Investigation into an outbreak of dengue-like illness in Pernambuco, Brazil, revealed a cocirculation of Zika, Chikungunya, and Dengue virus type 1
Autor(es): Pessôa Rodrigo, Patriota João Veras, Lourdes de Souza Maria de, Felix Alvina Clara, Mamede Nubia, Sanabani Sabri S
Resumo: In April 2015, an outbreak of dengue-like illness occurred in Tuparetama, a small city in the northeast region of Brazil; this outbreak was characterized by its fast expansion. An investigation was initiated to identify the viral etiologies - advise the health authorities on implementing control measures to contain the outbreak. This is the first report of this outbreak in the northeast, even though a few cases were documented earlier in a neighboring city.Plasma samples were obtained from 77 suspected dengue patients attending the main hospital in the city. Laboratory assays, such as real-time reverse transcription polymerase chain reaction, virus cDNA sequencing, - enzyme-linked immunosorbent assay, were employed to identify the infecting virus - molecular phylogenetic analysis was performed to define the circulating viral genotypes.RNA of Zika virus (ZIKV) - Dengue virus (DENV) or IgM antibodies (Abs) to DENV or chikungunya (CHIKV) were detected in 40 of the 77 plasma samples (51.9%). DENV was found in 9 patients (11.7%), ZIKV was found in 31 patients (40.2%), CHIKV in 1 patient (1.3%), - coinfection of DENV - ZIKV was detected in 2 patients (2.6%). The phylogenetic analysis of 2 available partial DENV - 14 ZIKV sequences revealed the identities of genotype 1 - the Asiatic lineage, respectively.Consistent with recent reports from the same region, our results showed that the ongoing outbreak is caused by ZIKV, DENV, - CHIKV. This emphasizes the need for a routine - differential diagnosis of arboviruses in patients with dengue-like illness. Coordinated efforts are necessary to contain the outbreak. Continued surveillance will be important to assess the effectiveness of current - future prevention strategies.
Imprenta: Medicine, v. 95, n. 12, p. e3201, 2016
Identificador do objeto digital: 10.1097/MD.0000000000003201
Descritores: Chikungunya virus - Arbovirus ; Chikungunya virus - Cytopathology ; Chikungunya virus - RNA ; Chikungunya virus - Antibodies ; Chikungunya virus - Real Time PCR ; Chikungunya Virus - Virus ; Chikungunya virus - Molecular screening ; Chikungunya virus - Dengue
Data de publicação: 2016
