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1.
Rev Soc Bras Med Trop ; 53: e20190511, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32578703

RESUMEN

INTRODUCTION: The Amazon tropical rainforest has the most dense and diverse ecosystem worldwide. A few studies have addressed rodent-borne diseases as potential hazards to humans in this region. METHODS: A retrospective survey was conducted using enzyme-linked immunosorbent assay for detecting mammarenavirus and orthohantavirus antibodies in 206 samples collected from rural settlers of the Brazilian Western Amazonian region. RESULTS: Six (2.91%) individuals in the age group of 16 to 36 years were found to possess antibodies against mammarenavirus. CONCLUSION: Evidence of previous exposure to mammarenavirus in the rural population points to its silent circulation in this region.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Arenaviridae/epidemiología , Arenaviridae/inmunología , Reservorios de Enfermedades/veterinaria , Hepatitis Viral Humana/epidemiología , Orthohepadnavirus/inmunología , Roedores/virología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Arenaviridae/clasificación , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/transmisión , Brasil/epidemiología , Niño , Preescolar , Femenino , Hepatitis Viral Humana/diagnóstico , Hepatitis Viral Humana/transmisión , Humanos , Lactante , Masculino , Persona de Mediana Edad , Orthohepadnavirus/clasificación , Estudios Retrospectivos , Roedores/clasificación , Población Rural , Factores Socioeconómicos , Adulto Joven
2.
J Zoo Wildl Med ; 51(1): 236-240, 2020 Mar 17.
Artículo en Inglés | MEDLINE | ID: mdl-32212570

RESUMEN

A group of eight Wagler's pit vipers (Tropidolaemus wagleri) from a private collection died with respiratory signs within 6 mo of one another. The group consisted of an adult breeding pair that was wild caught and six offspring from this pair. Four of the dead snakes were submitted for gross and histopathology. Signs of bacterial pneumonia were detected in all four examined snakes. No inclusion bodies suggestive of viral infection were found in any of the examined tissues. Polymerase chain reactions for the detection of ferla-, adeno-, reo-, and nidoviruses were all negative, but reptarenaviruses closely related to viruses previously described in boa constrictors (Boa constrictor) with inclusion body disease were detected in two of the four snakes. This is the first description of reptarenaviruses in viperid snakes. The pathogenic role of the virus in illness is unknown.


Asunto(s)
Infecciones por Arenaviridae/veterinaria , Arenaviridae/aislamiento & purificación , Crotalinae , Animales , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/patología , Femenino , Reacción en Cadena de la Polimerasa/veterinaria
3.
Rev. Soc. Bras. Med. Trop ; 53: e20190132, 2020. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1057283

RESUMEN

Abstract INTRODUCTION: In Colombia, there is insufficient epidemiological surveillance of zoonotic hemorrhagic viruses. METHODS: We performed a sero-epidemiological study in indigenous populations of Wayuü, Kankuamos, and Tuchin communities using Maciel hantavirus and Junin arenavirus antigens for IgG detection by ELISA. RESULTS IgG antibodies to hantavirus and arenavirus were found in 5/506 (1%) and 2/506 (0.4%) serum samples, respectively. CONCLUSIONS: Arenavirus and hantavirus circulate in indigenous populations from the Colombian Caribbean region, and the results indicate that the indigenous populations are exposed to these zoonotic agents, with unknown consequences on their health, despite low seroprevalence.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Inmunoglobulina G/sangre , Indígenas Sudamericanos , Orthohantavirus/inmunología , Arenavirus/inmunología , Infecciones por Arenaviridae/epidemiología , Infecciones por Hantavirus/epidemiología , Anticuerpos Antivirales/sangre , Ensayo de Inmunoadsorción Enzimática , Estudios Seroepidemiológicos , Estudios Transversales , Factores de Riesgo , Colombia/epidemiología , Infecciones por Arenaviridae/diagnóstico , Infecciones por Hantavirus/diagnóstico
4.
Rev. Soc. Bras. Med. Trop ; 53: e20190511, 2020. tab, graf
Artículo en Inglés | Sec. Est. Saúde SP, Coleciona SUS, LILACS | ID: biblio-1136814

