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1.
Colomb Med (Cali) ; 48(3): 105-112, 2017 Sep 30.
Artigo em Inglês | MEDLINE | ID: mdl-29213152

RESUMO

BACKGROUND: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease that mainly affects women, characterized by the production of autoantibodies. Its causal agent is unknown, but the combination of environmental, hormonal and genetic factors may favor the development of the disease. Parvovirus B19 has been associated with the development of SLE, since it induces the production of anti-single stranded DNA antibodies. It is unknown whether PV-B19 infection is an environmental factor that trigger or reactivate SLE in the Mexican Mayan population. AIM: A preliminary serological and molecular study of PV-B19 infection in Mayan women with established SLE was done. METHODS: IgG and IgM anti PV-B19 were evaluated in 66 SLE patients and 66 control subjects, all women of Mayan origin. Viral DNA and viral load were analyzed by qPCR. RESULTS: Insignificant levels of IgM were observed in 14.3% (4/28) of the patients and 11.4% (4/35) of control subjects. IgG was detected in 82.1% (23/28) of the patients and 82.9% (29/35) of control subjects, but were significantly higher in patients. Viral DNA was found in 86.0% (57/66) of the patients and 81.0% (54/66) of control subjects. Viral load, quantified in 28/66 patients and 31/66 controls which were positive for IgM and IgG, was significantly higher in controls. CONCLUSION: The high prevalence of PV-B19 in Yucatan, and the presence of IgM, IgG, and viral load in Mayan women with established SLE suggest that PV-B19 infection could be an environmental factor to trigger or reactivate SLE.


ANTECEDENTES: Lupus eritematoso sistémico (LES) es una enfermedad sistemica autoinmune que afecta principalmente a las mujeres, caracterizada por la producción de autoanticuerpos. El agente causaal es desconocido. Pero la combinación de factores ambientales, hormonales y genéticos podría favorecer el desarrollo de la enfermedad. El parvovirus B19 se asoció con el desarrollo de LES, debido a que induce la producción de anticuerpos anti-cadena simple de DNA. Es desconocido si la infección PV-B19 es un factor ambiental que desencadena o reactiva LES en la población mexicana Maya. OBJETIVO: Se realizó un estudio serológico y molecular preliminar de la infección de PV-B19 en mujeres Mayas con LES. MÉTODOS: Se evaluó IgG and IgM anti PV-B19 en 66 pacientes con LES y 66 controles sanos, todas las mujeres fueron de origen Maya. DNAViral y la carga viral fueron analizadas por qPCR. RESULTADOS: Se determinaron niveles insignificantes de IgM en el 14.3% (4/28) de las pacientes y en el 11.4% (4/35) de los controles. IgG se detectó en el 82.1% (23/28) de los pacients y en el 82.9% (29/35) de los controles. Hubo un alta significancia en los pacientes con LES. DNA viral se encontró en el 86.0% (57/66) de los pacientes y en el 81.0% (54/66) de los controles. La carga viral se cuantifico en 28/66 pacientes y en 31/66 de los controles, la cual fueron positivos para IgM e IgG; fue significativamente mas alta en los controles. CONCLUSIÓN: La alta prevalencia de PV-B19 en Yucatan y la presencia de IgM, IgG y una carga viral en mujeres Mayas con LES sugiere que la infección con PV-B19 poria ser un factor ambiental que desencadene o reactive el LES.


Assuntos
Indígenas Norte-Americanos , Lúpus Eritematoso Sistêmico/virologia , Infecções por Parvoviridae/complicações , Parvovirus B19 Humano , Adulto , Anticorpos Antivirais/sangue , Estudos de Casos e Controles , DNA Viral/sangue , Feminino , Humanos , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Indígenas Norte-Americanos/etnologia , Indígenas Norte-Americanos/genética , Lúpus Eritematoso Sistêmico/etnologia , México/etnologia , Infecções por Parvoviridae/diagnóstico , Parvovirus B19 Humano/genética , Parvovirus B19 Humano/imunologia , Carga Viral
2.
Colomb. med ; 48(3): 105-112, July-Sept. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-890864

