Crimean-Congo haemorrhagic fever virus in questing non-Hyalomma spp. ticks in Northwest Spain, 2021.

Crimean-Congo haemorrhagic fever (CCHF) unexpectedly emerged in humans in Northwest Spain in 2021, and two additional cases were reported in the region in 2022. The 2021 case was associated with a tick bite on the outskirts of the city where the patient lived. PCR analysis of 95 questing ticks collected in the outskirts of that city in 2021, none of the genus Hyalomma, revealed a prevalence of confirmed CCHF virus (CCHFV) infection of 10.5%. Our results in this emerging scenario suggest the need to consider that CCHFV may be effectively spreading to Northwest Spain and to urgently understand any possible role of non-Hyalomma spp. ticks in the eco-epidemiological dynamics of CCHFV.

Crimean-Congo Hemorrhagic Fever, Spain, 2013-2021.

Crimean-Congo hemorrhagic fever (CCHF) is a viral infectious disease for which distribution of the main vector, Hyalomma spp. ticks, is expanding. We analyzed all 10 cases of CCHF diagnosed in Spain during 2013-2021; case-patient median age was 56.5 years, and 7 were men. We identified CCHF virus genotypes III and V. Six case-patients acquired the infection in urban areas. Sixty percent of patients were infected in summer and 40% in spring. Two patients met criteria for hemophagocytic syndrome. Seven patients survived. The epidemiologic pattern of CCHF in Spain is based on occasional cases with an elevated mortality rate. Genotype III and, to a less extent also genotype V, CCHF circulates in humans in a common geographic area in Spain. Those data suggest that the expansion pathways are complex and may change over time. Physicians should remain alert to the possibility of new CCHF cases.

New circulation of genotype V of Crimean-Congo haemorrhagic fever virus in humans from Spain.

BACKGROUND: Crimean-Congo haemorrhagic fever (CCHF) is a widespread tick-borne viral disease caused by the Crimean-Congo haemorrhagic fever virus (CCHFV). CCHFV has been implicated in severe viral haemorrhagic fever outbreaks. During the summer of 2016, the first two cases with genotype III (Africa 3) were reported in Spain. The first objective of our study was to determine the presence of CCHFV among patients with febrile illness during the spring and summer periods in 2017 and 2018. Finally, we perform a phylogenetic analysis to determine the genotype of the virus. METHODOLOGY: We prospectively evaluated patients aged 18 years and older who came to the emergency department at the Salamanca's University Hospital (HUS) with fever. Specific IgM and IgG antibodies against CCHFV by ELISA and one immunofluorescence assay against two different proteins (nucleoprotein and glycoprotein C) was done. Moreover, molecular detection by Real Time PCR was performed in all collected samples. A phylogenetic analysis was carried out to genetically characterize CCHFV detected in this study. PRINCIPAL FINDINGS: A total of 133 patients were selected. The mean age was 67.63 years and 60.9% were male. One-third of the patients presented an acute undifferentiated febrile illness. Three patients had anti-CCHFV IgG antibodies, suggesting a previous infection. One patient had anti-CCHFV IgM antibodies and a confirmatory RT-PCR. Phylogenetic analysis indicated that the virus corresponds to the European genotype V. This patient came to the emergency department at HUS in August 2018 presenting an acute febrile syndrome with thrombopenia and liver impairment. CONCLUSIONS: We describe a new circulation of European genotype V CCHFV in Spain. Moreover, this study suggests that CCHFV is an identifiable cause of febrile illness of unknown origin in Spain. Thus, CCHF could be suspected in patients with fever, liver damage, and/or haemorrhagic disorders, particularly in people with risk activities who present in the spring or summer.

Crimean-Congo haemorrhagic fever (CCHF) virus-specific antibody detection in blood donors, Castile-León, Spain, 2017 and 2018.

BackgroundCrimean-Congo haemorrhagic fever virus (CCHFV) is considered an emerging or even a probable re-emerging pathogen in southern Europe. Presence of this virus had been reported previously in Spain in 2010.AimWe aimed to evaluate the potential circulation of CCHFV in western Spain with a serosurvey in asymptomatic adults (blood donors).MethodsDuring 2017 and 2018, we conducted a CCHFV serosurvey in randomly selected asymptomatic blood donors from western Spain. Three assays using specific IgG antibodies against CCHFV were performed: the VectoCrimea ELISA test, an in-house ELISA and indirect immunofluorescence (EuroImmun) test with glycoprotein and nucleoprotein.ResultsA total of 516 blood donors participated in this cross-sectional study. The majority of the study participants were male (68.4%), and the mean age was 46.3 years. Most of the participants came from rural areas (86.8%) and 68.6% had contact with animals and 20.9% had animal husbandry practices. One in five participants (109/516, 21.1%) were engaged in at-risk professional activities such as agriculture and shepherding, slaughtering, hunting, veterinary and healthcare work (mainly nursing staff and laboratory technicians). A total of 15.3% of the participants were bitten by ticks in the days or months before the date of sampling. We detected anti-CCHFV IgG antibodies with two diagnostic assays in three of the 516 individuals and with one diagnostic assay in six of the 516 individuals.ConclusionSeroprevalence of CCHFV was between 0.58% and 1.16% in Castile-León, Spain. This is the first study in western Spain that showed circulation of CCHFV in healthy people.

Genomic Characterization of Crimean-Congo Hemorrhagic Fever Virus in Hyalomma Tick from Spain, 2014.

