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A New Phlebovirus Associated with Severe Febrile Illness in Missouri
Abstract
Two men from northwestern Missouri independently presented to a medical facility with fever, fatigue, diarrhea, thrombocytopenia, and leukopenia, and both had been bitten by ticks 5 to 7 days before the onset of illness. Ehrlichia chaffeensis was suspected as the causal agent but was not found on serologic analysis, polymerase-chain-reaction (PCR) assay, or cell culture. Electron microscopy revealed viruses consistent with members of the Bunyaviridae family. Next-generation sequencing and phylogenetic analysis identified the viruses as novel members of the phlebovirus genus. Although Koch's postulates have not been completely fulfilled, we believe that this phlebovirus, which is novel in the Americas, is the cause of this clinical syndrome.
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Cited by
Zoonotic diseases: etiology, impact, and control
Rahman, M. T., Sobur, M. A., Islam, M. S., Ievy, S., Hossain, M. J., El Zowalaty, M. E., Rahman, A. T., & Ashour, H. M. (2020) · Microorganisms · doi:10.3390/microorganisms8091405 · Cited by 853
Rizzoli, A., Silaghi, C., Obiegala, A., Rudolf, I., Hubálek, Z., Földvári, G., Plantard, O., Vayssier-Taussat, M., Bonnet, S., Å pitalská, E., et al. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00251 · Cited by 513
Human Granulocytic Anaplasmosis
Bakken, J. S., & Dumler, J. S. (2015) · Infectious Disease Clinics of North America · doi:10.1016/j.idc.2015.02.007 · Cited by 429
Tick-Borne Zoonoses in the United States: Persistent and Emerging Threats to Human Health
Eisen, R. J., Kugeler, K. J., Eisen, L., Beard, C. B., & Paddock, C. D. (2017) · ILAR Journal · doi:10.1093/ilar/ilx005 · Cited by 312
Hemorrhagic fever of bunyavirus etiology: disease models and progress towards new therapies
Gowen, B. B., & Hickerson, B. T. (2017) · Journal of Microbiology · doi:10.1007/s12275-017-7029-8 · Cited by 26
Metadata
- Authors
- McMullan, L. K., Folk, S. M., Kelly, A. J., MacNeil, A., Goldsmith, C. S., Metcalfe, M. G., Batten, B. C., Albariño, C. G., Zaki, S. R., Rollin, P. E., Nicholson, W. L., & Nichol, S. T.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2012-08-30
- Volume
- 367
- Issue
- 9
- Pages
- 834-841
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2033300352
- Cited by
- 682
- References
- 0
- FWCI
- 31.16
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: A New Phlebovirus Associated with Severe Febrile Illness in Missouri. https://app.cochat.ai/papers/10.1056/nejmoa1203378
- The paper
- McMullan, L. K., Folk, S. M., Kelly, A. J., MacNeil, A., Goldsmith, C. S., Metcalfe, M. G., Batten, B. C., Albariño, C. G., Zaki, S. R., Rollin, P. E., Nicholson, W. L., & Nichol, S. T. (2012). A New Phlebovirus Associated with Severe Febrile Illness in Missouri. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1203378
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
