Volume 21, Number 5—May 2015
Dispatch
Low-level Circulation of Enterovirus D68–Associated Acute Respiratory Infections, Germany, 2014
Figure 2

Figure 2. Phylogenetic analysis of selected enterovirus D68 (EV-D68) strains based on nucleotide sequences of A) partial viral protein (VP) 4/VP2 region (357 nt) corresponding to nt 733–1089 in the Fermon strain (GenBank accession no. AY426531); and B) partial VP1 region (339 nt) corresponding to nt 2521–2859 in the Fermon strain. Trees were constructed by using maximum-likelihood estimation (Tamura 3-parameter with 5 gamma distributed rates among sites) with 1,000 replicates through MEGA 5.2 (http://www.megasoftware.net/). The Fermon strain was used as an outgroup. Reference sequences were selected from the United States, countries in Europe, and other regions, mainly during 2005–2014. Selected reference sequences are not identical in both trees because complementary VP1 and VP4/VP2 sequence data are not available for all reference viruses. Major groups 1, 2, and 3 are shown as described by Meijer et al. (13,14). Only bootstrap values >65% are shown at branch nodes. EV-D68 strains from Germany are indicated in bold. Scale bar indicate nucleotide substitutions per site. Some parts of the trees are collapsed. For an expanded version of , sees the Technical Appendix.
References
- Schieble JH, Fox VL, Lennette EH. A probable new human picornavirus associated with respiratory diseases. Am J Epidemiol. 1967;85:297–310 .PubMedGoogle Scholar
- Imamura T, Fuji N, Suzuki A, Tamaki R, Saito M, Aniceto R, Enterovirus 68 among children with severe acute respiratory infection, the Philippines. Emerg Infect Dis. 2011;17:1430–5 .PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Clusters of acute respiratory illness associated with human enterovirus 68–Asia, Europe, and United States, 2008–2010. MMWR Morb Mortal Wkly Rep. 2011;60:1301–4 .PubMedGoogle Scholar
- Rahamat-Langendoen J, Riezebos-Brilman A, Borger R, van der Heide R, Brandenburg A, Scholvinck E, Upsurge of human enterovirus 68 infections in patients with severe respiratory tract infections. J Clin Virol. 2011;52:103–6. DOIPubMedGoogle Scholar
- Lauinger IL, Bible JM, Halligan EP, Aarons EJ, MacMahon E, Tong CY. Lineages, sub-lineages and variants of enterovirus 68 in recent outbreaks. PLoS ONE. 2012;7:e36005. DOIPubMedGoogle Scholar
- Midgley CM, Jackson MA, Selvarangan R, Turabelidze G, Obringer E, Johnson D, Severe respiratory illness associated with enterovirus D68—Missouri and Illinois, 2014. MMWR Morb Mortal Wkly Rep. 2014;63:798–9 .PubMedGoogle Scholar
- National Collaborating Centre for Infectious Diseases. Disease debrief: EV-D68 [cited 2014 Nov 5]. http://www.nccid.ca/disease-debrief-ev-d68#Q1
- Centers for Disease Control and Prevention. Enterovirus D68 in the United States, 2014 [cited 2014 Nov 13]. http://www.cdc.gov/non-polio-enterovirus/outbreaks/EV-D68-outbreaks.html
- European Centre for Disease Prevention and Control. Rapid risk assessment: enterovirus 68 detected in the USA, Canada and Europe, second update [cited 2014 Nov 24]. http://www.ecdc.europa.eu/en/publications/Publications/Enterovirus-68-detected-in-the-USA-Canada-Europe-second-update-25-November-2014.pdf
- Lang M, Mirand A, Savy N, Henquell C, Maridet S, Perignon R, Acute flaccid paralysis following enterovirus D68 associated pneumonia, France, 2014. Euro Surveill. 2014;19:20952 .PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Notes from the field: acute flaccid myelitis among persons aged ≤21 years—United States, August 1–November 13, 2014. MMWR Morb Mortal Wkly Rep. 2015;63:1243–4 .PubMedGoogle Scholar
- Poelman R, Scholvinck EH, Borger R, Niesters HG, van Leer-Buter C. The emergence of enterovirus D68 in a Dutch University Medical Center and the necessity for routinely screening for respiratory viruses. J Clin Virol. 2015;62:1–5. DOIPubMedGoogle Scholar
- Meijer A, van der Sanden S, Snijders BE, Jaramillo-Gutierrez G, Bont L, van der Ent CK, Emergence and epidemic occurrence of enterovirus 68 respiratory infections in The Netherlands in 2010. Virology. 2012;423:49–57 . DOIPubMedGoogle Scholar
- Meijer A, Benschop K, Donker G, van der Avoort H. Continued seasonal circulation of enterovirus D68 in the Netherlands, 2011–2014. Euro Surveill. 2014;19:20935 .PubMedGoogle Scholar