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Published on: October 30, 2021
Mayaro virus: imported cases of human infection in São Paulo State, Brazil
Terezinha Lisieux M Coimbra1, Cecília L S Santos, Akemi Suzuki
1Seção de Vírus Transmitidos por Artrópodos, Instituto Adolfo Lutz, São Paulo, SP, Brasil. licoimbra@ial.sp.gov.br
Abstract:
Mayaro virus (MAYV) is an arbovirus (Togaviridae: Alphavirus) enzootic in tropical South America and maintained in a sylvan cycle involving wild vertebrates and Haemagogus mosquitoes. MAYV cases occur sporadically in persons with a history of recent activities inside or around forests. This paper reports three cases of MAYV fever detected in men infected in Camapuã, MS, Brazil. Serum samples collected at four days and two months after the onset of the symptoms and examined by hemagglutination inhibition test, revealed monotypic seroconversion to MAYV. Isolation of the virus was obtained from one of the samples by inoculation of the first blood samples into newborn mice. A suspension of the infected mouse brain was inoculated into C6/36 cells culture and the virus was identified by indirect immunofluorescent assay with alphavirus polyclonal antibodies. RT-PCR, performed with RNA extracted from the supernatant of C6/36 infected cells in the presence of alphavirus generic primers as well as specific MAYV primers, confirmed these results. The reported cases illustrate the importance of laboratory confirmation in establishing a correct diagnosis. Clinical symptoms are not always indicative of a disease caused by an arbovirus. Also MAYV causes febrile illness, which may be mistaken for dengue.
Insights
Mayaro virus (MAYV) causes febrile illness in Brazil. Laboratory confirmation is crucial as symptoms can mimic dengue, highlighting the need for accurate arbovirus diagnosis.
Area of Science:
- Arbovirology
- Medical Entomology
- Tropical Medicine
Background:
- Mayaro virus (MAYV), an Alphavirus, circulates in South American forests via wild vertebrates and Haemagogus mosquitoes.
- MAYV infections typically occur sporadically in individuals with forest exposure.
Observation:
- Three male cases of MAYV fever were identified in Camapuã, MS, Brazil.
- Serum analysis showed monotypic seroconversion to MAYV, confirmed by hemagglutination inhibition tests.
- Virus isolation from blood samples and subsequent identification via cell culture and RT-PCR confirmed MAYV infection.
Findings:
- Laboratory confirmation is essential for diagnosing MAYV infections.
- MAYV-induced febrile illness can present with symptoms similar to other arboviruses, such as dengue.
- This study confirms MAYV circulation and infection in humans in the Camapuã region of Brazil.
Implications:
- Highlights the importance of diagnostic vigilance for arboviral diseases in endemic areas.
- Emphasizes the need for differential diagnosis between MAYV and other febrile illnesses like dengue.
- Underscores the role of laboratory diagnostics in public health surveillance of emerging infectious diseases.
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