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Human Endophthalmitis Caused By Pseudorabies Virus Infection, China, 2017
Abstract:
We report human endophthalmitis caused by pseudorabies virus infection after exposure to sewage on a hog farm in China. High-throughput sequencing and real-time PCR of vitreous humor showed pseudorabies virus sequences. This case showed that pseudorabies virus might infect humans after direct contact with contaminants.
Insights
Pseudorabies virus can cause human endophthalmitis after sewage exposure on hog farms. This rare infection highlights potential zoonotic risks from contaminated environments.
Area of Science:
- Ophthalmology
- Virology
- Zoonotic Diseases
Background:
- Pseudorabies virus (PRV) is a herpesvirus primarily affecting swine.
- Human infections with PRV are exceptionally rare.
- Endophthalmitis is a severe inflammation of the eye's interior.
Observation:
- A case of human endophthalmitis occurred in China.
- The patient had recent exposure to sewage on a hog farm.
- Vitreous humor samples were collected for analysis.
Findings:
- High-throughput sequencing and real-time PCR confirmed PRV in the patient's vitreous humor.
- This is the first reported case of human endophthalmitis caused by PRV.
- The findings suggest direct contact with contaminated materials as a transmission route.
Implications:
- PRV should be considered in the differential diagnosis of endophthalmitis in individuals with relevant exposure history.
- This case underscores the potential for zoonotic transmission of PRV to humans.
- Enhanced biosecurity measures on farms may be necessary to prevent human exposure to swine viruses.
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