RESUMO

Abstract Background: Systemic lupus erythematosus (SLE) is a systemic autoimmune disease that mainly affects women, characterized by the production of autoantibodies. Its causal agent is unknown, but the combination of environmental, hormonal and genetic factors may favor the development of the disease. Parvovirus B19 has been associated with the development of SLE, since it induces the production of anti-single stranded DNA antibodies. It is unknown whether PV-B19 infection is an environmental factor that trigger or reactivate SLE in the Mexican Mayan population. Aim: A preliminary serological and molecular study of PV-B19 infection in Mayan women with established SLE was done. Methods: IgG and IgM anti PV-B19 were evaluated in 66 SLE patients and 66 control subjects, all women of Mayan origin. Viral DNA and viral load were analyzed by qPCR. Results: Insignificant levels of IgM were observed in 14.3% (4/28) of the patients and 11.4% (4/35) of control subjects. IgG was detected in 82.1% (23/28) of the patients and 82.9% (29/35) of control subjects, but were significantly higher in patients. Viral DNA was found in 86.0% (57/66) of the patients and 81.0% (54/66) of control subjects. Viral load, quantified in 28/66 patients and 31/66 controls which were positive for IgM and IgG, was significantly higher in controls. Conclusion: The high prevalence of PV-B19 in Yucatan, and the presence of IgM, IgG, and viral load in Mayan women with established SLE suggest that PV-B19 infection could be an environmental factor to trigger or reactivate SLE.


Resumen Antecedentes: Lupus eritematoso sistémico (LES) es una enfermedad sistemica autoinmune que afecta principalmente a las mujeres, caracterizada por la producción de autoanticuerpos. El agente causaal es desconocido. Pero la combinación de factores ambientales, hormonales y genéticos podría favorecer el desarrollo de la enfermedad. El parvovirus B19 se asoció con el desarrollo de LES, debido a que induce la producción de anticuerpos anti-cadena simple de DNA. Es desconocido si la infección PV-B19 es un factor ambiental que desencadena o reactiva LES en la población mexicana Maya. Objetivo: Se realizó un estudio serológico y molecular preliminar de la infección de PV-B19 en mujeres Mayas con LES. Métodos: Se evaluó IgG and IgM anti PV-B19 en 66 pacientes con LES y 66 controles sanos, todas las mujeres fueron de origen Maya. DNAViral y la carga viral fueron analizadas por qPCR. Resultados: Se determinaron niveles insignificantes de IgM en el 14.3% (4/28) de las pacientes y en el 11.4% (4/35) de los controles. IgG se detectó en el 82.1% (23/28) de los pacients y en el 82.9% (29/35) de los controles. Hubo un alta significancia en los pacientes con LES. DNA viral se encontró en el 86.0% (57/66) de los pacientes y en el 81.0% (54/66) de los controles. La carga viral se cuantifico en 28/66 pacientes y en 31/66 de los controles, la cual fueron positivos para IgM e IgG; fue significativamente mas alta en los controles. Conclusión: La alta prevalencia de PV-B19 en Yucatan y la presencia de IgM, IgG y una carga viral en mujeres Mayas con LES sugiere que la infección con PV-B19 poria ser un factor ambiental que desencadene o reactive el LES


Assuntos
Adulto , Feminino , Humanos , Indígenas Norte-Americanos , Parvovirus B19 Humano , Infecções por Parvoviridae/complicações , Lúpus Eritematoso Sistêmico/virologia , DNA Viral/sangue , Imunoglobulina G/sangue , Imunoglobulina M/sangue , Indígenas Norte-Americanos/etnologia , Indígenas Norte-Americanos/genética , Estudos de Casos e Controles , Parvovirus B19 Humano/genética , Parvovirus B19 Humano/imunologia , Infecções por Parvoviridae/diagnóstico , Carga Viral , Lúpus Eritematoso Sistêmico/etnologia , México/etnologia , Anticorpos Antivirais/sangue
4.
J Insect Sci ; 10: 32, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20578953

