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[1994年,帕拉州库里奥诺波利斯市塞拉佩拉达奥罗普切病毒热疫情]

[Outbreak of oropouche virus fever in Serra Pelada, municipality of Curionópolis, Pará, 1994].

作者信息

Rosa A P, Rodrigues S G, Nunes M R, Magalhães M T, Rosa J F, Vasconcelos P F

机构信息

Serviço de Arbovírus do Instituto Evandro Chagas/Fundação Nacional de Saúde, Belém.

出版信息

Rev Soc Bras Med Trop. 1996 Nov-Dec;29(6):537-41. doi: 10.1590/s0037-86821996000600002.

Abstract

In the final of November 1994, an outbreak of a febrile disease was observed in the Serra Pelada gold mine (5 degrees 35'S: 49 degrees 30'W) in the Southeast region of Pará State. Twenty samples were collected and sent to the laboratory of Arbovirus of Instituto Evandro Chagas. The tests showed that the disease was caused by Oropouche virus (Bunyaviridae, Bunyavirus, Simbu serological group). Between 8-22 December 296 serum samples were taken (54 from febrile patients, 16 paired samples and 242 from contacts and convalescent patients) of the 73 familiar groups. From febrile patients, ten Oropouche virus strains were obtained. From paired serum, six seroconversions were obtained and 242 other Oropouche infections were diagnosed by HI and MAC ELISA. The clinical-picture of febrile disease accompanied by severe bedache, chills, myalgia, photophobia retrobulbar pain and malaise was observed. Involvement of central nervous system was not observed. Based on the serological data, we estimated that in the outbreak of Serra Pelada around 5,000 cases occurred corresponding to a prevalence of 83%.

摘要

1994年11月下旬,在帕拉州东南部地区的塞拉佩拉达金矿(南纬5度35分,西经49度30分)发现了一场发热性疾病的爆发。采集了20份样本并送往伊万德罗·查加斯研究所的虫媒病毒实验室。检测表明,该疾病由奥罗普切病毒(布尼亚病毒科,布尼亚病毒属,辛布血清群)引起。在12月8日至22日期间,对73个家庭群组的296份血清样本进行了采集(54份来自发热患者,16份配对样本,242份来自接触者和康复患者)。从发热患者中获得了10株奥罗普切病毒毒株。从配对血清中获得了6次血清转化,并通过血凝抑制试验(HI)和微量中和试验(MAC)酶联免疫吸附测定(ELISA)诊断出另外242例奥罗普切病毒感染。观察到发热性疾病的临床表现伴有严重的背痛、寒战、肌痛、畏光、眼球后疼痛和不适。未观察到中枢神经系统受累情况。根据血清学数据,我们估计在塞拉佩拉达的疫情中约发生了5000例病例,患病率为83%。

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