RESUMEN

Abstract INTRODUCTION: The Amazon tropical rainforest has the most dense and diverse ecosystem worldwide. A few studies have addressed rodent-borne diseases as potential hazards to humans in this region. METHODS: A retrospective survey was conducted using enzyme-linked immunosorbent assay for detecting mammarenavirus and orthohantavirus antibodies in 206 samples collected from rural settlers of the Brazilian Western Amazonian region. RESULTS: Six (2.91%) individuals in the age group of 16 to 36 years were found to possess antibodies against mammarenavirus. CONCLUSION: Evidence of previous exposure to mammarenavirus in the rural population points to its silent circulation in this region.


Asunto(s)
Humanos , Animales , Masculino , Femenino , Lactante , Preescolar , Niño , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Adulto Joven , Arenaviridae/inmunología , Roedores/virología , Reservorios de Enfermedades/veterinaria , Orthohepadnavirus/inmunología , Infecciones por Arenaviridae/epidemiología , Hepatitis Viral Humana/epidemiología , Anticuerpos Antivirales/sangre , Arenaviridae/clasificación , Roedores/clasificación , Población Rural , Factores Socioeconómicos , Brasil/epidemiología , Estudios Retrospectivos , Orthohepadnavirus/clasificación , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/transmisión , Hepatitis Viral Humana/diagnóstico , Hepatitis Viral Humana/transmisión , Persona de Mediana Edad
5.
Rev Soc Bras Med Trop ; 53: e20190132, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31859943

RESUMEN

INTRODUCTION: In Colombia, there is insufficient epidemiological surveillance of zoonotic hemorrhagic viruses. METHODS: We performed a sero-epidemiological study in indigenous populations of Wayuü, Kankuamos, and Tuchin communities using Maciel hantavirus and Junin arenavirus antigens for IgG detection by ELISA. RESULTS: IgG antibodies to hantavirus and arenavirus were found in 5/506 (1%) and 2/506 (0.4%) serum samples, respectively. CONCLUSIONS: Arenavirus and hantavirus circulate in indigenous populations from the Colombian Caribbean region, and the results indicate that the indigenous populations are exposed to these zoonotic agents, with unknown consequences on their health, despite low seroprevalence.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Arenaviridae/epidemiología , Arenavirus/inmunología , Infecciones por Hantavirus/epidemiología , Inmunoglobulina G/sangre , Indígenas Sudamericanos , Orthohantavirus/inmunología , Adulto , Infecciones por Arenaviridae/diagnóstico , Colombia/epidemiología , Estudios Transversales , Ensayo de Inmunoadsorción Enzimática , Femenino , Infecciones por Hantavirus/diagnóstico , Humanos , Masculino , Factores de Riesgo , Estudios Seroepidemiológicos
6.
Artículo en Inglés | MEDLINE | ID: mdl-31859843

RESUMEN

During the Brazilian slavery period, many African migrants were brought to the American continent. Historically, some of these migrants escaped from the Brazilian gold mines and farms to which they had been brought and settled in remote valleys and this was the main mode of resistance to the slavery system. These runaway-slave descendant communities are called quilombos, a group with distinct ethnic identity, specific behavioral habits, including geographic isolation and conservative practices. The objective of this study was to investigate the prevalence of rodent-borne viruses in two Afro-descendent communities from Mato Grosso do Sul State, Midwestern Brazil. A total of 319 individuals from rural and urban quilombola communities were enrolled. Twelve (3.76%) had anti-rodent-borne virus IgG antibodies. Seven (2.19%) were anti-mammarenavirus reactive and nine (2.82%) had anti-orthohantavirus antibodies. The literature includes limited data on the health status of quilombola communities, but all the studies emphasize the disparity of attention of local healthcare personnel to these communities compared to the general population. The findings of this study highlight the vulnerability and the precarious health conditions of quilombola groups, especially those living in rural areas and thus, point to the need of preventive measures to improve access to healthcare for this ethnic group.


