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Updated: May 18, 2026

Particle Agglutination Method for Poliovirus Identification
Published on: April 20, 2011
Molecular identification of enteroviruses associated with aseptic meningitis in children from India
Arvind Kumar1, Deepti Shukla, Rashmi Kumar
1Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226014 Uttar Pradesh, India.
Abstract:
We identified and characterized enteroviruses associated with aseptic meningitis in children between April 2009 and March 2010. Enterovirus RNA was detected in 51 (45.5 %) of 112 CSF samples. Molecular typing by RT-PCR and sequencing of a partial VP1 region revealed the predominance of echovirus (ECV) 32 (n = 20), followed by ECV 11 (n = 10), ECV 13 and ECV 14 (n = 5 each), coxsackievirus (CV) B3 and CV B6 (n = 3 each), CV A2, CV A10 and ECV 30 (n = 1 each). Phylogenetic analysis of ECV 32 showed 0 to 4 % sequence divergence among strains of the present study and 20-23 % from the prototype Puerto Rico strain at the nucleotide level. This is the first report of ECV 32 associated with an aseptic meningitis epidemic and identification of seven different enterovirus serotypes (CV A2, CV A10, CV B3, CV B6, ECV 13, ECV 14 and ECV 32) in meningitis cases from India.
Insights
This study identified enteroviruses in children with aseptic meningitis, finding echovirus 32 to be predominant. Seven enterovirus serotypes were identified, with echovirus 32 newly associated with an aseptic meningitis epidemic.
Area of Science:
- Virology
- Pediatrics
- Epidemiology
Background:
- Aseptic meningitis in children is a significant public health concern.
- Enteroviruses are a common cause of viral meningitis.
Purpose of the Study:
- To identify and characterize enteroviruses causing aseptic meningitis in children.
- To determine the predominant enterovirus serotypes involved in these infections.
Main Methods:
- Enterovirus RNA detection in cerebrospinal fluid (CSF) samples using RT-PCR.
- Molecular typing and sequencing of the VP1 region for enterovirus identification.
- Phylogenetic analysis of identified enterovirus strains.
Main Results:
- Enterovirus RNA was detected in 45.5% of 112 CSF samples.
- Echovirus 32 was the predominant serotype (n=20), followed by echovirus 11 (n=10).
- Seven distinct enterovirus serotypes were identified, including a novel association of echovirus 32 with an aseptic meningitis epidemic.
Conclusions:
- Enteroviruses are a major cause of aseptic meningitis in the studied pediatric population.
- Echovirus 32 emerged as a significant etiological agent during the study period.
- This study provides crucial epidemiological data on enterovirus serotypes causing meningitis in India.
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