The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series

Autores
Dias, Tamiris T.; Tauro, Laura Beatriz; Macêdo, Lara E. N.; Brito, Liz O.; Ribeiro, Victor H. O.; Santos, Cleiton S.; Jacob-Nascimento, Leile C.; Vilas-Boas, Letícia S.; Amado, Caio; Barbosa, Paula S.; Reis, Joice N.; Soares Campos, Gubio; Ribeiro, Guilherme S.; Siqueira, Isadora C.; Silva, Luciano K.; Reis, Mitermayer G.
Año de publicación
2022
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Recently, different arboviruses became endemic in Brazil mostlycausing acute febrile illnesses, however, neurological manifestations have alsobeen reported. This study aimed to investigate which viruses were involved inthe meningitis etiology and the contribution of the circulating arboviruses inSalvador, Bahia, Brazil.Methods: From June 2014 to February 2016, 170 patients with suspected viralmeningitis were identified in Couto Maia Hospital, Salvador-BA, Brazil. TheirCSF samples were investigated for possible viral etiology by reversetranscription-PCR (RT-PCR) for different arboviruses: DENV, ZIKV and CHIKV;and for the EV; and by PCR for the HHV1-5 complex (HSV1-2, VZV, EBV andCMV). Also, ELISA was carried out in a subgroup of remaining samples fordetection of DENV IgM and NS1 antigen, CHIKV IgM and ZIKV IgM.Results: Thirty-seven patients were PCR or ELISA positive for at least one of thestudied viruses (overall positivity 21.8%). EV was the agent most frequentlydetected (10 cases; 27.0%), along with all four DENV serotypes (10 cases;27.0%); followed by CHIKV (6 cases; 16.2%), ZIKV (6 cases; 16.2%), and Varicellazoster virus (VZV) (1 case; 2.7%). Four cases (10.8%) presented viral co-infectiondetected: DENV1 + CHIKV, DENV1 + EV, DENV4 + ZIKV, and CHIKV + ZIKV.Arboviruses (DENV, CHIKV and ZIKV) accounted for the great majority of cases(26 cases; 70.3%) of all single and co-infections: DENV has been the mostfrequently detected arbovirus (13 cases; 35.1%). Among non-arboviralmeningitis,the most common etiology was the EV (11 cases; 29.7%).Conclusions: Arboviruses accounted for the majority of identified virusesamong patients with suspected viral meningitis. In areas where they areendemic it is crucial to increase viral surveillance and consider them in thedifferential diagnosis of meningitis.
Fil: Dias, Tamiris T.. Fundación Oswaldo Cruz; Brasil
Fil: Tauro, Laura Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; Argentina
Fil: Macêdo, Lara E. N.. Fundación Oswaldo Cruz; Brasil
Fil: Brito, Liz O.. Fundación Oswaldo Cruz; Brasil
Fil: Ribeiro, Victor H. O.. Fundación Oswaldo Cruz; Brasil
Fil: Santos, Cleiton S.. Fundación Oswaldo Cruz; Brasil
Fil: Jacob-Nascimento, Leile C.. Fundación Oswaldo Cruz; Brasil
Fil: Vilas-Boas, Letícia S.. Fundación Oswaldo Cruz; Brasil
Fil: Amado, Caio. Fundación Oswaldo Cruz; Brasil
Fil: Barbosa, Paula S.. Fundación Oswaldo Cruz; Brasil
Fil: Reis, Joice N.. Fundación Oswaldo Cruz; Brasil
Fil: Soares Campos, Gubio. Fundación Oswaldo Cruz; Brasil
Fil: Ribeiro, Guilherme S.. Fundación Oswaldo Cruz; Brasil
Fil: Siqueira, Isadora C.. Fundación Oswaldo Cruz; Brasil
Fil: Silva, Luciano K.. Fundación Oswaldo Cruz; Brasil
Fil: Reis, Mitermayer G.. Fundación Oswaldo Cruz; Brasil
Materia
ARBOVIRUS
BRAZIL
TROPICAL DISEASES
EPIDEMIOLOGY
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/214356

id CONICETDig_73bf3bebbfded863978e5d56e01332ee
oai_identifier_str oai:ri.conicet.gov.ar:11336/214356
