Related Experiment Video
Updated: Aug 9, 2026

Intracranial Subarachnoidal Route of Infection for Investigating Roles of Streptococcus suis Biofilms in Meningitis in a Mouse Infection Model
Published on: July 1, 2018
[Etiology of aseptic meningitis prevalent in Xuzhou]
Xian Li1, Xi-ling Guo, Zhi-yang Shi
1Jiangsu Province Center for Disease Control and Prevention, Nanjing 210009, China.
Background:
To find the pathogenic agents of aseptic meningitis prevalent in Xuzhou of Jiangsu province in 2001.
Methods:
The enterovirus (EV) was cultured from CSF of the patients and identified with anti-serum by neutralization test. Neutralization titer of antibody in paired sera from meningitis children was determined. EV RNA was detected by RT-PCR.
Results:
Four strains of Coxsackievirus B5, 2 strains of Coxsackievirus B3 and 1 strain of Echovirus 7 were isolated from 22 CSF specimens. The isolation rate of virus was 31.8% (7/22), 21 CSF were tested by RT-PCR, the positive rate of EV RNA was 52.4% (11/21); 57.9% (11/19) of patients paired-sera had over 4 folds antibody rise or became seroconverted.
Conclusion:
Enterovirus was the pathogenic agent of aseptic meningitis prevalent in Xuzhou of Jiangsu province, the main serotype of the virus was Coxsackievirus B5.
Insights
Enterovirus caused aseptic meningitis in Xuzhou, China, in 2001. Coxsackievirus B5 was the predominant serotype identified in cerebrospinal fluid samples.
Area of Science:
- Virology
- Epidemiology
- Infectious Diseases
Context:
- Aseptic meningitis poses a significant public health challenge.
- Understanding the etiological agents is crucial for effective disease control.
- The prevalence of specific viral serotypes can vary geographically and temporally.
Purpose:
- To identify the causative agents of aseptic meningitis in Xuzhou, Jiangsu Province, during 2001.
- To determine the predominant enterovirus serotypes responsible for these infections.
Summary:
- Enterovirus (EV) was identified as the primary pathogen.
- Coxsackievirus B5 was the most frequently isolated serotype (4 strains), followed by Coxsackievirus B3 (2 strains) and Echovirus 7 (1 strain).
- Viral RNA detection via RT-PCR and antibody analysis in paired sera confirmed EV infection in a significant proportion of cases.
Impact:
- This study highlights the role of enteroviruses, particularly Coxsackievirus B5, in aseptic meningitis outbreaks.
- Findings contribute to the epidemiological surveillance of viral meningitis in the region.
- Informed public health strategies for prevention and management of enteroviral meningitis.
Related Concept Videos
Bacterial Meningitis II: Pathophysiology
Bacterial Meningitis I: Introduction
Viral Meningitis
Bacterial Meningitis
Brain Abscess l: Introduction
Cryptococcal Meningitis