Volume 18, Number 4—April 2012
Dispatch
Cosavirus Infection in Persons with and without Gastroenteritis, Brazil
Table 1
Cohort no. | Cohort description† | Sampling site‡ | Sampling time | Participant age, mo, mean (SD) | No. participants | No. (%) RT-PCR positive§ | Virus concentration, log10 RNA copies/g feces, mean (SD)¶ |
---|---|---|---|---|---|---|---|
1 | HIV-infected adults with gastroenteritis | Infectious Diseases HIV Outpatient Department | 2007 Mar–2010 Mar | 487.6 (114.4) | 105 | 1 (1.0) | 4.43 |
2 | HIV-infected adults without gastroenteritis | 2007 Mar–2010 Mar | 533.8 (115.9) | 49 | 0 | – | |
3 | Children with gastroenteritis | Department of Pediatrics Metabolic Unit# | 2006 Feb–2007 Sep | 19.0 (15.6) | 359 | 13 (3.6) | 3.40 (0.93) |
4 | Control children without gastroenteritis | Community child-care center** | 2008 Dec | 29.6 (13.1) | 132 | 65 (49.2) | 2.97 (0.97) |
5 | Control children without gastroenteritis | Community child-care center** | 2011 Nov–2011 Dec | 14.3 (5.5) | 62 | 4 (6.5) | 3.41 (0.49) |
6 | Control children without gastroenteritis | University child-care center** | 2011 Oct–2011 Nov | 18.6 (4.2) | 10 | 0 | – |
Total | 717 | 83 (11.6) |
*RT-PCR, reverse transcription PCR; –, no virus obtained.
†Gastroenteritis was defined as acute diarrhea with >3 watery stools in the previous 24 h and within 13 d before hospital admission.
‡All hospital units were located within the Hospital Professor Edgard Santos, Federal University of Bahia. All sites were located in Salvador, Bahia, in northeastern Brazil.
§Samples only considered if positive in nested RT-PCR as in (3) and in strain-specific real-time RT-PCR.
¶Measured by strain-specific RT-PCR.
#Reports of diarrhea in the preceding 2 wk served as an exclusion factor.
**Written consent was obtained from adult family members.
References
- Li L, Victoria J, Kapoor A, Blinkova O, Wang C, Babrzadeh F, A novel picornavirus associated with gastroenteritis. J Virol. 2009;83:12002–6. DOIPubMedGoogle Scholar
- Greninger AL, Runckel C, Chiu CY, Haggerty T, Parsonnet J, Ganem D, The complete genome of klassevirus—a novel picornavirus in pediatric stool. Virol J. 2009;6:82. DOIPubMedGoogle Scholar
- Kapoor A, Victoria J, Simmonds P, Slikas E, Chieochansin T, Naeem A, A highly prevalent and genetically diversified Picornaviridae genus in South Asian children. Proc Natl Acad Sci U S A. 2008;105:20482–7. DOIPubMedGoogle Scholar
- Blinkova O, Rosario K, Li L, Kapoor A, Slikas B, Bernardin F, Frequent detection of highly diverse variants of cardiovirus, cosavirus, bocavirus, and circovirus in sewage samples collected in the United States. J Clin Microbiol. 2009;47:3507–13. DOIPubMedGoogle Scholar
- Holtz LR, Finkbeiner SR, Kirkwood CD, Wang D. Identification of a novel picornavirus related to cosaviruses in a child with acute diarrhea. Virol J. 2008;5:159. DOIPubMedGoogle Scholar
- Dai XQ, Hua XG, Shan TL, Delwart E, Zhao W. Human cosavirus infections in children in China. J Clin Virol. 2010;48:228–9. DOIPubMedGoogle Scholar
- Drexler JF, Baumgarte S, Luna LK, Stöcker A, Almeida PS, Ribeiro TC, Genomic features and evolutionary constraints in Saffold-like cardioviruses. J Gen Virol. 2010;91:1418–27. DOIPubMedGoogle Scholar
- Baumgarte S, de Souza Luna LK, Grywna K, Panning M, Drexler JF, Karsten C, Prevalence, types, and RNA concentrations of human parechoviruses, including a sixth parechovirus type, in stool samples from patients with acute enteritis. J Clin Microbiol. 2008;46:242–8. DOIPubMedGoogle Scholar
- Bishop RF. Natural history of human rotavirus infection. Arch Virol Suppl. 1996;12:119–28.PubMedGoogle Scholar
- Drexler JF, Luna LK, Stocker A, Almeida PS, Ribeiro TC, Petersen N, Circulation of 3 lineages of a novel Saffold cardiovirus in humans. Emerg Infect Dis. 2008;14:1398–405. DOIPubMedGoogle Scholar
- Drexler JF, Baumgarte S, de Souza Luna LK, Eschbach-Bludau M, Lukashev AN, Drosten C. Aichi virus shedding in high concentrations in patients with acute diarrhea. Emerg Infect Dis. 2011;17:1544–8.PubMedGoogle Scholar
- Henke-Gendo C, Harste G, Juergens-Saathoff B, Mattner F, Deppe H, Heim A. New real-time PCR detects prolonged norovirus excretion in highly immunosuppressed patients and children. J Clin Microbiol. 2009;47:2855–62. DOIPubMedGoogle Scholar
- Anderson EJ. Rotavirus vaccines: viral shedding and risk of transmission. Lancet Infect Dis. 2008;8:642–9. DOIPubMedGoogle Scholar
- Laassri M, Lottenbach K, Belshe R, Wolff M, Rennels M, Plotkin S, Effect of different vaccination schedules on excretion of oral poliovirus vaccine strains. J Infect Dis. 2005;192:2092–8. DOIPubMedGoogle Scholar
- Yotsuyanagi H, Koike K, Yasuda K, Moriya K, Shintani Y, Fujie H, Prolonged fecal excretion of hepatitis A virus in adult patients with hepatitis A as determined by polymerase chain reaction. Hepatology. 1996;24:10–3. DOIPubMedGoogle Scholar
1These authors contributed equally to this article.
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