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case seriesDias, Tamiris T.Tauro, Laura BeatrizMacêdo, Lara E. N.Brito, Liz O.Ribeiro, Victor H. O.Santos, Cleiton S.Jacob-Nascimento, Leile C.Vilas-Boas, Letícia S.Amado, CaioBarbosa, Paula S.Reis, Joice N.Soares Campos, GubioRibeiro, Guilherme S.Siqueira, Isadora C.Silva, Luciano K.Reis, Mitermayer G.ARBOVIRUSBRAZILTROPICAL DISEASESEPIDEMIOLOGYhttps://purl.org/becyt/ford/1.6https://purl.org/becyt/ford/1Background: Recently, different arboviruses became endemic in Brazil mostlycausing acute febrile illnesses, however, neurological manifestations have alsobeen reported. This study aimed to investigate which viruses were involved inthe meningitis etiology and the contribution of the circulating arboviruses inSalvador, Bahia, Brazil.Methods: From June 2014 to February 2016, 170 patients with suspected viralmeningitis were identified in Couto Maia Hospital, Salvador-BA, Brazil. TheirCSF samples were investigated for possible viral etiology by reversetranscription-PCR (RT-PCR) for different arboviruses: DENV, ZIKV and CHIKV;and for the EV; and by PCR for the HHV1-5 complex (HSV1-2, VZV, EBV andCMV). Also, ELISA was carried out in a subgroup of remaining samples fordetection of DENV IgM and NS1 antigen, CHIKV IgM and ZIKV IgM.Results: Thirty-seven patients were PCR or ELISA positive for at least one of thestudied viruses (overall positivity 21.8%). EV was the agent most frequentlydetected (10 cases; 27.0%), along with all four DENV serotypes (10 cases;27.0%); followed by CHIKV (6 cases; 16.2%), ZIKV (6 cases; 16.2%), and Varicellazoster virus (VZV) (1 case; 2.7%). Four cases (10.8%) presented viral co-infectiondetected: DENV1 + CHIKV, DENV1 + EV, DENV4 + ZIKV, and CHIKV + ZIKV.Arboviruses (DENV, CHIKV and ZIKV) accounted for the great majority of cases(26 cases; 70.3%) of all single and co-infections: DENV has been the mostfrequently detected arbovirus (13 cases; 35.1%). Among non-arboviralmeningitis,the most common etiology was the EV (11 cases; 29.7%).Conclusions: Arboviruses accounted for the majority of identified virusesamong patients with suspected viral meningitis. In areas where they areendemic it is crucial to increase viral surveillance and consider them in thedifferential diagnosis of meningitis.Fil: Dias, Tamiris T.. Fundación Oswaldo Cruz; BrasilFil: Tauro, Laura Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; ArgentinaFil: Macêdo, Lara E. N.. Fundación Oswaldo Cruz; BrasilFil: Brito, Liz O.. Fundación Oswaldo Cruz; BrasilFil: Ribeiro, Victor H. O.. Fundación Oswaldo Cruz; BrasilFil: Santos, Cleiton S.. Fundación Oswaldo Cruz; BrasilFil: Jacob-Nascimento, Leile C.. Fundación Oswaldo Cruz; BrasilFil: Vilas-Boas, Letícia S.. Fundación Oswaldo Cruz; BrasilFil: Amado, Caio. Fundación Oswaldo Cruz; BrasilFil: Barbosa, Paula S.. Fundación Oswaldo Cruz; BrasilFil: Reis, Joice N.. Fundación Oswaldo Cruz; BrasilFil: Soares Campos, Gubio. Fundación Oswaldo Cruz; BrasilFil: Ribeiro, Guilherme S.. Fundación Oswaldo Cruz; BrasilFil: Siqueira, Isadora C.. Fundación Oswaldo Cruz; BrasilFil: Silva, Luciano K.. Fundación Oswaldo Cruz; BrasilFil: Reis, Mitermayer G.. Fundación Oswaldo Cruz; BrasilFrontiers Media2022-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/214356Dias, Tamiris T.; Tauro, Laura Beatriz; Macêdo, Lara E. N.; Brito, Liz O.; Ribeiro, Victor H. O.; et al.; The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series; Frontiers Media; Frontiers in Tropical Diseases; 3; 11-2022; 1-92673-7515CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fitd.2022.1023588/fullinfo:eu-repo/semantics/altIdentifier/doi/10.3389/fitd.2022.1023588info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:49:03Zoai:ri.conicet.gov.ar:11336/214356instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:49:03.956CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
title The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
spellingShingle The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
Dias, Tamiris T.
