Lichs Gislene Garcia C, Fernandez Zoraida Del Carmen, do Nascimento Valdinete Alves, Alcantara Daniel Maximo Corrêa, Lemos Everton Ferreira, Carvalho Cristiano M Espínola, Demarchi Luiz Henrique Ferraz, Gonçalves Crhistinne Carvalho Maymone, Naveca Felipe Gomes, Favacho Alexsandra Rodrigues de Mendonça
Laboratório Central de Saúde Pública de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Postgraduate Program in Infectious and Parasitic Diseases, Universidade Federal de Mato Grosso do Sul, Campo Grande, Mato Grosso do Sul, Brazil.
Front Microbiol. 2024 Jul 18;15:1417434. doi: 10.3389/fmicb.2024.1417434. eCollection 2024.
Human Erythrovirus (parvovirus) B19 infection can produce symptoms similar to those produced by Dengue, Chikungunya, and Zika viruses, making clinical diagnosis difficult. The importance of erythrovirus B19 in human pathology has been increased and reported in numerous studies published globally.
The B19V infection was investigated by real-time PCR in sera samples from patients with signs and symptoms related to classic arboviral symptoms. This study was conducted to provide information on the genetic diversity of Human Erythrovirus B19 (B19V) circulating in the state of Mato Grosso do Sul, Midwest region of Brazil, from 2017 to 2022. A total of 773 sera samples of patients with negative diagnostic results for Dengue, Chikungunya, and Zika, during the study period were analyzed.
Erythrovirus DNA was found in 10.6% (82/773) of patients, among them 10 were pregnant women. Four samples were completely sequenced, and the other five partially, to genotype by phylogenetic reconstruction. All samples belong to worldwide dispersed genotype 1, subgenotype 1a.
The findings of the study demonstrate the importance of including B19V in differential laboratory diagnosis for epidemiological purposes and appropriate patient management. The diagnosis for B19V should be performed, particularly among pregnant women, immunocompromised patients, and individuals with hemolytic diseases, given that the infection is more severe in these cases.
人红细胞病毒(细小病毒)B19感染可产生与登革热、基孔肯雅热和寨卡病毒感染相似的症状,这使得临床诊断变得困难。红细胞病毒B19在人类病理学中的重要性已有所增加,全球发表的众多研究都有相关报道。
采用实时聚合酶链反应(PCR)对有经典虫媒病毒症状体征的患者血清样本进行B19V感染调查。本研究旨在提供2017年至2022年在巴西中西部地区南马托格罗索州流行的人红细胞病毒B19(B19V)的基因多样性信息。在研究期间,共分析了773例登革热、基孔肯雅热和寨卡病毒诊断结果为阴性的患者血清样本。
在10.6%(82/773)的患者中发现了红细胞病毒DNA,其中10例为孕妇。对4个样本进行了全序列测定,另外5个样本进行了部分序列测定,通过系统发育重建进行基因分型。所有样本均属于全球分布的1型基因亚型1a。
该研究结果表明,为了流行病学目的和对患者进行适当管理,在实验室鉴别诊断中纳入B19V具有重要意义。鉴于B19V感染在孕妇、免疫功能低下患者和溶血性疾病患者中更为严重,应进行B19V诊断,尤其是对这些人群。