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[阿根廷图库曼汉坦病毒肺综合征疫情]

[Outbreak of hantavirus pulmonary syndrome in Tucumán, Argentina].

作者信息

Calderón Gladys E, Brignone Julia, Martin María Laura, Calleri Fabián, Sen Carina, Casas Natalia, Calli Rogelio, Sinchi Anabel, Enria Delia, Levis Silvana

机构信息

Instituto Nacional de Enfermedades Virales Humanas (INEVH) Dr. Julio I. Maiztegui - ANLIS, Pergamino, Argentina. E-mail:

Instituto Nacional de Enfermedades Virales Humanas (INEVH) Dr. Julio I. Maiztegui - ANLIS, Pergamino, Argentina.

出版信息

Medicina (B Aires). 2018;78(3):151-157.

PMID:29940540
Abstract

We describe an outbreak of hantavirus pulmonary syndrome in the Burruyacú Department, Province of Tucumán. The detection in 2016 of a case of hantavirosis affecting a 23-year-old woman, considered at that time to be the first case occurred in that province, promoted a thorough epidemiological study. The investigation allowed the retrospective detection of another case occurred one month earlier in a 5-year-old child in the same Department. In both cases, the infection was confirmed by serology (case 1 at days 4 and 7 of disease onset, case 2 at day 4) and the viral genotype was characterized as HU39694. The contacts of both cases were serologically negative for hantavirus. The rodents captured in the area belonged to genus Akodon, genus Calomys and species Mus musculus. Oligoryzomys, the known reservoir for this viral genotype, was not found. Specific anti-hantavirus antibodies were not detected in the captured rodents. Given that the patients had not visited hantavirus endemic areas and their contacts were negative for hantavirus, we infer that the patients were locally exposed to fluids of infected rodents during their usual social or recreational outdoor activities. In conclusion, we demonstrate that hantavirus HU39694 -a genotype until now considered to be restricted to the Central Pampas of the country- is circulating in the North Western province of Tucumán. The endemic area of hantavirosis is thus expanded to this province but the viral reservoir in the area has not yet been identified.

摘要

我们描述了图库曼省布鲁亚库县汉坦病毒肺综合征的一次暴发。2016年检测到一例汉坦病毒病,患者为一名23岁女性,当时被认为是该省首例病例,这促使开展了全面的流行病学研究。调查发现,一个月前在同一县一名5岁儿童中发生了另一例病例。在这两例病例中,均通过血清学确诊感染(病例1在发病第4天和第7天确诊,病例2在第4天确诊),病毒基因型被鉴定为HU39694。两例病例的接触者汉坦病毒血清学检测均为阴性。该地区捕获的啮齿动物属于阿科东属、棉鼠属和小家鼠种。未发现已知的该病毒基因型储存宿主奥氏鼠。在捕获的啮齿动物中未检测到特异性抗汉坦病毒抗体。鉴于患者未去过汉坦病毒流行地区且其接触者汉坦病毒检测为阴性,我们推断患者在日常社交或户外娱乐活动中局部接触了感染啮齿动物的体液。总之,我们证明汉坦病毒HU39694(一种迄今被认为仅限于该国中部潘帕斯地区的基因型)正在图库曼省西北部传播。因此,汉坦病毒病的流行地区扩展到了该省,但该地区的病毒储存宿主尚未确定。

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