ARBOVIRUS
BRAZIL
TROPICAL DISEASES
EPIDEMIOLOGY
title_short The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
title_full The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
title_fullStr The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
title_full_unstemmed The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
title_sort The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series
dc.creator.none.fl_str_mv Dias, Tamiris T.
Tauro, Laura Beatriz
Macêdo, Lara E. N.
Brito, Liz O.
Ribeiro, Victor H. O.
Santos, Cleiton S.
Jacob-Nascimento, Leile C.
Vilas-Boas, Letícia S.
Amado, Caio
Barbosa, Paula S.
Reis, Joice N.
Soares Campos, Gubio
Ribeiro, Guilherme S.
Siqueira, Isadora C.
Silva, Luciano K.
Reis, Mitermayer G.
author Dias, Tamiris T.
author_facet Dias, Tamiris T.
Tauro, Laura Beatriz
Macêdo, Lara E. N.
Brito, Liz O.
Ribeiro, Victor H. O.
Santos, Cleiton S.
Jacob-Nascimento, Leile C.
Vilas-Boas, Letícia S.
Amado, Caio
Barbosa, Paula S.
Reis, Joice N.
Soares Campos, Gubio
Ribeiro, Guilherme S.
Siqueira, Isadora C.
Silva, Luciano K.
Reis, Mitermayer G.
author_role author
author2 Tauro, Laura Beatriz
Macêdo, Lara E. N.
Brito, Liz O.
Ribeiro, Victor H. O.
Santos, Cleiton S.
Jacob-Nascimento, Leile C.
Vilas-Boas, Letícia S.
Amado, Caio
Barbosa, Paula S.
Reis, Joice N.
Soares Campos, Gubio
Ribeiro, Guilherme S.
Siqueira, Isadora C.
Silva, Luciano K.
Reis, Mitermayer G.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv ARBOVIRUS
BRAZIL
TROPICAL DISEASES
EPIDEMIOLOGY
topic ARBOVIRUS
BRAZIL
TROPICAL DISEASES
EPIDEMIOLOGY
purl_subject.fl_str_mv https://purl.org/becyt/ford/1.6
https://purl.org/becyt/ford/1
dc.description.none.fl_txt_mv Background: Recently, different arboviruses became endemic in Brazil mostlycausing acute febrile illnesses, however, neurological manifestations have alsobeen reported. This study aimed to investigate which viruses were involved inthe meningitis etiology and the contribution of the circulating arboviruses inSalvador, Bahia, Brazil.Methods: From June 2014 to February 2016, 170 patients with suspected viralmeningitis were identified in Couto Maia Hospital, Salvador-BA, Brazil. TheirCSF samples were investigated for possible viral etiology by reversetranscription-PCR (RT-PCR) for different arboviruses: DENV, ZIKV and CHIKV;and for the EV; and by PCR for the HHV1-5 complex (HSV1-2, VZV, EBV andCMV). Also, ELISA was carried out in a subgroup of remaining samples fordetection of DENV IgM and NS1 antigen, CHIKV IgM and ZIKV IgM.Results: Thirty-seven patients were PCR or ELISA positive for at least one of thestudied viruses (overall positivity 21.8%). EV was the agent most frequentlydetected (10 cases; 27.0%), along with all four DENV serotypes (10 cases;27.0%); followed by CHIKV (6 cases; 16.2%), ZIKV (6 cases; 16.2%), and Varicellazoster virus (VZV) (1 case; 2.7%). Four cases (10.8%) presented viral co-infectiondetected: DENV1 + CHIKV, DENV1 + EV, DENV4 + ZIKV, and CHIKV + ZIKV.Arboviruses (DENV, CHIKV and ZIKV) accounted for the great majority of cases(26 cases; 70.3%) of all single and co-infections: DENV has been the mostfrequently detected arbovirus (13 cases; 35.1%). Among non-arboviralmeningitis,the most common etiology was the EV (11 cases; 29.7%).Conclusions: Arboviruses accounted for the majority of identified virusesamong patients with suspected viral meningitis. In areas where they areendemic it is crucial to increase viral surveillance and consider them in thedifferential diagnosis of meningitis.
