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An outbreak of aseptic meningitis caused by coxsackievirus A9 in Gansu, the People’s Republic of China
Open accessAbstract
BACKGROUND: An outbreak of aseptic meningitis occurred in Tianshui city of Gansu Province, the People's Republic of China, from March to June 2005. A total of 85 patients were clinical confirmed as aseptic meningitis in this outbreak. RESULTS: CVA9 was mainly responsible for this outbreak supported by the clinical manifestations of the patients, epidemiological data of the outbreak, the results of RT-PCR and complete VP1 sequence determination, conventional neutralization assays, IgM serological assays, viral isolation and phylogenetics analysis. Through phylogenetic analysis and homogeneity analysis for partial VP1 gene, the nucleotide and amino acid homologies between Gansu isolates and former Chinese CVA9 strains were 88.2%-96.1% and 97.2%-99.2%, respectively. Multiple transmission chains of CVA9 occurred in different provinces or years in China. Moreover, in order to clarify the genotype of CVA9, Gansu CVA9 strains isolated in this outbreak were compared with other CVA9 isolates based on VP1/2A junction regions (genotyping region) and they might belong to a new genotype of CVA9, which could be assigned for genotype XIII, CONCLUSIONS: CVA9 was confirmed as the pathogen responsible for this outbreak. The phylogenetic analysis indicated that the CVA9 strains isolated in this outbreak might belong to a new genotype.
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In China, several investigations on HEV associated aseptic meningitis outbreaks have been reported, including E30 in Jiangsu in 2003, E6 in Anhui in 2005, CVA9 in Gansu in 2005, and E30, CVB3 and CVB5 in Shandong in 2003, 2008 and 2009.
“In China, several investigation on HEV associated aseptic meningitis outbreaks have been reported, such as echovirus (E) 30 in Jiangsu Province in 2003 [3], E6 in Anhui in 2005 [4], coxsackievirus (CV) A9 in Gansu in 2005 [5], E30, CVB3 and CVB5 in Shandong in 2003, 2008 and 2009, respectively [6]–[8].”
From Molecular Epidemiology of Human Enterovirus Associated with Aseptic Meningitis in Shandong Province, China, 2006–2012 (2014) · cites this paper as [5]
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Metadata
- Authors
- Cui, A., Yu, D., Zhu, Z., Meng, L., Li, H., Liu, J., Liu, G., Mao, N., & Xu, W.
- Affiliations
- Chinese Center For Disease Control and Prevention (CN)
- Gansu Provincial Center for Disease Control and Prevention (CN)
- Corresponding author
- Cui, Aili
- Yu, Deshan
- Zhu, Zhen
- Li, Hui
- Liu, Jianfeng
- Liu, Guiyan
- Mao, Naiying
- Xu, Wenbo
- Venue
- Virology Journal
- Published
- 2010-04-06
- Volume
- 7
- Issue
- 1
- Pages
- 72-72
- ISSN
- 1743-422X (ISSN-L)
- PMC
- PMC2907575
- OpenAlex
- W2105761456
- Cited by
- 36
- References
- 18
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 5 · 2012: 3
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Virology Journal (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Ministry of Science and Technology of the People's Republic of China
- Topics
- Health Sciences › Medicine › Infectious Diseases › Viral Infections and Immunology Research
- Health Sciences › Medicine › Epidemiology › Virology and Viral Diseases
- Health Sciences › Medicine › Infectious Diseases › Infectious Encephalopathies and Encephalitis
- Keywords
- aseptic meningitis, coxsackievirus A9, outbreak, VP1 gene, viral phylogeny, novel genotypes, transmission chains, serological diagnosis, RT-PCR
- MeSH terms
- Antibodies, Viral, Child, Child, Preschool, China, Coxsackievirus Infections, Disease Outbreaks, Humans, Immunoglobulin M, Meningitis, Aseptic, Molecular Sequence Data, Phylogeny, RNA, Viral, Sequence Homology, Nucleic Acid, Viral Structural Proteins, Cluster Analysis, Sequence Homology, Amino Acid, Sequence Analysis, DNA, Reverse Transcriptase Polymerase Chain Reaction, Enterovirus B, Human, Antibodies, Neutralizing
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