Asunto(s)
Anticuerpos Antivirales/sangre , Infecciones por Arenaviridae/epidemiología , Arenaviridae/inmunología , Infecciones por Hantavirus/epidemiología , Inmunoglobulina G/sangre , Orthohantavirus/inmunología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Infecciones por Arenaviridae/diagnóstico , Población Negra , Brasil/epidemiología , Niño , Preescolar , Femenino , Infecciones por Hantavirus/diagnóstico , Humanos , Masculino , Persona de Mediana Edad , Prevalencia , Roedores/virología , Estudios Seroepidemiológicos , Factores Socioeconómicos , Adulto Joven
7.
PLoS One ; 14(9): e0221863, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31498825

RESUMEN

Boid Inclusion Body Disease (BIBD) is a potentially fatal disease reported in captive boid snakes worldwide that is caused by reptarenavirus infection. Although the detection of intracytoplasmic inclusion bodies (IB) in blood cells serves as the gold standard for the ante mortem diagnosis of BIBD, the mechanisms underlying IB formation and the pathogenesis of BIBD are unknown. Knowledge on the reptile immune system is sparse compared to the mammalian counterpart, and in particular the response towards reptarenavirus infection is practically unknown. Herein, we investigated a breeding collection of 70 Boa constrictor snakes for BIBD, reptarenavirus viraemia, anti-reptarenavirus IgM and IgY antibodies, and population parameters. Using NGS and RT-PCR on pooled blood samples of snakes with and without BIBD, we could identify three different reptarenavirus S segments in the collection. The examination of individual samples by RT-PCR indicated that the presence of University of Giessen virus (UGV)-like S segment strongly correlates with IB formation. We could also demonstrate a negative correlation between BIBD and the presence of anti-UGV NP IgY antibodies. Further evidence of an association between antibody response and BIBD is the finding that the level of anti-reptarenavirus antibodies measured by ELISA was lower in snakes with BIBD. Furthermore, female snakes had a significantly lower body weight when they had BIBD. Taken together our findings suggest that the detection of the UGV-/S6-like S segment and the presence of anti-reptarenavirus IgY antibodies might serve as a prognostic tool for predicting the development of BIBD.


Asunto(s)
Anticuerpos Antivirales/inmunología , Infecciones por Arenaviridae/inmunología , Arenaviridae/fisiología , Cuerpos de Inclusión Viral/fisiología , Serpientes/inmunología , Serpientes/virología , Animales , Anticuerpos Antivirales/sangre , Arenaviridae/genética , Arenaviridae/inmunología , Infecciones por Arenaviridae/sangre , Infecciones por Arenaviridae/diagnóstico , Femenino , Masculino , Serpientes/sangre
8.
Artículo en Inglés | MEDLINE | ID: mdl-31139360

RESUMEN

Background: Needlestick accidents while handling of infectious material in research laboratories can lead to life-threatening infections in laboratory personnel. In laboratories working with the lymphocytic choriomeningitis virus (LCMV), the virus can be transmitted to humans through needlestick injury and lead to serious acute illness up to meningitis. Case presentation: We report of a case of LCMV meningitis in a laboratory worker who sustained a penetrating needlestick injury with a LCMV-contaminated hollow needle whilst disposing of a used syringe into the sharps waste bin. Four days after needlestick injury the laboratory worker developed a systemic disease: 11 days after exposure, she was diagnosed with meningitis with clinical signs and symptoms of meningismus, photophobia, nausea and vomiting, requiring hospitalisation. The PCR was positive for LCMV from the blood sample. 18 days after exposure, seroconversion confirmed the diagnosis of LCMV-induced meningitis with an increase in specific LCMV-IgM antibodies to 1:10'240 (day 42: 1:20'480). Ten weeks after exposure, a follow-up titre for IgM returned negative, whereas IgG titre increased to 1:20'480. Conclusions: This is the first case report of a PCR-documented LCMV meningitis, coupled with seroconversion, following needlestick injury. It highlights the importance of infection prevention practices that comprise particularly well established safety precaution protocols in research laboratories handling this pathogenic virus, because exposure to even a small amount of LCMV can lead to a severe, life-threatening infection.


