First human case of Usutu virus neuroinvasive infection, Italy, August-September 2009

Author:

Pecorari M1,Longo G2,Gennari W1,Grottola A1,Sabbatini A MT1,Tagliazucchi S1,Savini G3,Monaco F3,Simone M L4,Lelli R3,Rumpianesi F1

Affiliation:

1. Department of Diagnostic and Laboratory Services and Legal Medicine, University of Modena and Reggio Emilia, Azienda Ospedaliera Policlinico, Modena, Italy

2. Department of Oncology and Hematology, University of Modena and Reggio Emilia, Azienda Ospedaliera Policlinico, Modena, Italy

3. Department. of Virology, National Reference Centre for West Nile and Usutu disease, OIE Reference Laboratory for Bluetongue, Istituto Zooprofilattico Sperimentale dell’Abruzzo e Molise ‘G. Caporale’, Teramo, Italy

4. Department of Biomedical Sciences, University of Modena and Reggio Emilia, Modena, Italy

Abstract

We report the first worldwide case of Usutu virus (USUV) neuroinvasive infection in a patient with diffuse large B cell lymphoma who presented with fever and neurological symptoms and was diagnosed with meningoencephalitits. The cerebrospinal fluid was positive for USUV, and USUV was also demonstrated in serum and plasma samples by RT-PCR and sequencing. Partial sequences of the premembrane and NS5 regions of the viral genome were similar to the USUV Vienna and Budapest isolates.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

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