Mayaro fever in the city of Manaus, Brazil, 2007-2008
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Published on: January 27, 2019
Maria Paula Gomes Mourão1, Michele de Souza Bastos, Regina Pinto de Figueiredo
1Fundação de Medicina Tropical Dr. Heitor Viera Dourado (FMT-HVD), Virology Department, Manaus, Amazonas, Brazil. mariapaula.mourao@gmail.com
Abstract:
Mayaro Alphavirus is an arbovirus that causes outbreaks of acute febrile illness in the Amazon region of South America. We show here the cases of Mayaro fever that occurred in 2007-2008, in Manaus, a large city and capital of the Amazonas State, in Western Brazilian Amazon. IgM antibodies to Mayaro virus (MAYV) were detected by an enzyme immunoassay using infected cell cultures as antigen in the sera of 33 patients from both genera and 6-65 years old. MAYV genome was also detected by RT-PCR in the blood of 1/33 of these patients. The patients presented mainly with headache, arthralgia, myalgia, ocular pain, and rash. These cases of Mayaro fever are likely to represent the tip of an iceberg, and probably a much greater number of cases occurred in Manaus in the study period.
Insights
Mayaro virus (MAYV) caused acute febrile illness outbreaks in Manaus, Brazil. Researchers detected MAYV antibodies and genome in patients, indicating a significant underreported disease burden.
Area of Science:
- Arbovirology
- Infectious Diseases
- Public Health
Background:
- Mayaro Alphavirus (MAYV) is an arbovirus responsible for acute febrile illness outbreaks in South America.
- The Amazon region, particularly the Brazilian Amazon, is endemic for arboviral diseases.
Purpose of the Study:
- To investigate Mayaro fever cases in Manaus, Amazonas, Brazil, during 2007-2008.
- To characterize clinical manifestations and confirm Mayaro virus infection in affected individuals.
Main Methods:
- Sera from 33 patients with suspected Mayaro fever were tested for IgM antibodies against MAYV using enzyme immunoassay.
- Reverse transcription-polymerase chain reaction (RT-PCR) was employed to detect the MAYV genome in patient blood samples.
Main Results:
- IgM antibodies to MAYV were detected in 33 patients, aged 6-65 years.
- The MAYV genome was identified in one of the 33 patients via RT-PCR.
- Common symptoms included headache, arthralgia, myalgia, ocular pain, and rash.
Conclusions:
- The study confirms the occurrence of Mayaro fever in Manaus, Brazil.
- The findings suggest that the reported cases represent a fraction of the actual Mayaro fever burden in the region.
- Enhanced surveillance and diagnostic efforts are crucial for understanding the epidemiology of MAYV in urban settings.
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