Last data update: May 06, 2024. (Total: 46732 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Todres A[original query] |
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Chapare Hemorrhagic Fever and Virus Detection in Rodents in Bolivia in 2019.
LoayzaMafayle R , Morales-Betoulle ME , Romero C , Cossaboom CM , Whitmer S , AlvarezAguilera CE , AvilaArdaya C , CruzZambrana M , DvalosAnajia A , MendozaLoayza N , Montao AM , MoralesAlvis FL , RevolloGuzmn J , SasasMartnez S , AlarcnDeLaVega G , MedinaRamrez A , MolinaGutirrez JT , CornejoPinto AJ , SalasBacci R , Brignone J , Garcia J , Aez A , Mendez-Rico J , Luz K , Segales A , TorrezCruz KM , Valdivia-Cayoja A , Amman BR , Choi MJ , Erickson BR , Goldsmith C , Graziano JC , Joyce A , Klena JD , Leach A , Malenfant JH , Nichol ST , Patel K , Sealy T , Shoemaker T , Spiropoulou CF , Todres A , Towner JS , Montgomery JM . N Engl J Med 2022 386 (24) 2283-2294 BACKGROUND: In June 2019, the Bolivian Ministry of Health reported a cluster of cases of hemorrhagic fever that started in the municipality of Caranavi and expanded to La Paz. The cause of these cases was unknown. METHODS: We obtained samples for next-generation sequencing and virus isolation. Human and rodent specimens were tested by means of virus-specific real-time quantitative reverse-transcriptase-polymerase-chain-reaction assays, next-generation sequencing, and virus isolation. RESULTS: Nine cases of hemorrhagic fever were identified; four of the patients with this illness died. The etiologic agent was identified as Mammarenavirus Chapare mammarenavirus, or Chapare virus (CHAPV), which causes Chapare hemorrhagic fever (CHHF). Probable nosocomial transmission among health care workers was identified. Some patients with CHHF had neurologic manifestations, and those who survived had a prolonged recovery period. CHAPV RNA was detected in a variety of human body fluids (including blood; urine; nasopharyngeal, oropharyngeal, and bronchoalveolar-lavage fluid; conjunctiva; and semen) and in specimens obtained from captured small-eared pygmy rice rats (Oligoryzomys microtis). In survivors of CHHF, viral RNA was detected up to 170 days after symptom onset; CHAPV was isolated from a semen sample obtained 86 days after symptom onset. CONCLUSIONS: M. Chapare mammarenavirus was identified as the etiologic agent of CHHF. Both spillover from a zoonotic reservoir and possible person-to-person transmission were identified. This virus was detected in a rodent species, O. microtis. (Funded by the Bolivian Ministry of Health and others.). |
Postmortem surveillance for ebola virus using oraquick ebola rapid diagnostic tests, Eastern Democratic Republic of the Congo, 2019-2020
Mukadi-Bamuleka D , Sanogo YO , Bulabula-Penge J , Morales-Betoulle ME , Fillon P , Woodruff P , Choi MJ , Whitesell A , Todres AM , De Weggheleire A , Legand A , Muyembe-Tamfum JJ , Formenty P , Klena JD , Montgomery JM , Ahuka-Mundeke S . Emerg Infect Dis 2022 28 (2) 420-424 After a pilot study, we tested 443 cadavers using OraQuick Ebola rapid diagnostic tests during surveillance after the 10th Ebola outbreak in the Democratic Republic of the Congo. No false negative and 2% false-positive results were reported. Quickly returning results and engaging the community enabled timely public health actions. |
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