BMC Infectious Diseases | |
Genetic analysis and epidemiology of Crimean Congo hemorrhagic fever viruses in Baluchistan province of Pakistan | |
Syed Sohail Zahoor Zaidi1  Mehar Angez1  Muhammad Suleman Rana1  Shahzad Shaukat1  Salmaan Sharif1  Adnan Khurshid1  Muhammad Masroor Alam1  | |
[1] Department of Virology, National Institute of Health, Chak Shahzad, Park Road, Islamabad, 44000, Pakistan | |
关键词: Molecular epidemiology; Baluchistan; CCHFV Asia type-1 genotype; Pakistan; Crimean Congo hemorrhagic fever; | |
Others : 1148613 DOI : 10.1186/1471-2334-13-201 |
|
received in 2012-07-18, accepted in 2013-04-25, 发布年份 2013 | |
【 摘 要 】
Background
Pakistan is considered as an endemic country for Crimean-Congo Hemorrhagic fever with numerous outbreaks and sporadic cases reported during the past two decades. Majority of cases are reported from Baluchistan province with subsequent transmissions to non-endemic regions mainly through infected animals directly or via infested ticks. We hereby describe the molecular investigations of CCHF cases reported during 2008 in Quetta city of Baluchistan province.
Methods
Serum Samples from 44 patients, with clinical signs of hemorrhagic fever attending a tertiary care hospital in Quetta city, were collected and tested for CCHF virus antigen and genomic RNA, using capture IgM EIA kit and standard RT-PCR assay, respectively. The partial S-gene fragments were directly sequenced to get information related to the prevailing CCHFV genotypes and their molecular epidemiology in Pakistan.
Results
Out of the total forty four, sixteen (36%) samples were found positive for CCHF IgM. Similarly, viral RNA was detected in six (16%) samples. Phylogenetic analysis revealed that all study viruses belong to genotype Asia-1 with closest similarity (99-100%) to the previously reported strains from Pakistan, Afghanistan and Iran.
Conclusion
We conclude that CCHF virus remains endemic within Baluchistan and its neighboring regions of Afghanistan warranting a need of incessant surveillance activities.
【 授权许可】
2013 Alam et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150404174411573.pdf | 720KB | download | |
Figure 2. | 138KB | Image | download |
Figure 1. | 53KB | Image | download |
【 图 表 】
Figure 1.
Figure 2.
【 参考文献 】
- [1]Hewson R, Chamberlain J, Mioulet V, Lloyd G, Jamil B, Hasan R, Gmyl A, Gmyl L, Smirnova SE, Lukashev A: Crimean-Congo haemorrhagic fever virus: sequence analysis of the small RNA segments from a collection of viruses world wide. Virus Res 2004, 102(2):185-189.
- [2]Chamberlain J, Cook N, Lloyd G, Mioulet V, Tolley H, Hewson R: Co-evolutionary patterns of variation in small and large RNA segments of Crimean-Congo hemorrhagic fever virus. J Gen Virol 2005, 86(Pt 12):3337-3341.
- [3]Flick R, Flick K, Feldmann H, Elgh F: Reverse genetics for crimean-congo hemorrhagic fever virus. J Virol 2003, 77(10):5997-6006.
- [4]Hoogstraal H: The epidemiology of tick-borne Crimean-Congo hemorrhagic fever in Asia, Europe, and Africa. J Med Entomol 1979, 15(4):307-417.
- [5]Papa A, Bino S, Llagami A, Brahimaj B, Papadimitriou E, Pavlidou V, Velo E, Cahani G, Hajdini M, Pilaca A: Crimean-Congo hemorrhagic fever in Albania, 2001. Eur J Clin Microbiol: official publication of the European Society of Clinical Microbiology 2002, 21(8):603-606.
- [6]Swanepoel R, Gill DE, Shepherd AJ, Leman PA, Mynhardt JH, Harvey S: The clinical pathology of Crimean-Congo hemorrhagic fever. Rev Infect Dis 1989, 11(Suppl 4):S794-800.
