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Provedor de dados:  BJID
País:  Brazil
Título:  Description of a widespread outbreak of aseptic meningitis due to echovirus 30 in Rio de Janeiro state, Brazil
Autores:  Pinto Junior,Vitor Laerte
Rebelo,Maria Cristina
Costa,Eliane Veiga da
Silva,Edson Elias da
Bóia,Márcio Neves
Data:  2009-10-01
Ano:  2009
Palavras-chave:  Aseptic meningitis
Enterovirus
Echoviruses
Cerebrospinal fluid
Resumo:  Echovirus 30 belongs to the genus Enterovirus and is widely associated with aseptic meningitis (AM) outbreaks. In Brazil epidemics due to this serotype were reported in several states but in Rio de Janeiro, before this study, it was only involved in sporadic episodes. We retrospectively collected data from AM notifications charts and enterovirus isolation database from Rio de Janeiro State Health Department (RJSHD) and Enterovirus Reference Laboratory in the year of 2005. An outbreak of AM was detected during March, April and May associated with a high cell culture isolation rate for echovirus 30 (17.4%). Male children with ages varying from 1 to 9 years were more affected. Of the 22 patients with confirmed echovirus 30 disease, clinical information was available in eight; fever, headache and vomiting were the most common manifestations. CSF analysis showed a typical pattern of viral infection with median of cellularity of 100 cells/mm³ and mononuclear cell predominance in 64.7% of the cases. The median of protein and glucose levels of 49 mg/dL and 56.5 mg/dL. The fatality rate was null. Despite its benign course and the lack of treatment options, aseptic meningitis surveillance is crucial for early identification of causative agents of outbreaks, which helps to avoid additional testing and inappropriate use of antimicrobials.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702009000500011
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702009000500011
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.13 n.5 2009
Direitos:  info:eu-repo/semantics/openAccess
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