RESUMO
We describe a recent case of lymphatic filariasis in Colombia caused by Wuchereria bancrofti nematodes. Our study combines clinical-epidemiologic findings with phylogenetic data. Resurgence of lymphatic filariasis may be linked to increasing urbanization trends and migration from previously endemic regions. Fieldwork can be a beneficial tool for screening and containing transmission.
Assuntos
Filariose Linfática , Wuchereria bancrofti , Filariose Linfática/epidemiologia , Colômbia/epidemiologia , Wuchereria bancrofti/genética , Humanos , Animais , Filogenia , Masculino , Adulto , Feminino , Pessoa de Meia-IdadeRESUMO
We describe 5 children who had Rocky Mountain spotted fever (RMSF) and manifested clinical symptoms similar to multisystem inflammatory syndrome in Sonora, Mexico, where RMSF is hyperendemic. Physicians should consider RMSF in differential diagnoses of hospitalized patients with multisystem inflammatory syndrome to prevent illness and death caused by rickettsial disease.
Assuntos
Febre Maculosa das Montanhas Rochosas , Síndrome de Resposta Inflamatória Sistêmica , Humanos , México , Síndrome de Resposta Inflamatória Sistêmica/diagnóstico , Criança , Masculino , Febre Maculosa das Montanhas Rochosas/diagnóstico , Feminino , Diagnóstico Diferencial , Pré-Escolar , Adolescente , HospitalizaçãoRESUMO
Major dengue epidemics throughout Nicaragua's history have been dominated by 1 of 4 dengue virus serotypes (DENV-1-4). To examine serotypes during the dengue epidemic in Nicaragua in 2022, we performed real-time genomic surveillance in-country and documented cocirculation of all 4 serotypes. We observed a shift toward co-dominance of DENV-1 and DENV-4 over previously dominant DENV-2. By analyzing 135 new full-length DENV sequences, we found that introductions underlay the resurgence: DENV-1 clustered with viruses from Ecuador in 2014 rather than those previously seen in Nicaragua; DENV-3, which last circulated locally in 2014, grouped instead with Southeast Asia strains expanding into Florida and Cuba in 2022; and new DENV-4 strains clustered within a South America lineage spreading to Florida in 2022. In contrast, DENV-2 persisted from the formerly dominant Nicaragua clade. We posit that the resurgence emerged from travel after the COVID-19 pandemic and that the resultant intensifying hyperendemicity could affect future dengue immunity and severity.
Assuntos
COVID-19 , Vírus da Dengue , Dengue , Filogenia , SARS-CoV-2 , Sorogrupo , Vírus da Dengue/genética , Vírus da Dengue/classificação , Nicarágua/epidemiologia , Humanos , Dengue/epidemiologia , Dengue/virologia , COVID-19/epidemiologia , COVID-19/virologia , SARS-CoV-2/genética , PandemiasRESUMO
We detected Mayaro virus (MAYV) in 3.4% (28/822) of febrile patients tested during 2018-2021 from Roraima State, Brazil. We also isolated MAYV strains and confirmed that these cases were caused by genotype D. Improved surveillance is needed to better determine the burden of MAYV in the Amazon Region.
Assuntos
Epidemiologia Molecular , Humanos , Brasil/epidemiologia , Febre/virologia , Febre/epidemiologia , Masculino , Filogenia , Adulto , Alphavirus/genética , Alphavirus/classificação , Feminino , Genótipo , Criança , Pessoa de Meia-Idade , Adolescente , Pré-Escolar , História do Século XXI , Adulto Jovem , Idoso , Infecções por Arenaviridae/epidemiologia , Infecções por Arenaviridae/virologia , Infecções por Alphavirus/epidemiologia , Infecções por Alphavirus/virologia , LactenteRESUMO
We conducted surveillance studies in Sinaloa, Mexico, to determine the circulation of tick-borne relapsing fever spirochetes. We collected argasid ticks from a home in the village of Camayeca and isolated spirochetes. Genomic analysis indicated that Borrelia turicatae infection is a threat to those living in resource-limited settings.
Assuntos
Infecções por Borrelia , Borrelia , Febre Recorrente , Carrapatos , Animais , México/epidemiologia , Borrelia/genética , Febre Recorrente/epidemiologia , Infecções por Borrelia/epidemiologiaRESUMO
We generated 238 Zika virus (ZIKV) genomes from 135 persons in Brazil who had samples collected over 1 year to evaluate virus persistence. Phylogenetic inference clustered the genomes together with previously reported ZIKV strains from northern Brazil, showing that ZIKV has been remained relatively stable over time. Temporal phylogenetic analysis revealed limited within-host diversity among most ZIKV-persistent infected associated samples. However, we detected unusual virus temporal diversity from >5 persons, uncovering the existence of divergent genomes within the same patient. All those patients showed an increase in neutralizing antibody levels, followed by a decline at the convalescent phase of ZIKV infection. Of interest, in 3 of those patients, titers of neutralizing antibodies increased again after 6 months of ZIKV infection, concomitantly with real-time reverse transcription PCR re-positivity, supporting ZIKV reinfection events. Altogether, our findings provide evidence for the existence of ZIKV reinfection events.
Assuntos
Infecção por Zika virus , Zika virus , Humanos , Zika virus/genética , Infecção por Zika virus/epidemiologia , Formação de Anticorpos , Brasil/epidemiologia , Filogenia , Reinfecção , Anticorpos NeutralizantesRESUMO
Using Oxford Nanopore technologies and phylogenetic analyses, we sequenced and identified the cosmopolitan genotype of dengue virus serotype 2 isolated from 2 patients in the city of Villavicencio, Meta department, Colombia. This identification suggests the emergence of this genotype in the country, which warrants further surveillance to identify its epidemic potential.
Assuntos
Vírus da Dengue , Dengue , Humanos , Dengue/epidemiologia , Sorogrupo , Filogenia , Colômbia/epidemiologia , GenótipoRESUMO
Beginning in 2022, Nuevo Leon, Mexico, experienced an outbreak of rickettsioses that is still ongoing despite multidisciplinary control efforts. A total of 57 cases have been confirmed, particularly affecting children. We report a high mortality rate among hospitalized persons in Nuevo Leon. Continuing efforts are required to control the outbreak.
Assuntos
Surtos de Doenças , Infecções por Rickettsia , Criança , Humanos , México/epidemiologiaRESUMO
We report an acute Chagas disease outbreak among soldiers in Colombia. Trypanosoma cruzi infection was confirmed through parasitology, serology, and molecular methods. Among 9 affected soldiers, 2 died; 7 were hospitalized and received benznidazole treatment, which produced favorable outcomes. Personnel patrolling rural areas in Colombia could be at increased risk for Chagas disease.
Assuntos
Doença de Chagas , Militares , Humanos , Colômbia/epidemiologia , Doença de Chagas/tratamento farmacológico , Doença de Chagas/epidemiologia , Surtos de DoençasRESUMO
A new phlebovirus variant was isolated from an acute febrile patient in Chanchamayo, Peru. Genome characterization and p-distance analyses based on complete open reading frames revealed that the virus is probably a natural reassortant of the Echarate virus (large and small segments) with a yet-unidentified phlebovirus (M segment).