Vector borne and zoonotic diseases最新文献

{"title":"Prediction of Severe Fever with Thrombocytopenia Syndrome Under Future Climate Scenarios in Chuzhou, China.","authors":"Nan Li, Yuhao Li, Donglin Cheng, Longwei Li","doi":"10.1089/vbz.2024.0115","DOIUrl":"https://doi.org/10.1089/vbz.2024.0115","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Severe fever with thrombocytopenia syndrome (SFTS) poses a significant public health concern in China and has the potential for severe morbidity and mortality. Previous studies on SFTS have focused primarily on analyzing its incidence under existing climate conditions, often overlooking the impacts of future climate change on the disease's distribution. Moreover, the key factors influencing SFTS transmission identified in prior research are limited and lack a comprehensive consideration of multiple environmental and socioeconomic factors in specific regions. <b><i>Methods:</i></b> In this study, by utilizing SFTS case data from Chuzhou city alongside multisource environmental variables, the maximum entropy ecological niche (MaxEnt) model was employed to identify the key climatic factors influencing the distribution of SFTS. Risk areas were projected for the present and future climate scenarios, including shared socioeconomic pathway (SSP)126, SSP245, SSP370, and SSP585. <b><i>Results:</i></b> The results indicate that (1) precipitation in the driest quarter, elevation, and precipitation in the wettest month are the most critical variables; (2) potential risk areas are situated predominantly in the central hilly region, with the total area of medium- and high-risk zones measuring 5731.86 km², which accounts for 42.67% of the total area; (3) in future climate scenarios, the central-south and southwestern regions emerge as high-risk areas, with the maximum area of future high-risk zones reaching 6417.8398 km², projected for the 2030s under the SSP585 scenario; and (4) the current epicenter of the SFTS risk area is located in Zhang Baling town (118°12'23″E, 32°28'56″N). Under the SSP126 and SSP370 scenarios, the epicenter exhibits minimal movement, whereas significant shifts occur under the SSP245 and SSP585 scenarios. <b><i>Conclusion:</i></b> These findings provide essential insights for formulating scientifically grounded prevention and control strategies against SFTS in Chuzhou city.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolation and Characterization of Getah Virus GD2202 from Mosquitoes in Foshan, China.","authors":"Ying-Ling Deng, Zi-Yi Lin, Rui Lin, Zi-Shuo Lu, Xing-Xiu Yan, Li-Xia Li, Hui-Jun Lu, Xue Bai, Ning-Yi Jin, Hao Liu","doi":"10.1089/vbz.2024.0100","DOIUrl":"https://doi.org/10.1089/vbz.2024.0100","url":null,"abstract":"<p><p><b><i>Background:</i></b> Getah virus (GETV) is a vector-borne virus that can proliferate in mosquitoes and be transmitted to host animals through bites. Clinical infection with the virus mainly causes diarrhea and reproductive disorders in pigs and fever, rash, and edema in horses. This caused huge losses to the pig industry and also affected the level of competition for horses. GETV has proliferated across over 20 regions within China, recently resulting in miscarriages and fatalities among the pig population, Guangdong province. Currently, there are no highly effective preventative or therapeutic strategies for diseases induced by GETV. Understanding the infection pathways, inclusive of GETV transmission vectors, is of paramount importance for the prevention and management of the disease. <b><i>Results:</i></b> To clarify the main transmission vectors and genotypes of GETV in this area, 3600 mosquitoes of different species were collected and GETV was detected using quantitative reverse transcription PCR. The minimum infection rate was 1.36 for <i>Culex tritaeniorhynchus</i> and 0.83 for <i>Anopheles sinensis</i>. The GETV GD2202 strain was successfully isolated from <i>C. tritaeniorhynchus</i> using mouse neuroblastoma (N2a) cells, and its complete genome was sequenced by PCR. This represents the first identification and isolation of GETV from mosquitoes in Guangdong Province of Southern China. Comparison with GenBank data showed 99.3% identity with the E2 gene of the GDFS2-2018 and GDFS9-2018 strains causing disease in local pig populations, and a nucleotide similarity of 99.8% with the E2 gene of the HNNY-1, HNPDS-1, and HNPDS-2 strains isolated from pigs in Henan, and the highest identity with the JL1708 strain isolated from mosquitoes in Jilin Province, with a nucleotide similarity in the E2 gene of 99.9%. Phylogenetic analysis showed that it had the closest genetic evolutionary relationship with the <i>Culex</i>-derived JL1708 