Asunto(s)
Infecciones por Arenaviridae/etiología , Meningitis/diagnóstico por imagen , Meningitis/etiología , Lesiones por Pinchazo de Aguja/complicaciones , Accidentes de Trabajo , Anticuerpos Antivirales/sangre , Infecciones por Arenaviridae/diagnóstico , Femenino , Humanos , Personal de Laboratorio , Virus de la Coriomeningitis Linfocítica/genética , Imagen por Resonancia Magnética , Meningitis/virología , Lesiones por Pinchazo de Aguja/virología , Seroconversión
9.
Mem. Inst. Oswaldo Cruz ; 114: e180448, 2019. tab, graf
Artículo en Inglés | LILACS | ID: biblio-1040617

RESUMEN

Anthropogenic environmental changes arising from settlement and agriculture include deforestation and replacement of natural vegetation by crops providing opportunities for pathogen spillover from animals to humans. This study aimed to investigate the prevalence of rodent-borne virus infections in seven rural settlements from Midwestern Brazil. Of the 466 individuals tested 12 (2.57%) were reactive for orthohantavirus and 3 (0.64%) for mammarenavirus. These rural settlers lived under unfavorable infrastructure, socioeconomic disadvantages, and unsanitary conditions, representing a risk for rodent-borne infections. Development of public policies towards the improvement of health, sanitation and awareness of rodent-borne diseases in improvised camps and settlements is imperative, in order to reduce morbidity and mortality caused by these diseases.


Asunto(s)
Humanos , Animales , Masculino , Femenino , Preescolar , Niño , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Adulto Joven , Roedores/virología , Infecciones por Arenaviridae/epidemiología , Infecciones por Hantavirus/epidemiología , Vectores de Enfermedades/clasificación , Roedores/clasificación , Población Rural , Factores Socioeconómicos , Brasil/epidemiología , Inmunoglobulina G/sangre , Ensayo de Inmunoadsorción Enzimática , Prevalencia , Estudios Transversales , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/transmisión , Infecciones por Hantavirus/diagnóstico , Infecciones por Hantavirus/transmisión , Persona de Mediana Edad , Anticuerpos Antivirales/sangre
11.
Mem Inst Oswaldo Cruz ; 114: e180448, 2018 Dec 17.
Artículo en Inglés | MEDLINE | ID: mdl-30569944

RESUMEN

Anthropogenic environmental changes arising from settlement and agriculture include deforestation and replacement of natural vegetation by crops providing opportunities for pathogen spillover from animals to humans. This study aimed to investigate the prevalence of rodent-borne virus infections in seven rural settlements from Midwestern Brazil. Of the 466 individuals tested 12 (2.57%) were reactive for orthohantavirus and 3 (0.64%) for mammarenavirus. These rural settlers lived under unfavorable infrastructure, socioeconomic disadvantages, and unsanitary conditions, representing a risk for rodent-borne infections. Development of public policies towards the improvement of health, sanitation and awareness of rodent-borne diseases in improvised camps and settlements is imperative, in order to reduce morbidity and mortality caused by these diseases.


Asunto(s)
Infecciones por Arenaviridae/epidemiología , Vectores de Enfermedades/clasificación , Infecciones por Hantavirus/epidemiología , Roedores/virología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Anticuerpos Antivirales/sangre , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/transmisión , Brasil/epidemiología , Niño , Preescolar , Estudios Transversales , Ensayo de Inmunoadsorción Enzimática , Femenino , Infecciones por Hantavirus/diagnóstico , Infecciones por Hantavirus/transmisión , Humanos , Inmunoglobulina G/sangre , Masculino , Persona de Mediana Edad , Prevalencia , Roedores/clasificación , Población Rural , Factores Socioeconómicos , Adulto Joven
16.
Virol J ; 13: 54, 2016 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-27029488

