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Published on: July 24, 2016
Coxsackieviral infections involved in aseptic meningitis: a study in Slovakia from 2005 to 2009
M Sojka1, L Wsolova, A Petrovičova
1Department of Virology, Slovak Medical University, Bratislava, Slovakia. martin.sojka1@gmail.com
Abstract:
A wide range of diseases is associated with enteroviruses.They are reported to be responsible for viral meningitis, especially in children, but also in adults.This study analysed infection with eight selected coxsackievirus serotypes as the cause of aseptic meningitis in 480 patients in Slovakia from 2005 to 2009,using a quantitative assay for the detection of intrathecal antibodies. Intrathecal production of antibodies against selected coxsackieviruses was proved in 21%of these patients. A significant decrease from 35% in 2005 to 8,5% in 2009 (p=0.004) in the proportion of patients with proven intrathecal production of virus specific antibodies was observed during the study period. We conclude that coxsackievirus B4 was the endemic serotype in Slovakia and was responsible for most cases of coxsackieviral meningitis in the study period.
Insights
Enteroviruses cause viral meningitis. This study found coxsackievirus B4 was the main cause of aseptic meningitis in Slovakia between 2005-2009, with a significant decrease in cases over time.
Area of Science:
- Virology
- Epidemiology
- Immunology
Background:
- Enteroviruses are linked to numerous diseases, notably viral meningitis in children and adults.
- Aseptic meningitis can be caused by various enterovirus serotypes, necessitating specific etiological identification.
Purpose of the Study:
- To investigate the role of eight coxsackievirus serotypes in aseptic meningitis cases in Slovakia.
- To analyze trends in intrathecal antibody production against coxsackieviruses from 2005 to 2009.
Main Methods:
- Analysis of 480 patients diagnosed with aseptic meningitis in Slovakia (2005-2009).
- Utilized a quantitative assay to detect intrathecal antibodies specific to selected coxsackievirus serotypes.
Main Results:
- Intrathecal antibody production against coxsackieviruses was confirmed in 21% of the analyzed patients.
- A statistically significant decline in proven intrathecal antibody production was observed, decreasing from 35% in 2005 to 8.5% in 2009 (p=0.004).
- Coxsackievirus B4 was identified as the predominant endemic serotype responsible for most coxsackieviral meningitis cases during the study period.
Conclusions:
- Coxsackievirus B4 was the endemic serotype causing aseptic meningitis in Slovakia from 2005 to 2009.
- The study observed a significant decreasing trend in coxsackieviral meningitis cases over the five-year period.
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