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Aichi Virus Positivity in HIV-1 Seropositive Children Hospitalized with Diarrheal Disease
Silvana Augusta Rodrigues Portes, Eduardo de Mello Volotao, Tatiana Lundgren Rose
1Oswaldo Cruz Foundation, Oswaldo Cruz Institute, Laboratory of Comparative and Environmental Virology, Pav. Helio & Peggy Pereira, Av. Brazil 4.365 - Manguinhos - 21040-360 - Rio de Janeiro - RJ - Brazil. sil@ioc.fiocruz.br.
Insights
Aichi virus (AiV) infection is more common in hospitalized children with diarrhea and HIV-1, suggesting it may be an opportunistic pathogen in children with AIDS and diarrhea.
Area of Science:
- Virology
- Infectious Diseases
- Pediatrics
Background:
- Aichi viruses (AiV) are associated with diarrheal diseases (DD).
- Understanding AiV prevalence in vulnerable pediatric populations is crucial.
Purpose of the Study:
- To determine Aichi virus infection rates in hospitalized children with diarrhea.
- To compare infection rates between HIV-1 seropositive and seronegative children.
- To perform phylogenetic analysis of detected AiV strains.
Main Methods:
- Nested RT-PCR was used to detect AiV in stool samples.
- Co-infections with other enteric viruses were assessed.
- Partial genome sequencing and phylogenetic analysis were conducted on AiV isolates.
Main Results:
- AiV was detected in 7.32% of HIV-1 seropositive children and 0.8% of HIV-1 seronegative children with DD (p = 0.019).
- Phylogenetic analysis identified AiV genotypes A and B.
- Genotype A strains clustered into three distinct genetic groups.
Conclusions:
- Aichi virus may act as an opportunistic pathogen in children with Acquired Immunodeficiency Syndrome (AIDS) and diarrhea.
- HIV-1 infection is a significant risk factor for AiV detection in children with DD.
- Further research into AiV pathogenesis in immunocompromised children is warranted.
Abstract:
Aichi viruses (AiV) have been detected in patients with diarrheal diseases (DD). The aim of this study was to assess AiV infection rates in hospitalized children with DD, including 123 HIV-1 seropositive and 125 HIV-1 seronegative patients, in two public pediatric hospitals in Rio de Janeiro, Brazil. AiV was investigated by nested RT-PCR. The AiV-positive samples were also tested for specie A rotavirus, norovirus, astrovirus, enteric adenovirus and bocavirus in order to assess co-infections. AiV parcial genome sequencing and phylogenetic analyses were performed. AiV were detected in 9/123 (7.32%) of the HIV-1 seropositive subjects and 1/125 (0.8%) of the HIV seronegative patients with DD (p = 0.019). The phylogenetic analysis of positive samples disclosed that: i) 13 samples were characterized as genotype A, with one of them being from the HIV-1 seronegative patient; ii) one sample from a HIV-1 seropositive patient was characterized as genotype B. AiV genotype A was grouped into 3 genetic clusters. Data suggest that AiV may be an opportunistic pathogen infecting children with AIDS and DD.
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Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Hepatitis