strain and was on the same evolutionary branch as the pig-derived HNNY-1, HNPDS-1, and HNPDS-2 strains. <b><i>Conclusion:</i></b> A comprehensive investigation was undertaken to examine the prevalence of GETV infection among various mosquito species in Foshan, Guangdong Province, China. The findings indicated that <i>C. tritaeniorhynchus</i> acted as the principal vector for transmission, predominantly infected with GETV genotype III. This genotype was consistent with that identified in deceased pig populations and demonstrated significant homology. This study provides a robust scientific basis for understanding the propagation of GETV, thereby offering vital insights for the formulation of disease prevention and control strategies.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serosurveillance Identifies Bourbon Virus-Neutralizing Antibodies in Bobcats, Coyotes, and Red Foxes in Missouri.","authors":"Gayan Bamunuarachchi, Fernando Najera, Ishmael D Aziati, Jamie L Palmer, Elizabeth G Biro, David Wang, Sharon L Deem, Adrianus C M Boon, Solny A Adalsteinsson","doi":"10.1089/vbz.2024.0076","DOIUrl":"https://doi.org/10.1089/vbz.2024.0076","url":null,"abstract":"<p><p><b><i>Background:</i></b> Bourbon virus (BRBV) is an emerging pathogen that can cause severe and fatal disease in humans. BRBV is vectored by <i>Amblyomma americanum</i> (lone star ticks), which are widely distributed across the central, southern, and eastern United States. Wildlife species are potentially important for the maintenance and transmission of BRBV, but little is known about which species are involved, and what other factors play a role in their exposure to BRBV. <b><i>Methods:</i></b> To assess the exposure risk to BRBV among wildlife in the St. Louis, Missouri, area, we collected sera from 98 individuals, representing 6 different mammalian species from two locations in St. Louis County: Tyson Research Center (TRC) and WildCare Park (WCP) from fall 2021 to spring 2023. The sera were used in a BRBV neutralization assay to detect neutralizing antibodies and RT-qPCR for viral RNA analysis. We also sampled and compared the abundance of <i>A. americanum</i> ticks at the two locations and modeled which factors influenced BRBV seropositivity across species. <b><i>Results:</i></b> In TRC, we observed a high rate of seropositivity in raccoons (<i>Procyon lotor</i>, 23/25), and white-tailed deer (<i>Odocoileus virginianus</i>, 18/27), but a low rate in opossums (<i>Didelphis virginiana</i>, 1/18). Neutralizing antibodies were also detected in sampled TRC bobcats (<i>Lynx rufus</i>, 4/4), coyotes (<i>Canis latrans</i>, 3/3), and a red fox (<i>Vulpes vulpes</i>, 1/1). The virological analysis did not detect BRBV RNA in any serum samples. In contrast to TRC, all sera screened from WCP were negative for BRBV-specific neutralizing antibodies, and significantly fewer ticks were collected at WCP (31) compared with TRC (2316). <b><i>Conclusions:</i></b> Collectively, these findings suggest that BRBV circulates in multiple wildlife species in the St. Louis area and that tick density and host community composition may be important factors in BRBV ecology.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the Relationship Between Entomological Surveillance Indices and West Nile Virus Transmission, United States: Systematic Review.","authors":"Thomas C Moore, Xin Tang, Heidi E Brown","doi":"10.1089/vbz.2024.0072","DOIUrl":"https://doi.org/10.1089/vbz.2024.0072","url":null,"abstract":"<p><p><b><i>Background:</i></b> Entomological surveillance indices are used to estimate the risk of West Nile virus (WNV; family Flaviviridae, genus <i>Flavivirus</i>) transmission. To determine when and where to initiate mosquito control activities, integrated vector management programs establish action thresholds based on entomological surveillance indices. However, the application of entomological surveillance indices needs further investigation relative to the human risk of WNV infection. Herein, we examine the evidence from studies that investigated the quantitative relationship between entomological surveillance indices and human WNV cases using systematic review methods. <b><i>Results:</i></b> Across three databases, 5378 articles were identified. Using the selection criteria, 38 studies were included for study. Most articles explored entomological indices weekly and devised unique geographic scales to aggregate human and/or mosquito data. The most used models were logistic and negative binomial regression. Maximum likelihood estimates (MLEs) and vector index (VI) demonstrated the greatest ratio of number of positive results to number of times tested. Among all selected articles, 