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2030-01-01
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DESCRIPTION OF A WIDESPREAD OUTBREAK OF ASEPTIC MENINGITIS DUE TO ECHOVIRUS 30 IN RIO DE JANEIRO STATE, BRAZIL
Surto disseminado
Surto
Ecovírus 30
Rio de Janeiro
Descrição
Author
Affilliation
Fundação Oswaldo Cruz. Diretoria Regional de Brasília. Brasília, DF, Brasil.
Instituto Estadual de Infectologia São Sebastião. Laboratório de Referência Estadual para Meningites. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Enterovirus. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Enterovirus. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Pós-Graduação em Medicina Tropical. Rio de Janeiro, RJ, Brasil.
Instituto Estadual de Infectologia São Sebastião. Laboratório de Referência Estadual para Meningites. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Enterovirus. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Enterovirus. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Pós-Graduação em Medicina Tropical. Rio de Janeiro, RJ, Brasil.
Abstract
Echovirus 30 belongs to the genus Enterovirus and is widely associated with aseptic meningitis (AM) outbreaks. In
Brazil epidemics due to this serotype were reported in several states but in Rio de Janeiro, before this study, it was
only involved in sporadic episodes. We retrospectively collected data from AM notifications charts and enterovirus
isolation database from Rio de Janeiro State Health Department (RJSHD) and Enterovirus Reference Laboratory in
the year of 2005. An outbreak of AM was detected during March, April and May associated with a high cell culture
isolation rate for echovirus 30 (17.4%). Male children with ages varying from 1 to 9 years were more affected. Of the
22 patients with confirmed echovirus 30 disease, clinical information was available in eight; fever, headache and
vomiting were the most common manifestations. CSF analysis showed a typical pattern of viral infection with
median of cellularity of 100 cells/mm³ and mononuclear cell predominance in 64.7% of the cases. The median of
protein and glucose levels of 49 mg/dL and 56.5 mg/dL. The fatality rate was null. Despite its benign course and the
lack of treatment options, aseptic meningitis surveillance is crucial for early identification of causative agents of
outbreaks, which helps to avoid additional testing and inappropriate use of antimicrobials.
Key-Words: Aseptic meningitis, enterovirus, echoviruses, cerebrospinal fluid.
Keywords in Portuguese
Meningite assépticaSurto disseminado
Surto
Ecovírus 30
Rio de Janeiro
Descrição
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