequencies for a large range of respiratory viruses using a sensitive molecular detection technique in specimens from outpatients of all ages with ARIs. Nasopharyngeal aspirates were obtained from 162 individuals between August 2007-August 2009. Twenty-three pathogenic respiratory agents, 18 respiratory viruses and five bacteria were investigated using multiplex real-time reverse transcriptase polymerase chain reaction (RT-PCR) and indirect immunofluorescence assay (IIF). Through IIF, 33 (20.4%) specimens with respiratory virus were recognised, with influenza virus representing over half of the positive samples. Through a multiplex real-time RT-PCR assay, 88 (54.3%) positive samples were detected; the most prevalent respiratory viral pathogens were influenza, human rhinovirus and respiratory syncytial virus (RSV). Six cases of viral co-detection were observed, mainly involving RSV. The use of multiplex real-time RT-PCR increased the viral detection by 33.9% and revealed a larger number of respiratory viruses implicated in ARI cases, including the most recently described respiratory viruses [human bocavirus, human metapneumovirus, influenza A (H1N1) pdm09 virus, human coronavirus (HCoV) NL63 and HCoV HKU1].


Asunto(s)
Adolescente , Adulto , Anciano , Niño , Preescolar , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Adulto Joven , Bocavirus Humano/aislamiento & purificación , Virus de la Influenza A/aislamiento & purificación , Virus de la Influenza B/aislamiento & purificación , Paramyxoviridae/aislamiento & purificación , Infecciones del Sistema Respiratorio/virología , Enfermedad Aguda , Distribución por Edad , Coronavirus/aislamiento & purificación , Reacción en Cadena de la Polimerasa Multiplex/métodos , Nasofaringe/virología , Pacientes Ambulatorios , Prevalencia , Picornaviridae/aislamiento & purificación , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos , Infecciones del Sistema Respiratorio/epidemiología
18.
Viruses ; 6(5): 2138-54, 2014 May 16.
Artículo en Inglés | MEDLINE | ID: mdl-24841387

RESUMEN

Bats are recognized reservoirs for many emerging zoonotic viruses of public health importance. Identifying and cataloguing the viruses of bats is a logical approach to evaluate the range of potential zoonoses of bat origin. We characterized the fecal pathogen microbiome of both insectivorous and frugivorous bats, incorporating 281 individual bats comprising 20 common species, which were sampled in three locations of Yunnan province, by combining reverse transcription polymerase chain reaction (RT-PCR) assays and next-generation sequencing. Seven individual bats were paramyxovirus-positive by RT-PCR using degenerate primers, and these paramyxoviruses were mainly classified into three genera (Rubulavirus, Henipavirus and Jeilongvirus). Various additional novel pathogens were detected in the paramyxovirus-positive bats using Illumina sequencing. A total of 7066 assembled contigs (≥200 bp) were constructed, and 105 contigs matched eukaryotic viruses (of them 103 belong to 2 vertebrate virus families, 1 insect virus, and 1 mycovirus), 17 were parasites, and 4913 were homologous to prokaryotic microorganisms. Among the 103 vertebrate viral contigs, 79 displayed low identity (<70%) to known viruses including human viruses at the amino acid level, suggesting that these belong to novel and genetically divergent viruses. Overall, the most frequently identified viruses, particularly in bats from the family Hipposideridae, were retroviruses. The present study expands our understanding of the bat virome in species commonly found in Yunnan, China, and provides insight into the overall diversity of viruses that may be capable of directly or indirectly crossing over into humans.


Asunto(s)
Biodiversidad , Quirópteros/virología , Infecciones por Paramyxoviridae/veterinaria , Paramyxoviridae/aislamiento & purificación , Infecciones por Retroviridae/veterinaria , Retroviridae/aislamiento & purificación , Animales , China/epidemiología , Secuenciación de Nucleótidos de Alto Rendimiento , Datos de Secuencia Molecular , Paramyxoviridae/clasificación , Paramyxoviridae/genética , Infecciones por Paramyxoviridae/epidemiología , Infecciones por Paramyxoviridae/virología , Prevalencia , Retroviridae/clasificación , Retroviridae/genética , Infecciones por Retroviridae/epidemiología , Infecciones por Retroviridae/virología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
19.
Arq. bras. med. vet. zootec ; 66(2): 321-328, Jan.-Apr. 2014. ilus, tab
Artículo en Inglés | LILACS | ID: lil-709266