35 unique U.S. locations assessed MLE and/or VI. Human WNV infection had a significant association with MLE across 81.25% (13/16) of locations. VI showed successful performance across 80.00% (24/30) sites tested. <b><i>Conclusions:</i></b> This systematic review identifies methods for quantifying relationships between entomological and human WNV infection data. We found entomological surveillance indices applied to human WNV risk should include a measure of virus presence, such as MLE and VI. Model type and covariates were too variable to identify geographic or species-specific trends, though, when tested, including temperature, land cover, population density, and time improved the model. This study is meant to be informative and designed to assist public health agencies in seasonal WNV preparations but are not meant to be a panacea for all WNV surveillance challenges.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Insight into the Seroprevalence of Hepatitis E Virus and Associated Risk Factors Among Liver Transplant Recipients from Bulgaria.","authors":"Magdalena Petrova Baymakova, Marina Konaktchieva, Metodi Kunchev, Georgi Popivanov, Todor Kundurzhiev, Ilia Tsachev, Ventsislav Mutafchiyski","doi":"10.1089/vbz.2024.0101","DOIUrl":"10.1089/vbz.2024.0101","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> Hepatitis E virus (HEV) infection is caused by viruses belonging to the <i>Hepeviridae</i> family. HEV infection can be self-limiting; however, extrahepatic manifestations may be present. The purpose of the current study was to establish the seroprevalence of HEV among Bulgarian liver transplant recipients (LTRs) and to identify associated risk factors. <b><i>Materials & Methods:</i></b> The present study was conducted between April 1, 2023, and October 30, 2023, at the Military Medical Academy, Sofia, Bulgaria. All serum samples were tested for anti-HEV IgG/IgM using HEV IgG/IgM enzyme-linked immunosorbent assay on Dia.Pro (Milan, Italy). Each participating LTR completed a detailed paper-based closed-ended questionnaire regarding the associated risk factors for HEV infection. <b><i>Results:</i></b> The study included 73 LTRs with a mean age of 47.0 ± 14.0 years. Anti-HEV IgG antibodies were detected in 25 LTRs (34.2%), including 20 males (37.7%) and 5 females (25%). All participants were HEV-IgM negative. HEV seropositivity rates were higher but not statistically significant in LTRs aged >60 years than in those aged <60 years (40% vs. 32.7%). A significant factor by logistic regression was \"high level of education\" (odds ratio [OR] = 2.917; <i>p</i> = 0.038). <b><i>Conclusion:</i></b> To the best of our knowledge, this is the first seroepidemiological HEV study among LTRs from Bulgaria that found a high seroprevalence (34.2%).</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of Zoonotic Arboviruses in Ruffed Grouse (<i>Bonasa umbellus</i>) in the Upper Midwest, USA, 2018-2022.","authors":"Melanie R Kunkel, Daniel G Mead, Julie Melotti, Nancy Businga, Christopher Pollentier, Charlotte Roy, Michelle Carstensen, Kayla G Adcock, Mark G Ruder, Nicole M Nemeth","doi":"10.1089/vbz.2024.0090","DOIUrl":"https://doi.org/10.1089/vbz.2024.0090","url":null,"abstract":"<p><p>Arthropod-borne viruses (arboviruses) are a taxonomically varied group of viruses that affect the health of many avian species, including the ruffed grouse (<i>Bonasa umbellus</i>), a popular upland game bird whose numbers are in decline in portions of its range. Hunter-harvested ruffed grouse tissue samples were tested for arboviruses during the 2018-2022 hunting seasons in Michigan, Minnesota, and Wisconsin, USA. A low percentage of harvested ruffed grouse were infected with West Nile virus (8/1892; 0.4%), eastern equine encephalitis virus (18/1892; 1.0%), and Highlands J virus (4/1892; 0.2%), and approximately half (16/30) of those infected had histologic cardiac lesions consistent with arboviral infection. Some ruffed grouse may be adversely affected following infection with these viruses, highlighting the need for increased awareness and continued surveillance, particularly in the face of additional stressors such as climate change, which may alter virus-vector-host dynamics, host susceptibility to arbovirus infections, and geographical distributions.