RESUMO

Studies were conducted to determine the host-feeding preference of Culex quinquefasciatus Say (Diptera: Culicidae) in relation to the availability of human and domestic animals in the city of Merida, Yucatan State, Mexico. Mosquitoes were collected in the backyards of houses using resting wooden boxes. Collections were made five times per week from January to December 2005. DNA was extracted from engorged females and tested by PCR using universal avian- and mammalian-specific primers. DNA extracted from avian-derived blood was further analyzed by PCR using primers that differentiate among the birds of three avian orders: Passeriformes, Columbiformes and Galliformes. PCR products obtained from mammalian-derived blood were subjected to restriction enzyme digestion to differentiate between human-, dog-, cat-, pig-, and horse-derived blood meals. Overall, 82% of engorged mosquitoes had fed on birds, and 18% had fed on mammals. The most frequent vertebrate hosts were Galliformes (47.1%), Passeriformes (23.8%), Columbiformes (11.2%) birds, and dogs (8.8%). The overall human blood index was 6.7%. The overall forage ratio for humans was 0.1, indicating that humans were not a preferred host for Cx. quinquefasciatus in Merida.


Assuntos
Culex/fisiologia , Preferências Alimentares , Interações Hospedeiro-Parasita , Animais , Aves , Gatos , Cães , Feminino , Cavalos , Humanos , México , Suínos
5.
Vector Borne Zoonotic Dis ; 9(5): 555-60, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19281433

RESUMO

Prior to 2006, West Nile virus (WNV) had not been definitively detected in Chiapas, the southernmost state of Mexico, although it circulates elsewhere in Mexico and Central America. We collected over 30,000 mosquitoes and blood-sampled 351 domestic animals in Chiapas in search for evidence of current or recent transmission of WNV. Two mosquito pools tested positive for WNV RNA and 17 domestic animals tested positive for specific WNV-neutralizing antibodies, including young animals (<1 year old) in four of five sampled locations. The two WNV-positive mosquito pools were collected on the Pacific coastal plain of Chiapas in June, 2006, and included a pool of Culex nigripalpus, a suspected vector of WNV, and a pool of Cx. interrogator. The sequence of a 537-nucleotide portion of a cDNA amplicon derived from the WNV NS5 gene from the Cx. interrogator pool contained a single silent nucleotide substitution when compared to WNV strain NY99.


Assuntos
Doenças dos Animais/epidemiologia , Animais Domésticos/sangue , Culicidae/virologia , Febre do Nilo Ocidental/veterinária , Vírus do Nilo Ocidental/isolamento & purificação , Doenças dos Animais/sangue , Doenças dos Animais/virologia , Animais , Anticorpos Antivirais , Bovinos , Feminino , Cavalos , México/epidemiologia , Aves Domésticas , Suínos , Febre do Nilo Ocidental/sangue , Febre do Nilo Ocidental/epidemiologia
6.
Am J Trop Med Hyg ; 79(6): 940-50, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19052309

RESUMO

We determined abundance of Aedes aegypti mosquitoes and presence of dengue virus (DENV) in females collected from premises of laboratory-confirmed dengue patients over a 12-month period (March 2007 to February 2008) in Merida, Mexico. Backpack aspiration from 880 premises produced 1,836 females and 1,292 males indoors (predominantly from bedrooms) and 102 females and 108 males from patios/backyards. The mean weekly indoor catch rate per home peaked at 7.8 females in late August. Outdoor abundances of larvae or pupae were not predictive of female abundance inside the home. DENV-infected Ae. aegypti females were recovered from 34 premises. Collection of DENV-infected females from homes of dengue patients up to 27 days after the onset of symptoms (median, 14 days) shows the usefulness of indoor insecticide application in homes of suspected dengue patients to prevent their homes from becoming sources for dispersal of DENV by persons visiting and being bitten by infected mosquitoes.


Assuntos
Aedes/fisiologia , Aedes/virologia , Vírus da Dengue/isolamento & purificação , Adolescente , Adulto , Animais , Criança , Pré-Escolar , Dengue/epidemiologia , Feminino , Habitação , Humanos , Lactente , Masculino , México/epidemiologia , Controle de Mosquitos , Densidade Demográfica , Chuva , Estações do Ano , Temperatura , Fatores de Tempo
7.
J Am Mosq Control Assoc ; 24(3): 344-8, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18939685