RESUMEN

Feces are an important viral agent elimination route for infected carrier animals and in aquatic organisms these pathogenic agents can very rapidly propagate due to the habitation environment. The objective of this work is to track viral particles in the intestinal contents of bullfrogs (Lithobates catesbeianus) from five commercial frog farms in the region of Vale do Paraíba, in the State of São Paulo, Brazil, using negative contrast transmission electron microscopy (TEM). The Coronaviridae, Paramyxoviridae, Parvoviridae and Herpesviridae families were observed and photographed in specimens. This work emphasizes the importance of adopting sanitary measures in commercial farms and confirms that observing feces by TEM is an efficient and rapid diagnostic tool for detecting viral agents...


Sabendo-se que as fezes são uma importante via de eliminação de agentes virais pelos animais portadores e que, por estarem na água, os agentes patogênicos podem se propagar mais rapidamente, objetivou-se a pesquisa de vírus em conteúdo intestinal de rãs-touro (Lithobates catesbeianus) de cinco ranários comerciais na região do Vale do Paraíba, no estado de São Paulo, pela técnica de microscopia eletrônica de transmissão. As famílias Coronaviridae, Paramixoviridae, Parvoviridae e Herpesviridae foram observadas e fotografadas. Este trabalho ressalta a importância da adoção de medidas sanitárias nas criações, além da confirmação de que a observação de fezes pela microscopia eletrônica de transmissão é uma eficiente ferramenta de diagnóstico rápido para agentes virais...


Asunto(s)
Animales , Coronaviridae/aislamiento & purificación , Heces/virología , Herpesviridae/aislamiento & purificación , Paramyxoviridae/aislamiento & purificación , Parvoviridae/aislamiento & purificación , Rana catesbeiana/virología , Microscopía Electrónica de Transmisión/veterinaria , Virosis
20.
J Infect Dev Ctries ; 8(2): 221-7, 2014 Feb 13.
Artículo en Inglés | MEDLINE | ID: mdl-24518633

RESUMEN

INTRODUCTION: The commonly expected causative agents associated with flu-like symptoms in Kenya are the classical viral pathogens identifiable as influenza virus, adenovirus, parainfluenza virus, enteroviruses, respiratory syncytial virus (RSV) and rhinovirus. However, newer agents have been identified globally that present with illnesses clinically indistinguishable from those caused by the classical pathogens; one of them is human bocavirus. METHODOLOGY: A total of 384 specimens were analyzed, primarily to determine if the emerging human bocavirus (HBoV) infections exist in Kenya as coinfections with other respiratory viruses and to describe the genotype of the virus in circulation. In brief, viral nucleic acids were extracted from culture supernatants, amplified by PCR, and sequenced. RESULTS: HBoV DNA was amplified from 1.8% of screened specimens. Coinfection with parainfluenza virus, adenovirus, and enterovirus was 2.5%, 2%, and 1.4%, respectively. Multiple coinfections consisting of HBoV plus two other viruses were found in 3% of specimens. Isolation occurred in the months of January, March, April, August, and November. Retrospective review of clinical parameters indicated that all the individuals complained of non-specific symptoms, mainly fever, coughs, nasal stuffiness, runny noses, and vomiting. Phylogenetically, the GenBank deposited sequences of this study's isolates cluster closely to the reference strain NC_07455 (HBoV1). CONCLUSION: Coinfections with human bocavirus (HBoV1) occur in Kenya, and high incidence might primarily be during the early stages of children's lives.


Asunto(s)
Coinfección/epidemiología , Bocavirus Humano/genética , Bocavirus Humano/aislamiento & purificación , Infecciones por Parvoviridae/epidemiología , Infecciones del Sistema Respiratorio/epidemiología , Adenoviridae/aislamiento & purificación , Coinfección/diagnóstico , Coinfección/virología , Tos/virología , ADN Viral/aislamiento & purificación , Enterovirus/aislamiento & purificación , Femenino , Fiebre/virología , Humanos , Incidencia , Lactante , Kenia/epidemiología , Masculino , Paramyxoviridae/aislamiento & purificación , Infecciones por Parvoviridae/diagnóstico , Filogenia , Infecciones del Sistema Respiratorio/diagnóstico , Estudios Retrospectivos , Análisis de Secuencia de ADN , Manejo de Especímenes
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