Crimean-Congo hemorrhagic fever (CCHF) is a severe tick-borne disease caused by CCHF virus (CCHFV). Ticks in the genus Hyalomma are the main vectors and reservoirs of CCHFV. In Spain, CCHFV was first detected in Hyalomma ticks from Cáceres in 2010. Subsequently, two autochthonous CCHF cases were reported in August 2016. In this study, we describe the characterization of the CCHFV genome directly from Hyalomma lusitanicum collected in Cáceres in 2014. Phylogenetic analyses reveal a close relationship with clade III strains from West Africa, with an estimated divergence time of 50 years. The results of this work suggest that CCHFV has been circulating in Spain for some time, and most likely originated from West Africa.

Oligonucleotide Sensor Based on Selective Capture of Upconversion Nanoparticles Triggered by Target-Induced DNA Interstrand Ligand Reaction.

We present a sensor that exploits the phenomenon of upconversion luminescence to detect the presence of specific sequences of small oligonucleotides such as miRNAs among others. The sensor is based on NaYF4:Yb,Er@SiO2 nanoparticles functionalized with ssDNA that contain azide groups on the 3' ends. In the presence of a target sequence, interstrand ligation is possible via the click-reaction between one azide of the upconversion probe and a DBCO-ssDNA-biotin probe present in the solution. As a result of this specific and selective process, biotin is covalently attached to the surface of the upconversion nanoparticles. The presence of biotin on the surface of the nanoparticles allows their selective capture on a streptavidin-coated support, giving a luminescent signal proportional to the amount of target strands present in the test samples. With the aim of studying the analytical properties of the sensor, total RNA samples were extracted from healthy mosquitoes and were spiked-in with a specific target sequence at different concentrations. The result of these experiments revealed that the sensor was able to detect 10-17 moles per well (100 fM) of the target sequence in mixtures containing 100 ng of total RNA per well. A similar limit of detection was found for spiked human serum samples, demonstrating the suitability of the sensor for detecting specific sequences of small oligonucleotides under real conditions. In contrast, in the presence of noncomplementary sequences or sequences having mismatches, the luminescent signal was negligible or conspicuously reduced.

Diagnóstico microbiológico del virus chikungunya importado en España (2006–2007): detección de casos en viajeros / Microbiological diagnosis of chikungunya virus in Spain (2006–2007): Case detection in travelers

IntroducciónEl virus chikungunya (CHIKV) es un claro ejemplo de patógeno emergente, como demuestran los importantes brotes que ha ocasionado en los últimos años en algunas islas del Océano Índico, en el subcontinente indio y en Italia. La aparición de un brote autóctono en Europa ha demostrado el acierto de las autoridades sanitarias internacionales en su preocupación ante la posibilidad de introducción y asentamiento de este arbovirus en países de clima templado en los que circulan los vectores apropiados.MétodosSe ha estudiado a 308 pacientes con sintomatología similar a la causada por la infección por este virus desarrollada durante la estancia o tras el regreso de una zona endémica. Se han buscado, mediante herramientas moleculares y/o serológicas, pruebas de infección por CHIKV.ResultadosSe han diagnosticado 29 casos positivos. Las herramientas moleculares y serológicas son complementarias. Las técnicas moleculares son las que han generado resultados positivos en los inicios de la sintomatología y las técnicas serológicas son las que lo hacen en muestras con un mayor tiempo de evolución.ConclusiónSe han detectado los primeros casos de infección por CHIKV en viajeros españoles. En España se cuenta con los medios necesarios para el correcto diagnóstico de la infección por este virus(AU)

IntroductionThe chikungunya virus is a clear example of an emergent pathogen, as demonstrated by the important outbreaks reported in recent years on some islands in the Indian Ocean, on the Indian subcontinent, and in Italy. The autochthonous outbreak that took place in Europe has shown that the international health authorities were right in their concern about the possibility that this arbovirus could become established in countries with a temperate climate where the appropriate vectors circulate.MethodsA total of 308 patients were studied to investigate symptoms consistent with infection by this virus occurring during their stay in, or after their return from, an endemic area. Molecular and/or serological methods were used to seek evidence of infection by chikungunya virus.ResultsTwenty-nine positive cases were diagnosed. The molecular and serological tools are complementary: molecular technology generated positive results at the onset of symptoms and serology provided positive testing in samples with a longer evolution time.ConclusionThe first cases of infection by chikungunya virus in Spanish travelers have been detected. The tools necessary for correct diagnosis of infection by this virus are available in our country(AU)

[Microbiological diagnosis of chikungunya virus in Spain (2006-2007): case detection in travelers]. / Diagnóstico microbiológico del virus chikungunya importado en España (2006-2007): detección de casos en viajeros.

INTRODUCTION: The chikungunya virus is a clear example of an emergent pathogen, as demonstrated by the important outbreaks reported in recent years on some islands in the Indian Ocean, on the Indian subcontinent, and in Italy. The autochthonous outbreak that took place in Europe has shown that the international health authorities were right in their concern about the possibility that this arbovirus could become established in countries with a temperate climate where the appropriate vectors circulate. METHODS: A total of 308 patients were studied to investigate symptoms consistent with infection by this virus occurring during their stay in, or after their return from, an endemic area. Molecular and/or serological methods were used to seek evidence of infection by chikungunya virus. RESULTS: Twenty-nine positive cases were diagnosed. The molecular and serological tools are complementary: molecular technology generated positive results at the onset of symptoms and serology provided positive testing in samples with a longer evolution time. CONCLUSION: The first cases of infection by chikungunya virus in Spanish travelers have been detected. The tools necessary for correct diagnosis of infection by this virus are available in our country.