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining Morphological and Molecular Tools Can Enhance Tick Species Identification for Improved Tick-Borne Disease Surveillance Among Pastoral Communities in Kenya.","authors":"Hellen Koka, Solomon Langat, Francis Mulwa, James Mutisya, Samuel Owaka, Millicent Sifuna, Juliette R Ongus, Joel Lutomiah, Rosemary Sang","doi":"10.1089/vbz.2024.0034","DOIUrl":"10.1089/vbz.2024.0034","url":null,"abstract":"<p><p><b><i>Background:</i></b> Ticks are ecto-parasites of domestic animals, rodents, and wildlife living for periods at a time on one or more vertebrate hosts. They are important vectors of viral, bacterial, or parasitic diseases in livestock and humans. Crimean-Congo haemorrhagic fever virus and the spotted fever rickettsiae are some of the tick-borne diseases of public health importance reported in Kenya. Their distribution and public health risks among communities, especially pastoralists, remain poorly characterized due to limited surveillance, affected partly by inadequate capacity for tick identification arising from a limited number of skilled taxonomists. <b><i>Materials and Methods:</i></b> The aim of this survey was to identify tick species currently circulating in different livestock hosts in northern Kenya. Ticks were sampled from cattle, sheep, goats, and camels in Turkana, Isiolo, Baringo, and West Pokot counties, and differential identification was carried out using morphological identification keys followed by molecular characterization based on the cytochrome c oxidase I gene (cox1). Haplotypes were determined using the DnaSP v6 software and phylogenetic relationships inferred using the maximum likelihood algorithm. <b><i>Results:</i></b> A total of 12,206 ticks were collected, from Turkana (45.4%), Isiolo (23.1%), Baringo (22.7%), and West Pokot (8.8%) counties in Kenya. Ten species were confirmed by molecular analysis; H. rufipes, H. impeltatum, H. dromedarii, R. pravus, R. camicasi, R. pulchellus, R. evertsi evertsi, A. variegatum, A. gemma, and A. lepidum. There was no disparity in the morphological and molecular identification of Amblyomma species. However, molecular analysis provided insight into the complexity of morphological identification especially among Hyalomma and Rhipicephalus species. High haplotype diversities (0.857-1.000) and low nucleotide diversities (0.00719-0.06319) were observed in all the tick samples tested. <b><i>Conclusion:</i></b> The findings highlight the diversity of tick species in dry pastoral ecologies in Kenya and the importance of confirming morphological identification by molecular analysis thus contributing to accurate mapping of tick-borne disease distribution and risk.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"107-117"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142547835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Isolation of <i>Orientia tsutsugamushi</i> in Culture from Vellore, South India.","authors":"Janaki Kumaraswamy, Karthik Gunasekaran, Agilandeeswari Kirubanandan, Solomon D'Cruz, Kpp Abhilash, John Antony Jude Prakash","doi":"10.1089/vbz.2024.0070","DOIUrl":"10.1089/vbz.2024.0070","url":null,"abstract":"<p><p><b><i>Background:</i></b> Orientia tsutsugamushi, causative agent of scrub typhus is an obligate intracellular parasite. We present information on isolation of this pathogen at a tertiary care centre in Vellore, Southern India. <b><i>Materials & Methods:</i></b> PBMCs (peripheral blood mononuclear cells) collected from suspected scrub typhus patients were inoculated into Vero and L929 cell lines and incubated at 37°C with 5% CO2 for 30 days. They were examined for presence of Orientia tsutsugamushi on 10, 15, 20 days post-inoculation and everyday thereafter for a maximum of 30 days post inoculation. The scrapings were subjected to Giemsa staining, IFA, 47kDa qPCR and transmission electron microscopy (TEM). The isolates were passaged 3-4 times to ensure viability and then stored in DMEM with 10% FBS (-80). Genotyping of the isolates was performed by amplifying a 650 bp segment of the TSA 56 (type specific antigen 56) gene. <b><i>Results:</i></b> Amongst the 50 samples inoculated, three were culture positive as confirmed by 47 kDa qPCR on 24th day post inoculation. This was further confirmed by Giemsa, IFA staining and TEM. The 650bp amplicons showed 99.5 to 100% homology with Orientia tsutsugamushi MW604716, MH003839, MW604718, MW604717, MH922787 and MH003838 strains. Phylogenetic analysis revealed that 2 isolates belong to TA763 genotype and one belongs to Gilliam genotype. <b><i>Conclusion:</i></b> Orientia tsutsugamushi has been isolated for the first time at Vellore, South India from PBMCs. Complete genomic analysis will give more information.