An outbreak of group C rotavirus gastroenteritis among adults living in Valentim Gentil, São Paulo State, Brazil.

D F Souza, J J Kisielius, M Ueda, Y B Gabbay, R C Carmona, M do C St Timenetsky, J D Mascarenhas, S Takimoto, H Tanaka
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Abstract

An outbreak of gastroenteritis affecting adults and children occurred in the small city of Valentim Gentil, São Paulo, Brazil, in 1993. Nineteen faecal samples (from 10 cases and 9 contracts) were examined by direct electron microscopy (DEM), immune electron microscopy (IEM), polyacrylamide gel electrophoresis (PAGE), and enzyme-linked immunosorbent assay (ELISA) for group A and C rotaviruses. DEM detected rotavirus in 6 of the 10 cases and in none of the contacts. All of the samples were negative for group A rotavirus by ELISA. Analysis by PAGE showed an electrophoretic profile suggestive of group C rotavirus in two cases. Group C rotavirus was identified by IEM in 4 of the cases and in 1 of the contacts. All of the samples were submitted to ELISA for group C rotavirus. This resulted in a total of 10 positives-7 for diarrhoeal cases and 3 for contacts. This outbreak was strongly associated with group C rotavirus. The importance of combining different diagnostic methods is emphasised.

在巴西圣保罗州Valentim Gentil居住的成年人中爆发C组轮状病毒胃肠炎。
1993年,巴西圣保罗小城市Valentim Gentil爆发了一次影响成人和儿童的肠胃炎。采用直接电子显微镜(DEM)、免疫电子显微镜(IEM)、聚丙烯酰胺凝胶电泳(PAGE)和酶联免疫吸附试验(ELISA)对10例病例和9例病例的19份粪便样本进行A组和C组轮状病毒检测。DEM在10例中的6例中检测到轮状病毒,而在接触者中没有检测到。所有样本经ELISA检测均为A组轮状病毒阴性。PAGE分析显示,两例病例的电泳图谱提示为C组轮状病毒。IEM在4例病例和1名接触者中发现了C组轮状病毒。所有样本均进行C组轮状病毒ELISA检测。这共导致10例阳性,其中7例为腹泻病例,3例为接触者。这次暴发与C组轮状病毒密切相关。强调了不同诊断方法相结合的重要性。
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