RESUMEN

BACKGROUND: Research with high biocontainment pathogens such as Rift Valley fever virus (RVFV) and Lassa virus (LASV) is expensive, potentially hazardous, and limited to select institutions. Surrogate pathogens such as Punta Toro virus (PTV) for RVFV infection and Pichinde virus (PICV) for LASV infection allow research to be performed under more permissive BSL-2 conditions. Although used as infection models, PTV and PICV have no standard real-time RT-qPCR assays to detect and quantify pathogenesis. PTV is also a human pathogen, making a standardized detection assay essential for biosurveillance. Here, we developed and characterized two real-time RT-qPCR assays for PICV and PTV by optimizing assay conditions and measuring the limit of detection (LOD) and performance in multiple clinical matrices. METHODS: Total nucleic acid from virus-infected Vero E6 cells was used to optimize TaqMan-minor groove binder (MGB) real-time RT-qPCR assays. A 10-fold dilution series of nucleic acid was used to perform analytical experiments with 60 replicates used to confirm assay LODs. Serum and whole blood spiked with 10-fold dilutions of PTV and PICV virus were assessed as matrices in a mock clinical context. The Cq, or cycle at which the fluoresce of each sample first crosses a threshold line, was determined using the second derivative method using Roche LightCycler 480 software version 1.5.1. Digital droplet PCR (ddPCR) was utilized to quantitatively determine RNA target counts/µl for PTV and PICV. RESULTS: Optimized PTV and PICV assays had LODs of 1000 PFU/ml and 100 PFU/ml, respectively, and this LOD was confirmed in 60/60 (PTV) and 58/60 (PICV) positive replicates. Preliminary mock clinical LODs remained consistent in serum and whole blood for PTV and PICV at 1000 PFU/ml and 100 PFU/ml. An exclusivity panel showed no cross reaction with near neighbors. CONCLUSIONS: PTV and PICV Taq-man MGB based real-time RT-qPCR assays developed here showed relevant sensitivity and reproducibility in samples extracted from a variety of clinical matrices. These assays will be useful as a standard by researchers for future experiments utilizing PTV and PICV as infection models, offering the ability to track infection and viral replication kinetics during research studies.


Asunto(s)
Infecciones por Arenaviridae/diagnóstico , Infecciones por Bunyaviridae/diagnóstico , Phlebovirus/aislamiento & purificación , Virus Pichinde/aislamiento & purificación , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa/métodos , Virología/métodos , Humanos , Técnicas de Diagnóstico Molecular/métodos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Factores de Tiempo
18.
J Vet Diagn Invest ; 27(2): 245-8, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25776548

RESUMEN

A captive bred red tail boa (Boa constrictor constrictor) was presented with a large intraoral mass originating from the buccal gingiva, attached to the right dentary teeth row. Based on the clinical features and histological examination, the diagnosis of a peripheral odontogenic fibromyxoma was made. Sections of liver biopsies and circulating lymphocytes contained relatively few eosinophilic intracytoplasmic inclusion bodies, indistinguishable from those observed in inclusion body disease-affected snakes. Inclusion bodies were not observed in cells comprising the neoplastic mass. Using reverse transcription polymerase chain reaction (RT-PCR), arenavirus was detected in the neoplastic tissue. Two years after surgical removal of the mass, recurrence of the neoplastic lesion was observed. Numerous large inclusion body disease inclusions were abundantly present in the neoplastic cells of the recurrent fibromyxoma. Sections of liver biopsies and circulating lymphocytes contained relatively few intracytoplasmic inclusions. The RT-PCR revealed the presence of arenavirus in blood, a liver biopsy, and neoplastic tissue. The present case describes the co-occurrence of an arenavirus infection and an odontogenic fibromyxoma in a red tail boa.


