High Dengue Burden and Circulation of 4 Virus Serotypes among Children with Undifferentiated Fever, Kenya, 2014–2017
Melisa M. Shah
, Bryson A. Ndenga, Francis M. Mutuku, David M. Vu, Elysse N. Grossi-Soyster, Victoria Okuta, Charles O. Ronga, Philip K. Chebii, Priscilla Maina, Zainab Jembe, Carren M. Bosire, Jael S. Amugongo, Malaya K. Sahoo, ChunHong Huang, Jenna Weber, Sean V. Edgerton, Jimmy Hortion, Shannon N. Bennett, Benjamin A. Pinsky, and A. Desiree LaBeaud
Author affiliations: Stanford University School of Medicine, Stanford, California, USA (M.M. Shah, D.M. Vu, E.N. Grossi-Soyster, M.K. Sahoo, C. Huang, J. Weber, J. Hortion, B.A. Pinsky, A.D. LaBeaud); Kenya Medical Research Institute, Kisumu, Kenya (B.A. Ndenga, V. Okuta, C.O. Ronga); Technical University of Mombasa, Mombasa, Kenya (F.M. Mutuku, C.M. Bosire, J.S. Amugongo); Msambweni County Referral Hospital, Msambweni, Kenya (P.K. Chebii, P. Maina); Diani Health Center, Ukunda, Kenya (Z. Jembe); California Academy of Sciences, San Francisco, California, USA (S.V. Edgerton, S.N. Bennett); École Normale Supérieure de Lyon, Lyon, France (J. Hortion)
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Figure 7
Figure 7. Maximum-likelihood phylogenetic tree for DENV-4 sequences from children with undifferentiated fever in Kenya, 2014–2017 (red), and reference sequences from other locations in Africa (blue) and elsewhere. Numbers at nodes represent bootstrap support values based on maximum-likelihood replicates. Genotypes are indicated at right. Scale bar indicates nucleotide substitutions per site. DENV, dengue virus.
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