Fil: Dias, Tamiris T.. Fundación Oswaldo Cruz; Brasil
Fil: Tauro, Laura Beatriz. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; Argentina
Fil: Macêdo, Lara E. N.. Fundación Oswaldo Cruz; Brasil
Fil: Brito, Liz O.. Fundación Oswaldo Cruz; Brasil
Fil: Ribeiro, Victor H. O.. Fundación Oswaldo Cruz; Brasil
Fil: Santos, Cleiton S.. Fundación Oswaldo Cruz; Brasil
Fil: Jacob-Nascimento, Leile C.. Fundación Oswaldo Cruz; Brasil
Fil: Vilas-Boas, Letícia S.. Fundación Oswaldo Cruz; Brasil
Fil: Amado, Caio. Fundación Oswaldo Cruz; Brasil
Fil: Barbosa, Paula S.. Fundación Oswaldo Cruz; Brasil
Fil: Reis, Joice N.. Fundación Oswaldo Cruz; Brasil
Fil: Soares Campos, Gubio. Fundación Oswaldo Cruz; Brasil
Fil: Ribeiro, Guilherme S.. Fundación Oswaldo Cruz; Brasil
Fil: Siqueira, Isadora C.. Fundación Oswaldo Cruz; Brasil
Fil: Silva, Luciano K.. Fundación Oswaldo Cruz; Brasil
Fil: Reis, Mitermayer G.. Fundación Oswaldo Cruz; Brasil
description Background: Recently, different arboviruses became endemic in Brazil mostlycausing acute febrile illnesses, however, neurological manifestations have alsobeen reported. This study aimed to investigate which viruses were involved inthe meningitis etiology and the contribution of the circulating arboviruses inSalvador, Bahia, Brazil.Methods: From June 2014 to February 2016, 170 patients with suspected viralmeningitis were identified in Couto Maia Hospital, Salvador-BA, Brazil. TheirCSF samples were investigated for possible viral etiology by reversetranscription-PCR (RT-PCR) for different arboviruses: DENV, ZIKV and CHIKV;and for the EV; and by PCR for the HHV1-5 complex (HSV1-2, VZV, EBV andCMV). Also, ELISA was carried out in a subgroup of remaining samples fordetection of DENV IgM and NS1 antigen, CHIKV IgM and ZIKV IgM.Results: Thirty-seven patients were PCR or ELISA positive for at least one of thestudied viruses (overall positivity 21.8%). EV was the agent most frequentlydetected (10 cases; 27.0%), along with all four DENV serotypes (10 cases;27.0%); followed by CHIKV (6 cases; 16.2%), ZIKV (6 cases; 16.2%), and Varicellazoster virus (VZV) (1 case; 2.7%). Four cases (10.8%) presented viral co-infectiondetected: DENV1 + CHIKV, DENV1 + EV, DENV4 + ZIKV, and CHIKV + ZIKV.Arboviruses (DENV, CHIKV and ZIKV) accounted for the great majority of cases(26 cases; 70.3%) of all single and co-infections: DENV has been the mostfrequently detected arbovirus (13 cases; 35.1%). Among non-arboviralmeningitis,the most common etiology was the EV (11 cases; 29.7%).Conclusions: Arboviruses accounted for the majority of identified virusesamong patients with suspected viral meningitis. In areas where they areendemic it is crucial to increase viral surveillance and consider them in thedifferential diagnosis of meningitis.
publishDate 2022
dc.date.none.fl_str_mv 2022-11
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/214356
Dias, Tamiris T.; Tauro, Laura Beatriz; Macêdo, Lara E. N.; Brito, Liz O.; Ribeiro, Victor H. O.; et al.; The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series; Frontiers Media; Frontiers in Tropical Diseases; 3; 11-2022; 1-9
2673-7515
CONICET Digital
CONICET
url http://hdl.handle.net/11336/214356
identifier_str_mv Dias, Tamiris T.; Tauro, Laura Beatriz; Macêdo, Lara E. N.; Brito, Liz O.; Ribeiro, Victor H. O.; et al.; The emergence of arboviruses changes the profile of viral meningitis in Salvador, Bahia: A case series; Frontiers Media; Frontiers in Tropical Diseases; 3; 11-2022; 1-9
2673-7515
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.frontiersin.org/articles/10.3389/fitd.2022.1023588/full
info:eu-repo/semantics/altIdentifier/doi/10.3389/fitd.2022.1023588
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1846083012184244224
score 13.22299