Asunto(s)
Infecciones por Arenaviridae/veterinaria , Arenavirus/aislamiento & purificación , Boidae , Fibromatosis Gingival/veterinaria , Cuerpos de Inclusión Viral/patología , Animales , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/virología , Arenavirus/genética , Biopsia , ADN Viral/análisis , Diagnóstico Diferencial , Fibromatosis Gingival/diagnóstico , Fibromatosis Gingival/virología , Masculino , Reacción en Cadena de la Polimerasa/veterinaria
19.
Enferm. infecc. microbiol. clín. (Ed. impr.) ; 33(3): 197-205, mar. 2015. tab
Artículo en Español | IBECS | ID: ibc-134573

RESUMEN

Los virus transmitidos por artrópodos (arbovirus) y los transmitidos por roedores (robovirus) o por otros animales se engloban en el epígrafe «virus transmitidos por vector» (VTV). En nuestro entorno son 3 los principales VTV autóctonos que causan enfermedad: los virus Toscana, West Nile y de la coriomeningitis linfocitaria; además, se diagnostican enfermedades por VTV importados (virus dengue, chikungunya) que actualmente suponen un riesgo de asentamiento por la circulación de vectores competentes de transmisión en nuestro territorio, como es el mosquito Aedes albopictus. La Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica se ha hecho eco de la emergencia de las enfermedades por VTV y ha redactado un procedimiento sobre diagnóstico microbiológico de arbovirosis y robovirosis emergentes que supone una actualización sobre los VTV con mayor sospecha diagnóstica en nuestro entorno y los métodos de detección disponibles para el diagnóstico de las enfermedades que producen


Vector borne viruses (VBV) include viruses transmitted by arthropods, rodents and other animals. In Spain the three main autochthonous VBVs causing human diseases are: Toscana, West Nile and Lymphocytic Choriomeningitis viruses. There are also other imported viruses that are potential threats to our public health, due to the presence of competent transmission vectors (dengue and chikungunya viruses in areas infested with Aedes albopictus), or due to the potential person-to-person transmission (Lassa and other viruses causing haemorrhagic fever). The Spanish Society for Infectious Diseases and Clinical Microbiology has responded to the emergence of VBVs by publishing a special issue of Microbiological Proceedings focused on the diagnosis of those emerging vector borne viruses of major concern in our country


Asunto(s)
Humanos , Animales , Infecciones por Arbovirus/diagnóstico , Vectores de Enfermedades , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/virología , Infecciones por Arbovirus/virología , Enfermedades Transmisibles Emergentes , Infecciones por Arbovirus/transmisión , Virología/métodos , Roedores , Infecciones por Arenaviridae/transmisión
20.
Cell Mol Life Sci ; 72(6): 1115-25, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25416679

RESUMEN

RNA viruses, with their high potential for mutation and epidemic spread, are the most common class of pathogens found as new causes of human illness. Despite great advances made in diagnostic technology since the 1950s, the annual rate at which novel virulent viruses have been found has remained at 2-3. Most emerging viruses are zoonoses; they have jumped from mammal or bird hosts to humans. An analysis of virus discovery indicates that the small number of novel viruses discovered annually is an artifact of inadequate surveillance in tropical and subtropical countries, where even established endemic pathogens are often misdiagnosed. Many of the emerging viruses of the future are already infecting humans but remain to be uncovered by a strategy of disease surveillance in selected populations.


Asunto(s)
Enfermedades Transmisibles Emergentes/epidemiología , Enfermedades Transmisibles Emergentes/virología , Infecciones por Virus ARN/epidemiología , Infecciones por Virus ARN/virología , Virus ARN/aislamiento & purificación , Zoonosis/epidemiología , Zoonosis/virología , Animales , Infecciones por Arenaviridae/diagnóstico , Infecciones por Arenaviridae/epidemiología , Infecciones por Arenaviridae/virología , Enfermedades Transmisibles Emergentes/diagnóstico , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/virología , Fiebres Hemorrágicas Virales/diagnóstico , Fiebres Hemorrágicas Virales/epidemiología , Fiebres Hemorrágicas Virales/virología , Humanos , Lujo virus/aislamiento & purificación , Coronavirus del Síndrome Respiratorio de Oriente Medio/aislamiento & purificación , Infecciones por Virus ARN/diagnóstico , Zoonosis/diagnóstico
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