RESUMO

West Nile virus (WNV) has been present in the Yucatán State, México, since 2002. Culex quinquefasciatus, one of the main vectors of WNV transmission in the United States, is also common in Mexico and may be a key vector of WNV transmission t o humans in t he Yucatán. The aim of this study was to determine the length of the gonotrophic cycle and the survival rates of Cx. quinquefasciatus from Mérida, Yucatán, during the rainy versus the dry season. Mosquitoes were collected during 25-day periods in October (rainy season) and in April (dry season), and captured females were classified by abdominal appearance (freshly fed, late-stage fed, half gravid, and subgravid). To determine the age structure as nulliparous and parous females and to calculate the gonotrophic cycle through a time series and the mosquito survival, we used Davidson formulae. Also, vitellogenesis analysis to monitor egg maturity was conducted during both seasons. Cross-correlation data suggested a similar length of the gonotrophic cycle (4 days) in both seasons. Oogenic development required a minimum of 72 h in each season. However, survival of the mosquito population collected in the rainy season was significantly higher (0.91) with a mean temperature of 28 +/- 1.57 degrees C than was survival in the dry season (0.78) with a mean temperature of 29 +/- 1.10 degrees C. Survival, although higher during the rainy season, did not influence the length of the gonotrophic cycle of Cx. quinquefasciatus in Yucatán.


Assuntos
Culex/fisiologia , Oviparidade , Chuva , Estações do Ano , Animais , Feminino , México , Fatores de Tempo , Vitelogênese
8.
Salud Publica Mex ; 50(1): 76-85, 2008.
Artigo em Espanhol | MEDLINE | ID: mdl-18297185

RESUMO

OBJECTIVE: To determine the prevalence of West Nile Virus (WNV) infection in animals, mosquitoes and employees from two zoos of Tabasco state, Mexico. MATERIAL AND METHODS: WNV antibodies were detected by blocking ELISA in serum samples from animals. Viral RNA was detected by RT-PCR from mosquitoes and serum samples from employees at "Yum-Ká" zoo. RESULTS: Seroprevalence in birds was 25.65% (19/74) and 85% (6/7) in reptiles from "La Venta" zoo. Thirty-one percent of birds (50/160) and 34.48% mammals (16/29) at the "Yum-Ká" zoo, were seropositive. All human serum samples from Yum-ká zoo were negative by RT-PCR. A pool of mosquitoes (Culex quinquefasciatus) was positive for WNV. CONCLUSIONS: The presence of WNV antibodies in animals from both zoos and the detection of viral genome in mosquitoes demonstrate the presence of WNV in this region and indicates a potential risk of infection in animals and humans.


Assuntos
Animais de Zoológico , Anticorpos Antivirais/sangue , RNA Viral/sangue , Febre do Nilo Ocidental/veterinária , Animais , Culicidae/química , Humanos , México , Prevalência , Estudos Soroepidemiológicos , Febre do Nilo Ocidental/epidemiologia , Vírus do Nilo Ocidental/genética , Vírus do Nilo Ocidental/imunologia
9.
Salud pública Méx ; 50(1): 76-85, jan.-feb. 2008. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-475161

RESUMO

OBJETIVO: Determinar la prevalencia de infección por el virus del Nilo Occidental (VNO) en animales, mosquitos y personal que labora en dos zoológicos del estado de Tabasco, en México. MATERIAL Y MÉTODOS: Con la utilización de ELISA de bloqueo se detectaron anticuerpos en sueros de animales: se buscó un fragmento del genoma del VNO por RT-PCR en el suero de animales, empleados y mosquitos. RESULTADOS: En el zoológico "La Venta" se encontró una seroprevalencia de 25.67 por ciento (19/74) en aves y de 85.71 por ciento (6/7) en reptiles. En el zoológico "Yum-Ká", 31.25 por ciento (50/160) de las aves y 34.48 por ciento (16/29,) de los mamíferos, tuvieron anticuerpos contra el VNO. En un grupo de mosquitos (Culex quinquefasciatus) se detectó el genoma del virus. CONCLUSIONES: La detección de anticuerpos contra el VNO en animales de ambos zoológicos y del genoma viral en mosquitos demuestra la presencia del virus, lo cual representa un riesgo potencial de infección para animales y humanos.


