Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018

Abstract INTRODUCTION: Herpesviruses, enteroviruses, and arboviruses are important because of their clinical relevance and ability to cause meningitis, encephalitis, meningoencephalitis, and other diseases. The clinical virology associated with diagnostic technologies can reduce the morbidity and...

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Main Authors: Lucas Lopes Leon, Rodrigo Gonçalves de Lima, Lídia Cristian Boffi, Raissa Nery Bindilatti, Célia Regina Garlipp, Sandra Cecília Botelho Costa, Sandra Helena Alves Bonon
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2021-11-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100337&tlng=en
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author Lucas Lopes Leon
Rodrigo Gonçalves de Lima
Lídia Cristian Boffi
Raissa Nery Bindilatti
Célia Regina Garlipp
Sandra Cecília Botelho Costa
Sandra Helena Alves Bonon
author_facet Lucas Lopes Leon
Rodrigo Gonçalves de Lima
Lídia Cristian Boffi
Raissa Nery Bindilatti
Célia Regina Garlipp
Sandra Cecília Botelho Costa
Sandra Helena Alves Bonon
author_sort Lucas Lopes Leon
collection DOAJ
description Abstract INTRODUCTION: Herpesviruses, enteroviruses, and arboviruses are important because of their clinical relevance and ability to cause meningitis, encephalitis, meningoencephalitis, and other diseases. The clinical virology associated with diagnostic technologies can reduce the morbidity and mortality of such neurological manifestations. Here we aimed to identify the genomes of agents that cause neurological syndromes in cerebrospinal fluid (CSF) samples from patients with suspected nervous system infections admitted to the University Hospital of the University of Campinas, São Paulo, Brazil, in 2017-2018. METHODS: CSF samples collected from adult patients with neurological syndrome symptoms and negative CSF culture results were analyzed using polymerase chain reaction (PCR), reverse transcriptase-PCR, and real-time PCR, and their results were compared with their clinical symptoms. One CSF sample was obtained from each patient. RESULTS: Viral genomes were detected in 148/420 (35.2%) CSF samples: one of 148 (0.2%) was positive for herpes simplex virus-1; two (0.5%) for herpes simplex virus-2; eight (1.9%) for varicella-zoster virus; four (1%) for Epstein-Barr virus; one (0.2%) for cytomegalovirus; 32 (7.6%) for human herpesvirus-6; 30 (7.1%) for non-polio enterovirus; 67 (16.0%) for dengue virus, three (0.7%) for yellow fever virus, and 21 (5%) for Zika virus. CONCLUSIONS: The viral genomes were found in 35.2% of all analyzed samples, showing the high prevalence of viruses in the nervous system and the importance of using a nucleic acid amplification test to detect viral agents in CSF samples.
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spelling doaj.art-0625e2509b4348c7981366103630b81a2022-12-22T03:28:53ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492021-11-015410.1590/0037-8682-0127-2021Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018Lucas Lopes Leonhttps://orcid.org/0000-0002-5649-9766Rodrigo Gonçalves de Limahttps://orcid.org/0000-0002-9345-9931Lídia Cristian Boffihttps://orcid.org/0000-0002-2107-5920Raissa Nery Bindilattihttps://orcid.org/0000-0002-5521-1978Célia Regina Garlipphttps://orcid.org/0000-0001-8614-3421Sandra Cecília Botelho Costahttps://orcid.org/0000-0003-2571-0685Sandra Helena Alves Bononhttps://orcid.org/0000-0002-0630-5062Abstract INTRODUCTION: Herpesviruses, enteroviruses, and arboviruses are important because of their clinical relevance and ability to cause meningitis, encephalitis, meningoencephalitis, and other diseases. The clinical virology associated with diagnostic technologies can reduce the morbidity and mortality of such neurological manifestations. Here we aimed to identify the genomes of agents that cause neurological syndromes in cerebrospinal fluid (CSF) samples from patients with suspected nervous system infections admitted to the University Hospital of the University of Campinas, São Paulo, Brazil, in 2017-2018. METHODS: CSF samples collected from adult patients with neurological syndrome symptoms and negative CSF culture results were analyzed using polymerase chain reaction (PCR), reverse transcriptase-PCR, and real-time PCR, and their results were compared with their clinical symptoms. One CSF sample was obtained from each patient. RESULTS: Viral genomes were detected in 148/420 (35.2%) CSF samples: one of 148 (0.2%) was positive for herpes simplex virus-1; two (0.5%) for herpes simplex virus-2; eight (1.9%) for varicella-zoster virus; four (1%) for Epstein-Barr virus; one (0.2%) for cytomegalovirus; 32 (7.6%) for human herpesvirus-6; 30 (7.1%) for non-polio enterovirus; 67 (16.0%) for dengue virus, three (0.7%) for yellow fever virus, and 21 (5%) for Zika virus. CONCLUSIONS: The viral genomes were found in 35.2% of all analyzed samples, showing the high prevalence of viruses in the nervous system and the importance of using a nucleic acid amplification test to detect viral agents in CSF samples.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100337&tlng=enArbovirus infectionsCentral nervous systemPolymerase chain reactionViral diseases
spellingShingle Lucas Lopes Leon
Rodrigo Gonçalves de Lima
Lídia Cristian Boffi
Raissa Nery Bindilatti
Célia Regina Garlipp
Sandra Cecília Botelho Costa
Sandra Helena Alves Bonon
Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
Revista da Sociedade Brasileira de Medicina Tropical
Arbovirus infections
Central nervous system
Polymerase chain reaction
Viral diseases
title Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
title_full Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
title_fullStr Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
title_full_unstemmed Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
title_short Arbovirus, herpesvirus, and enterovirus associated with neurological syndromes in adult patients of a university hospital, 2017-2018
title_sort arbovirus herpesvirus and enterovirus associated with neurological syndromes in adult patients of a university hospital 2017 2018
topic Arbovirus infections
Central nervous system
Polymerase chain reaction
Viral diseases
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100337&tlng=en
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