与急性出血性结膜炎相关的Coxsackievirus A24变种在不丹爆发,2023年
Sonam Gyeltshen1, Tshering Dorji2, Kunzang Dorji1
1Royal Centre for Disease Control, Ministry of Health, Royal Government of Bhutan, Thimphu, Bhutan.
Scientific reports
|April 28, 2025
概括
不丹是不丹的一个国家.
科学领域:
- 眼科医生 眼科 眼科
- 病毒学 病毒学
- 基因组学就是基因组学.
背景情况:
- 2023年,在不丹发生了急性出血性结膜炎 (AHC) 爆发.
- 最初的实验室测试没有确定病原体.
- 疫情与亚洲的区域性AHC事件同时发生.
研究的目的:
- 为了确定2023年不丹AHC疫情的病因病原体.
- 为了比较结膜与喉/鼻的诊断产量.
- 分析已识别的病毒菌株的遗传特征.
主要方法:
- 从9名患者收集了18个临床样本 (结膜,喉/鼻)
- 使用多重实时RT-PCR (FTD21) 和下一代测序 (NGS).
- 对病毒序列进行了遗传学分析.
主要成果:
- FTD21检测到多种病毒;NGS在53%的样本中确定了coxsackievirus A24变种 (CVA24v) 基因型IV.
- 结膜擦拭显示了较高的检测率 (78%) 比喉/鼻子擦拭 (33%).
- 遗传学分析显示,与以前的菌株相比,2023年CVA24v分离物中存在遗传差异.
结论:
- 结膜样本在诊断AHC方面比喉/鼻更有效.
- 一种CVA24v基因型IV的新型菌株可能是最近爆发的原因.
- 基因组监测对于理解病毒复发至关重要.
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