OBJECTIVE: To determine the prevalence of West Nile Virus (WNV) infection in animals, mosquitoes and employees from two zoos of Tabasco state, Mexico. MATERIAL AND METHODS: WNV antibodies were detected by blocking ELISA in serum samples from animals. Viral RNA was detected by RT-PCR from mosquitoes and serum samples from employees at "Yum-Ká" zoo. RESULTS: Seroprevalence in birds was 25.65 percent (19/74) and 85 percent (6/7) in reptiles from "La Venta" zoo. Thirty-one percent of birds (50/160) and 34.48 percent mammals (16/29) at the "Yum-Ká" zoo, were seropositive. All human serum samples from Yum-ká zoo were negative by RT-PCR. A pool of mosquitoes (Culex quinquefasciatus) was positive for WNV. CONCLUSIONS: The presence of WNV antibodies in animals from both zoos and the detection of viral genome in mosquitoes demonstrate the presence of WNV in this region and indicates a potential risk of infection in animals and humans.


Assuntos
Animais , Humanos , Animais de Zoológico , Anticorpos Antivirais/sangue , RNA Viral/sangue , Febre do Nilo Ocidental/veterinária , Culicidae/química , México , Prevalência , Estudos Soroepidemiológicos , Febre do Nilo Ocidental/epidemiologia , Vírus do Nilo Ocidental/genética , Vírus do Nilo Ocidental/imunologia
10.
Am J Trop Med Hyg ; 74(5): 908-14, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16687701

RESUMO

Surveillance for evidence of West Nile virus (WNV) infection in taxonomically diverse vertebrates was conducted in the Yucatan Peninsula of Mexico in 2003 and 2004. Sera from 144 horses on Cozumel Island, Quintana Roo State, 415 vertebrates (257 birds, 52 mammals, and 106 reptiles) belonging to 61 species from the Merida Zoo, Yucatan State, and 7 farmed crocodiles in Ciudad del Carmen, Campeche State were assayed for antibodies to flaviviruses. Ninety (62%) horses on Cozumel Island had epitope-blocking enzyme-linked immunosorbent assay (ELISA) antibodies to flaviviruses, of which 75 (52%) were seropositive for WNV by plaque reduction neutralization test (PRNT). Blocking ELISA antibodies to flaviviruses also were detected in 13 (3%) animals in the Merida Zoo, including 7 birds and 2 mammals (a jaguar and coyote) seropositive for WNV by PRNT. Six (86%) crocodiles in Campeche State had PRNT-confirmed WNV infections. All animals were healthy at the time of serum collections and none had a history of WNV-like illness.


Assuntos
Anticorpos Antivirais/análise , Febre do Nilo Ocidental/veterinária , Vírus do Nilo Ocidental/isolamento & purificação , Animais , Animais Selvagens/virologia , Animais de Zoológico/virologia , Aves/virologia , Ensaio de Imunoadsorção Enzimática , Mamíferos/virologia , México/epidemiologia , Répteis/virologia , Estudos Soroepidemiológicos , Febre do Nilo Ocidental/epidemiologia , Febre do Nilo Ocidental/virologia , Vírus do Nilo Ocidental/imunologia
11.
Am J Trop Med Hyg ; 71(4): 485-92, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15516647

RESUMO

A dengue (DEN) outbreak occurred in the Yucatan State of Mexico in 2002. Three isolates were obtained from patients presenting with DEN-like symptoms, and examined by partial nucleotide sequencing and phylogenetic analysis. The isolates were identified as DEN-2 viruses of the American-Asian genotype; this is the first report of this genotype in the Yucatan State. The DEN-2 viruses of the American-Asian genotype have been associated with more severe disease outcomes. Thus, its introduction into the Yucatan State presents a serious problem to public health authorities. During this outbreak, DEN virus infection was confirmed in 18% (282 of 1,560) of the patients who presented with DEN-like symptoms. Of these, 87 (31%) patients met the World Health Organization criteria for dengue hemorrhagic fever, including two patients who died. The majority (77%) of the patients experienced secondary infections in this epidemic.


