TY - JOUR AU - Vora, Gary AU - Lin, Baochuan AU - Gratwick, Kevin AU - Meador, Carolyn AU - Hansen, Christian AU - Tibbetts, Clark AU - Stenger, David AU - Irvine, Marina AU - Seto, Donald AU - Purkayastha, Anjan AU - Freed, Nikki AU - Gibson, Marylou AU - Russell, Kevin AU - Metzgar, David T1 - Co-infections of Adenovirus Species in Previously Vaccinated Patients T2 - Emerging Infectious Disease journal PY - 2006 VL - 12 IS - 6 SP - 921 SN - 1080-6059 AB - Despite the success of the adenovirus vaccine administered to US military trainees, acute respiratory disease (ARD) surveillance still detected breakthrough infections (respiratory illnesses associated with the adenovirus serotypes specifically targeted by the vaccine). To explore the role of adenoviral co-infection (simultaneous infection by multiple pathogenic adenovirus species) in breakthrough disease, we examined specimens from patients with ARD by using 3 methods to detect multiple adenoviral species: a DNA microarray, a polymerase chain reaction­ (PCR)–enzyme-linked immunosorbent assay, and a multiplex PCR assay. Analysis of 52 samples (21 vaccinated, 31 unvaccinated) collected from 1996 to 2000 showed that all vaccinated samples had co-infections. Most of these co-infections were community-acquired serotypes of species B1 and E. Unvaccinated samples primarily contained only 1 species (species E) associated with adult respiratory illness. This study highlights the rarely reported phenomenon of adenoviral co-infections in a clinically relevant environment suitable for the generation of new recombinational variants. KW - Adenovirus KW - coinfection KW - microarray KW - respiratory infection KW - molecular diagnostics KW - research KW - United States DO - 10.3201/eid1206.050245 UR - https://wwwnc.cdc.gov/eid/article/12/6/05-0245_article ER - End of Reference