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"100-106"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Emerging Arboviral Infections: A Tertiary Care Hospital-Based Study from Kashmir, Northern India.","authors":"Bashir Ahmad Fomda, Masqooba Murtaza, Dalip K Kakru, Shabir Ahmad Lone, Imtiyaz Sheikh, Shahnawaz Ayoub, Mubashir Nazir","doi":"10.1089/vbz.2024.0085","DOIUrl":"10.1089/vbz.2024.0085","url":null,"abstract":"<p><p><b><i>Background:</i></b> Arboviruses are becoming a global public health menace. The common diseases worldwide caused by arboviruses are dengue, chikungunya, and Zika. This study aims to determine the prevalence of these three arboviral infections in patients with acute febrile illness at a tertiary care hospital in Kashmir, North India. <b><i>Materials and Methods:</i></b> A total of 812 blood samples were collected and tested for anti-dengue, anti-chikungunya immunoglobulin M (IgM), and dengue nonstructural protein 1 antigen by enzyme linked immunosorbent assay. Molecular testing of these samples was also done to detect dengue, chikungunya, and Zika viruses by using the CDC Trioplex real-time PCR assay. <b><i>Results:</i></b> The prevalence of diseases found among the studied patients was dengue 105/812 (12.93%) followed by chikungunya 17/812 (2.09%), and 3 cases (0.37%) were positive for both dengue and chikungunya; however, no case of Zika was detected. Interestingly, we found that only individuals that had a history of travel to different destinations within the country were positive for these viruses. Most affected cases were males 105/812 (12.93%) compared with females 20/812 (2.46%). Dengue serotyping results indicate that Dengue virus-1 was the most commonly found serotype. The most common symptoms in patients positive for dengue and chikungunya were fever, intense fatigue, myalgia, arthralgia, retro-orbital pain, anorexia, conjunctivitis, and skin rash. <b><i>Conclusion:</i></b> This study showed that dengue, chikungunya, and Zika viruses are not prevalent in the indigenous population of Kashmir. However, screening for these agents is required in people who have recently traveled outside Kashmir and have symptoms of acute febrile illness.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"148-154"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparison of Clinical and Laboratory Features of Crimean-Congo Hemorrhagic Fever in Children and Adults: A Retrospective Single-Center Cohort Study and Literature Review.","authors":"Ilkay Bozkurt, Emine H Erdeniz, Matthew J Riley, Levent Şensoy, Nick J Beeching, Sema Aydogdu, Hakan Leblebicioglu, Gulay Korukluoglu, Tom E Fletcher","doi":"10.1089/vbz.2024.0066","DOIUrl":"10.1089/vbz.2024.0066","url":null,"abstract":"<p><p><b><i>Background:</i></b> Crimean-Congo hemorrhagic fever (CCHF) is a major emerging infectious disease threat, and children are reported to have a milder disease course compared with adults, in contrast to other viral hemorrhagic fevers. The aim of this study was to compare adult and pediatric patients with CCHF to improve understanding of pathogenesis and the natural history of the disease. <b><i>Materials and Methods:</i></b> A retrospective analysis of all children and adults admitted with confirmed CCHF between 2011 and 2020. Epidemiological, clinical, and laboratory features were collated on proformas, together with clinical management details. The Severity Grading Score (SGS) system was used to stratify mortality risk. Data from children were compared with adults in the same center and with other published pediatric cohort studies. <b><i>Results:</i></b> A total of 47 children with a median (ranges) age of 14 (2-17) years and 176 adults with a median (ranges) age of 52 (18-83) years with confirmed CCHF were included. The most frequent symptoms in adults were fever, muscle-joint pain, headache, nausea, and vomiting; the most frequent in children were fever, anorexia, nausea, vomiting, and abdominal pain. Adults had lower lymphocyte and platelet counts and higher liver transaminase and creatinine levels than children. SGS values were lower in children, but 97.9% children received ribavirin compared with 8.5% of adults (<i>p</i> < 0.001), and they had associated longer median lengths of hospital admission (10 vs. 7 days, <i>p</i> < 0.001). Mortality of 1 out of 47 (2.1%) children was similar to 11 other cohorts reported in Türkiye and lower than 13.1% in adults (23/176) in the same center (<i>p</i> = 0.059). <b><i>Conclusions:</i></b> Children have lower CCHF-related mortality, less severe disease, and different clinical syndromes at presentation. The majority of published case definitions for screening for CCHF in the main endemic countries do not differentiate between adults and children and omit four of the five most common presenting features in children.</p>","PeriodicalId":23683,"journal":{"name":"Vector borne and zoonotic diseases","volume":" ","pages":"81-91"},"PeriodicalIF":1.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}