Assuntos
Vírus da Dengue/classificação , Vírus da Dengue/genética , Dengue/epidemiologia , Surtos de Doenças , Dengue Grave/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Anticorpos Antivirais/sangue , Criança , Pré-Escolar , Dengue/fisiopatologia , Dengue/virologia , Vírus da Dengue/isolamento & purificação , Feminino , Genótipo , Humanos , Lactente , Recém-Nascido , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Epidemiologia Molecular , Filogenia , Dengue Grave/fisiopatologia , Dengue Grave/virologia , Índice de Gravidade de Doença
12.
Vector Borne Zoonotic Dis ; 4(1): 3-14, 2004.
Artigo em Inglês | MEDLINE | ID: mdl-15018768

RESUMO

Following the introduction of West Nile virus (WNV) into North America in 1999, surveillance for evidence of infection with this virus in migratory and resident birds was established in Yucatán State, México in March 2000. Overall, 8611 birds representing 182 species and 14 orders were captured and assayed for antibodies to WNV. Of these, 5066 (59%) birds were residents and 3545 (41%) birds were migrants. Twenty-one (0.24%) birds exhibited evidence of flavivirus infection. Of these, 8 birds had antibodies to WNV by epitope-blocking enzyme-linked immunosorbent assay. Five (0.06%) birds (gray catbird, brown-crested flycatcher, rose-breasted grosbeak, blue bunting and indigo bunting) were confirmed to have WNV infections by plaque reduction neutralization test. The WNV-infected birds were sampled in December 2002 and January 2003. The brown-crested flycatcher and blue bunting presumably were resident birds; the other WNV seropositive birds were migrants. These data provide evidence of WNV transmission among birds in the Yucatán Peninsula.


Assuntos
Anticorpos Antivirais/sangue , Doenças das Aves/epidemiologia , Febre do Nilo Ocidental/veterinária , Vírus do Nilo Ocidental/imunologia , Migração Animal , Animais , Doenças das Aves/transmissão , Doenças das Aves/virologia , Aves , Ensaio de Imunoadsorção Enzimática/métodos , Ensaio de Imunoadsorção Enzimática/veterinária , Estudos Longitudinais , México/epidemiologia , Testes de Neutralização/métodos , Testes de Neutralização/veterinária , Estudos Soroepidemiológicos , Febre do Nilo Ocidental/epidemiologia , Febre do Nilo Ocidental/transmissão , Febre do Nilo Ocidental/virologia , Vírus do Nilo Ocidental/isolamento & purificação
13.
Emerg Infect Dis ; 9(7): 857-9, 2003 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12890328

RESUMO

Serum samples were obtained from 252 horses in the State of Yucatan, Mexico, from July to October 2002. Antibodies to West Nile virus were detected by epitope-blocking enzyme-linked immunosorbent assays in three (1.2%) horses and confirmed by plaque reduction neutralization test. We report the first West Nile virus activity in the State of Yucatan.


Assuntos
Doenças dos Cavalos/epidemiologia , Doenças dos Cavalos/virologia , Febre do Nilo Ocidental/epidemiologia , Febre do Nilo Ocidental/veterinária , Animais , Anticorpos Antivirais/sangue , Cavalos , México/epidemiologia , Febre do Nilo Ocidental/imunologia , Vírus do Nilo Ocidental/imunologia , Vírus do Nilo Ocidental/isolamento & purificação
14.
Rev. Inst. Med. Trop. Säo Paulo ; Rev. Inst. Med. Trop. Säo Paulo;35(5): 449-455, Set.-Out. 1993.
Artigo em Inglês | LILACS | ID: lil-320237

RESUMO

An outbreak of dengue 4 occurred in the Yucatán, México in 1984. During the course of the outbreak, 538 of 5486 reported cases of dengue-like illness were studied; 200 were confirmed as dengue serologically and/or virologically. Dengue 4 virus was isolated from 34 patients and dengue 1 from one. Severe haemorrhagic symptoms were observed in 9 laboratory confirmed patients, including four deaths. Thus, the outbreak in Yucatán is the second dengue epidemic in the Americas after the Cuban epidemic in 1981 in which a number of patients suffered from haemorrhagic complications. It was notable that 5 of 9 hospitalized, severe cases were young adults and that only one met the WHO criteria of DHF, in contrast to primary pediatric nature of DHF in Southeast Asia. In this paper we describe clinical, serologic, and virologic studies conducted during the outbreak.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Dengue , Vírus da Dengue , Surtos de Doenças , Distribuição por Idade , Dengue , México , Distribuição por Sexo
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