Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA

Powassan virus, a member of the tick-borne encephalitis group of flaviviruses, encompasses 2 lineages with separate enzootic cycles. The prototype lineage of Powassan virus (POWV) is principally maintained between Ixodes cookei ticks and the groundhog (Marmota momax) or striped skunk (Mephitis mephi...

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Main Authors: Marc Y. El Khoury, Jose F. Camargo, Jennifer L. White, Bryon P. Backenson, Alan P. Dupuis, Kay L. Escuyer, Laura Kramer, Kirsten St. George, Debarati Chatterjee, Melissa Prusinski, Gary P. Wormser, Susan J. Wong
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2013-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/19/12/13-0903_article
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author Marc Y. El Khoury
Jose F. Camargo
Jennifer L. White
Bryon P. Backenson
Alan P. Dupuis
Kay L. Escuyer
Laura Kramer
Kirsten St. George
Debarati Chatterjee
Melissa Prusinski
Gary P. Wormser
Susan J. Wong
author_facet Marc Y. El Khoury
Jose F. Camargo
Jennifer L. White
Bryon P. Backenson
Alan P. Dupuis
Kay L. Escuyer
Laura Kramer
Kirsten St. George
Debarati Chatterjee
Melissa Prusinski
Gary P. Wormser
Susan J. Wong
author_sort Marc Y. El Khoury
collection DOAJ
description Powassan virus, a member of the tick-borne encephalitis group of flaviviruses, encompasses 2 lineages with separate enzootic cycles. The prototype lineage of Powassan virus (POWV) is principally maintained between Ixodes cookei ticks and the groundhog (Marmota momax) or striped skunk (Mephitis mephitis), whereas the deer tick virus (DTV) lineage is believed to be maintained between Ixodes scapularis ticks and the white-footed mouse (Peromyscus leucopus). We report 14 cases of Powassan encephalitis from New York during 2004–2012. Ten (72%) of the patients were residents of the Lower Hudson Valley, a Lyme disease–endemic area in which I. scapularis ticks account for most human tick bites. This finding suggests that many of these cases were caused by DTV rather than POWV. In 2 patients, DTV infection was confirmed by genetic sequencing. As molecular testing becomes increasingly available, more cases of Powassan encephalitis may be determined to be attributable to the DTV lineage.
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spelling doaj.art-078176a9360e4c4385ee74b872b809aa2022-12-22T03:18:46ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592013-12-0119121926193310.3201/eid1912.130903Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USAMarc Y. El KhouryJose F. CamargoJennifer L. WhiteBryon P. BackensonAlan P. DupuisKay L. EscuyerLaura KramerKirsten St. GeorgeDebarati ChatterjeeMelissa PrusinskiGary P. WormserSusan J. WongPowassan virus, a member of the tick-borne encephalitis group of flaviviruses, encompasses 2 lineages with separate enzootic cycles. The prototype lineage of Powassan virus (POWV) is principally maintained between Ixodes cookei ticks and the groundhog (Marmota momax) or striped skunk (Mephitis mephitis), whereas the deer tick virus (DTV) lineage is believed to be maintained between Ixodes scapularis ticks and the white-footed mouse (Peromyscus leucopus). We report 14 cases of Powassan encephalitis from New York during 2004–2012. Ten (72%) of the patients were residents of the Lower Hudson Valley, a Lyme disease–endemic area in which I. scapularis ticks account for most human tick bites. This finding suggests that many of these cases were caused by DTV rather than POWV. In 2 patients, DTV infection was confirmed by genetic sequencing. As molecular testing becomes increasingly available, more cases of Powassan encephalitis may be determined to be attributable to the DTV lineage.https://wwwnc.cdc.gov/eid/article/19/12/13-0903_articledeer tick virusPowassan virusencephalitisflavivirusIxodes scapularisNew York
spellingShingle Marc Y. El Khoury
Jose F. Camargo
Jennifer L. White
Bryon P. Backenson
Alan P. Dupuis
Kay L. Escuyer
Laura Kramer
Kirsten St. George
Debarati Chatterjee
Melissa Prusinski
Gary P. Wormser
Susan J. Wong
Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
Emerging Infectious Diseases
deer tick virus
Powassan virus
encephalitis
flavivirus
Ixodes scapularis
New York
title Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
title_full Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
title_fullStr Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
title_full_unstemmed Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
title_short Potential Role of Deer Tick Virus in Powassan Encephalitis Cases in Lyme Disease–endemic Areas of New York, USA
title_sort potential role of deer tick virus in powassan encephalitis cases in lyme disease endemic areas of new york usa
topic deer tick virus
Powassan virus
encephalitis
flavivirus
Ixodes scapularis
New York
url https://wwwnc.cdc.gov/eid/article/19/12/13-0903_article
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