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Volume 32, Number 2—February 2026

Research

Pulmonary Complications in Fatal Yellow Fever, Brazil, 2017–2019

Amaro N. Duarte-NetoComments to Author , Katia C. Dantas, Suzette C. Ferreira, Fernando R. Giugni, Marielton P. Cunha, Shahab Z. Pour, Felipe L. Ledesma, Yeh-Li Ho, Ana C.S. Nastri, Cinthya S.C. Borges, Fernanda A. Rodrigues, Ceila M.S. Malaque, Jaques Sztajnbok, Thais Mauad, Luiz F.F. Silva, Paulo H.N. Saldiva, and Marisa Dolhnikoff
Author affiliation: Universidade de São Paulo, São Paulo, São Paulo, Brazil (A.N. Duarte-Neto, K.C. Dantas, F.R. Giugni, M.P. Cunha, S.Z. Pour, F.L. Ledesma, Y.-L. Ho, A.C.S. Nastri, F.A. Rodrigues, T. Mauad, L.F.F. Silva, P.H.N. Saldiva, M. Dolhnikoff); Fundação Pró-Sangue Hemocentro de São Paulo, São Paulo (S.C. Ferreira); Instituto Adolfo Lutz, São Paulo (C.S.C. Borges); Instituto de Infectologia Emílio Ribas, São Paulo (C.M.S. Malaque, J. Sztajnbok).

Main Article

Table 3

Characteristics of yellow fever cases with bacterial infections in the lung, Brazil, 2017–2019*

Pathogen GenBank accession no. YFV type Gram stain
Enhydrobacter aerosaccus MN436791 Sylvatic Negative
MN439924 Sylvatic Negative
MN44786 Sylvatic Negative
MN447222 Sylvatic Negative
MN447318 Sylvatic Negative
MN447732 Sylvatic Negative
MN431431 Sylvatic Negative
MN441757 Negative Negative
MN44855 Sylvatic Negative
MN445607 Vaccinal Negative
MN447234 Sylvatic Negative
MN447305 Sylvatic Negative

MN447407
Sylvatic
Negative
Klebsiella pneumoniae MN437654 Sylvatic Negative
MN44823 Sylvatic Negative
MN447127 Sylvatic Negative
MN526933 Sylvatic Negative
MN447416 Sylvatic Negative
MN447588 Sylvatic Negative
MN447652 Sylvatic Negative
MN447666 Sylvatic Negative

MN442076
Vaccinal
Negative
Acinetobacter baumannii MN428414 Sylvatic Negative
MN435153 Sylvatic Negative
MN431185 Sylvatic Negative
MN447636 Sylvatic Negative
Acinetobacter sp.
MN445371
Sylvatic
Negative
Pseudomonas aeruginosa MN429315 Sylvatic Negative
P. baetica MN447128 Sylvatic Negative

MN447668
Sylvatic
Negative
Escherichia coli MN436844 Sylvatic Negative

MN437322
Sylvatic
Negative
Mycoplasma salivarium MN447214 Sylvatic
M. orale
MN447304
Sylvatic

Moraxella osloensis MN445979 Vaccinal Negative

MN437656
Sylvatic
Negative
Streptococcus pneumoniae
MN431202
Sylvatic
Positive
Serratia marcescens
MN431240
Sylvatic
Negative
Cronobacter dublinensis
MN431459
Sylvatic
Negative
Simiduia agarivorans
MN447394
Sylvatic
Negative
Enterobacter asburiae MN430860 Sylvatic Negative

*A total of 42 bacterial infections represented 56.75% of study cases. YFV, yellow fever virus.

Main Article

Page created: January 20, 2026
Page updated: February 15, 2026
Page reviewed: February 15, 2026
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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