Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014

Enteroviruses (EVs) are among viral pathogens that can cause acute flaccid paralysis (AFP). This study represents an overview of EVs isolated through AFP surveillance in Poland between 1999 and 2014. The presence of enteroviruses was studied in stool samples that were collected from 747 AFP cases an...

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Main Authors: Magdalena Wieczorek, Arleta Krzysztoszek
Format: Article
Language:English
Published: Sciendo 2016-12-01
Series:Polish Journal of Microbiology
Subjects:
Online Access:https://www.exeley.com/exeley/journals/polish_journal_of_microbiology/65/4/pdf/10.5604_17331331.1227670.pdf
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author Magdalena Wieczorek
Arleta Krzysztoszek
author_facet Magdalena Wieczorek
Arleta Krzysztoszek
author_sort Magdalena Wieczorek
collection DOAJ
description Enteroviruses (EVs) are among viral pathogens that can cause acute flaccid paralysis (AFP). This study represents an overview of EVs isolated through AFP surveillance in Poland between 1999 and 2014. The presence of enteroviruses was studied in stool samples that were collected from 747 AFP cases and their asymptomatic contacts. Fifty five (6.12%) cases of AFP were associated with enterovirus isolation. Out of the 55 positive cases, 40 were associated with detection of enterovirus in patient, and 15 with detection of EV in healthy contact, without positive detection in paralytic patient. Polioviruses were isolated from 35 AFP cases. The results of this study showed that about 43.6% of positive AFP cases were found in association with the isolation of non-polio enteroviruses (NPEV). A total of 12 different types of the species B were detected (CVA9, CVB1, CVB3, CVB4, CVB5, E3, E4, E9, E11, E13, E30), and one additional isolate representedthe species enterovirus A (EV71). Among the 12 serotypes of species B, CVB3 and CVB5 were more frequently detected than others, representing 40% of the characterized isolates, followed by CVB4 (16%), E4 (8%), and E11(8%). Phylogenetic analysis revealed that strains from Poland had the closest genetic relationship with isolates previously identified in Europe (France, Finland, Denmark, Moldova) but also in other parts of the world (Tunisia, China, USA), suggesting wide distribution of these lineages. The paper provides information about NPEV circulation in Poland in the past 16 years, about its association with the AFP and it indicates the need for monitoring NPEV circulation even after the eradication of poliomyelitis.
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spelling doaj.art-c9457fb11b7441c1bc6904c2e48d67da2022-12-22T00:53:27ZengSciendoPolish Journal of Microbiology1733-13312544-46462016-12-0165410.5604/17331331.1227670Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014Magdalena Wieczorek0Arleta Krzysztoszek1National Institute of Public Health – National Institute of Hygiene, Department of Virology, Warsaw, PolandNational Institute of Public Health – National Institute of Hygiene, Department of Virology, Warsaw, PolandEnteroviruses (EVs) are among viral pathogens that can cause acute flaccid paralysis (AFP). This study represents an overview of EVs isolated through AFP surveillance in Poland between 1999 and 2014. The presence of enteroviruses was studied in stool samples that were collected from 747 AFP cases and their asymptomatic contacts. Fifty five (6.12%) cases of AFP were associated with enterovirus isolation. Out of the 55 positive cases, 40 were associated with detection of enterovirus in patient, and 15 with detection of EV in healthy contact, without positive detection in paralytic patient. Polioviruses were isolated from 35 AFP cases. The results of this study showed that about 43.6% of positive AFP cases were found in association with the isolation of non-polio enteroviruses (NPEV). A total of 12 different types of the species B were detected (CVA9, CVB1, CVB3, CVB4, CVB5, E3, E4, E9, E11, E13, E30), and one additional isolate representedthe species enterovirus A (EV71). Among the 12 serotypes of species B, CVB3 and CVB5 were more frequently detected than others, representing 40% of the characterized isolates, followed by CVB4 (16%), E4 (8%), and E11(8%). Phylogenetic analysis revealed that strains from Poland had the closest genetic relationship with isolates previously identified in Europe (France, Finland, Denmark, Moldova) but also in other parts of the world (Tunisia, China, USA), suggesting wide distribution of these lineages. The paper provides information about NPEV circulation in Poland in the past 16 years, about its association with the AFP and it indicates the need for monitoring NPEV circulation even after the eradication of poliomyelitis.https://www.exeley.com/exeley/journals/polish_journal_of_microbiology/65/4/pdf/10.5604_17331331.1227670.pdfacute flaccid paralysiscoxsackievirusesenterovirusespoliovirus
spellingShingle Magdalena Wieczorek
Arleta Krzysztoszek
Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
Polish Journal of Microbiology
acute flaccid paralysis
coxsackieviruses
enteroviruses
poliovirus
title Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
title_full Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
title_fullStr Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
title_full_unstemmed Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
title_short Molecular Characterization of Enteroviruses Isolated from Acute Flaccid Paralysis Cases in Poland, 1999–2014
title_sort molecular characterization of enteroviruses isolated from acute flaccid paralysis cases in poland 1999 ndash 2014
topic acute flaccid paralysis
coxsackieviruses
enteroviruses
poliovirus
url https://www.exeley.com/exeley/journals/polish_journal_of_microbiology/65/4/pdf/10.5604_17331331.1227670.pdf
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