Alonso A, Distefano A, Carlino O, Polito A
Dto. Virología, Instituto Nacional de Enfermedades Infecciosas, A.N.L.I.S. Carlos G. Malbrán, Av. Vélez Sársfield 563, 1281 Buenos Aires, Argentina.
Rev Argent Microbiol. 2003 Jul-Sep;35(3):171-4.
We report an exanthematic outbreak in a school of Banderaló town, located in the district of General Villegas, Buenos Aires province, Argentina. This outbreak affected 21 individuals, with a wide range of age (out of a total population of 1400). The observed clinical manifestations were exanthema and in some cases fever, asthenia, arthropathies and myalgia. The presence of specific IgM antibodies against measles, rubella and human parvovirus B19 were investigated. Analysis of IgM antibodies to parvovirus B19 by ELISA was positive in 90.8% of the cases and viremia was detected in 66.7% of the patients by nested PCR. These results indicate that human parvovirus B19 was the etiologic agent of the outbreak and they confirm its circulation in Argentina. Moreover, this study demonstrates that PCR may be useful for the study of transmission foci and of individuals with prolongued clinical manifestations. We consider that it is necessary to include the differential diagnosis of human parvovirus B19 in the surveillance of exanthematic virosis.
我们报告了阿根廷布宜诺斯艾利斯省维列加斯将军区班德阿拉洛镇一所学校发生的一次皮疹暴发。此次暴发影响了21人,年龄范围广泛(在1400人的总人口中)。观察到的临床表现为皮疹,部分病例伴有发热、乏力、关节病和肌痛。对麻疹、风疹和人细小病毒B19的特异性IgM抗体进行了检测。通过ELISA分析细小病毒B19的IgM抗体,90.8%的病例呈阳性,通过巢式PCR在66.7%的患者中检测到病毒血症。这些结果表明人细小病毒B19是此次暴发的病原体,并证实其在阿根廷的传播。此外,本研究表明PCR可能有助于研究传播源和临床表现持续的个体。我们认为在皮疹性病毒病监测中纳入人细小病毒B19的鉴别诊断是必要的。