Abstract:
BACKGROUND:Kyasanur Forest disease (KFD) is a febrile illness characterized by hemorrhages, and is reported endemic in the Shimoga district in Karnataka state, India. It is caused by the KFD virus (KFDV) of the family Flaviviridae, and is transmitted to monkeys and humans by Haemaphysalis ticks. FINDINGS:We investigated a new focus of KFD among tribals in a reserve forest in Kerala state, India. A suspected case was defined as a person presenting with acute fever, headache, or myalgia. Human sera were collected and tested for KFDV RNA by real-time RT-PCR, RT-nPCR assay, and anti-KFDV IgM and IgG by ELISA. The index case was a tribal woman with febrile illness, severe myalgia, gum bleeding, and hematemesis. Anti-KFDV IgM antibody was detected in acute and convalescent sera of the index case along with IgG in the second serum. None of her family members reported fever. On verbal autopsy, two more fatal cases were identified as probable primary cases. Acute serum from a case in the second cluster was detected positive for KFDV RNA by real time RT-PCR (Ct = 32) and RT-nPCR. Sequences of E gene showed highest similarity of 98.0% with the KFDV W-377 isolate nucleotide and 100% identity with amino acid. Anti-KFDV IgM was detected in the serum of one family member of the index case, as well as in one out of 17 other tribals. CONCLUSIONS:We confirmed a new focus of KFDV activity among tribals in a reserve forest in the Malappuram district of Kerala, India.
journal_name
Infect Dis Povertyjournal_title
Infectious diseases of povertyauthors
Tandale BV,Balakrishnan A,Yadav PD,Marja N,Mourya DTdoi
10.1186/s40249-015-0044-2subject
Has Abstractpub_date
2015-03-05 00:00:00pages
12eissn
2095-5162issn
2049-9957pii
44journal_volume
4pub_type
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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journal_title:Infectious diseases of poverty
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pub_type: 杂志文章,多中心研究
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journal_title:Infectious diseases of poverty
pub_type: 杂志文章
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journal_title:Infectious diseases of poverty
pub_type: 杂志文章
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journal_title:Infectious diseases of poverty
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pub_type: 杂志文章
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journal_title:Infectious diseases of poverty
pub_type: 杂志文章,已发布勘误
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