- [7]Rodriguez LL, Maupin GO, Ksiazek TG, Rollin PE, Khan AS, Schwarz TF, Lofts RS, Smith JF, Noor AM, Peters CJ: Molecular investigation of a multisource outbreak of Crimean-Congo hemorrhagic fever in the United Arab Emirates. Am J Trop Med Hyg 1997, 57(5):512-518.
- [8]Tonbak S, Aktas M, Altay K, Azkur AK, Kalkan A, Bolat Y, Dumanli N, Ozdarendeli A: Crimean-Congo hemorrhagic fever virus: genetic analysis and tick survey in Turkey. J Clin Microbiol 2006, 44(11):4120-4124.
- [9]Tall A, Diallo M, Faye O, Diab H, Diatta B, Sall AA: [Crimean-Congo hemorrhagic fever in Senegal]. Med Tr: revue du Corps de sante colonial 2009, 69(1):18.
- [10]Camicas JL, Cornet JP, Gonzalez JP, Wilson ML, Adam F, Zeller HG: [Crimean-Congo hemorrhagic fever in Senegal. Latest data on the ecology of the CCHF virus]. Bull Soc Pathol Exot 1994, 87(1):11-16.
- [11]Burney MI, Ghafoor A, Saleen M, Webb PA, Casals J: Nosocomial outbreak of viral hemorrhagic fever caused by Crimean Hemorrhagic fever-Congo virus in Pakistan, January 1976. Am J Trop Med Hyg 1980, 29(5):941-947.
- [12]Mansoor Nadeem NA, Masood A, Ikhlaq H, Taj M, Abdul H: A comparison of clincial diagnosis and serological diagnosis in an epidemic of Crimean-Congo hemorrhagic Fever. Pakistan J Med Sci 2003, 19(4):247-252.
- [13]Jogezai GSPEK: Crimean-Congo Hemorrhagic Fever: a survey of cases of CCHF in Baluchistan. Prof Med J 2007, 14(1):17-20.
- [14]Mild M, Simon M, Albert J, Mirazimi A: Towards an understanding of the migration of Crimean-Congo hemorrhagic fever virus. J Gen Virol 2010, 91(Pt 1):199-207.
- [15]Schwarz TF, Nsanze H, Longson M, Nitschko H, Gilch S, Shurie H, Ameen A, Zahir AR, Acharya UG, Jager G: Polymerase chain reaction for diagnosis and identification of distinct variants of Crimean-Congo hemorrhagic fever virus in the United Arab Emirates. Am J Trop Med Hyg 1996, 55(2):190-196.
- [16]Smego RA Jr, Sarwari AR, Siddiqui AR: Crimean-Congo hemorrhagic fever: prevention and control limitations in a resource-poor country. Clin infect dis: an official publication of the Infectious Diseases Society of America 2004, 38(12):1731-1735.
- [17]Tahmasebi F, Ghiasi SM, Mostafavi E, Moradi M, Piazak N, Mozafari A, Haeri A, Fooks AR, Chinikar S: Molecular epidemiology of Crimean- Congo hemorrhagic fever virus genome isolated from ticks of Hamadan province of Iran. J Vector Borne Dis 2010, 47(4):211-216.
- [18]Yashina L, Petrova I, Seregin S, Vyshemirskii O, Lvov D, Aristova V, Kuhn J, Morzunov S, Gutorov V, Kuzina I: Genetic variability of Crimean-Congo haemorrhagic fever virus in Russia and Central Asia. J Gen Virol 2003, 84(Pt 5):1199-1206.
- [19]Chinikar S, Ghiasi SM, Hewson R, Moradi M, Haeri A: Crimean-Congo hemorrhagic fever in Iran and neighboring countries. J Clin Virol: the official publication of the Pan American Society for Clinical Virology 2010, 47(2):110-114.
- [20]Gozalan A, Akin L, Rolain JM, Tapar FS, Oncul O, Yoshikura H, Zeller H, Raoult D, Esen B: [Epidemiological evaluation of a possible outbreak in and nearby Tokat province]. Mikrobiyol Bul 2004, 38(1–2):33-44.
- [21]Altaf Hussain Bosan HA, Athar Saeed D, Faizullah K, Zafar T, Arshad A, Arif S, Amna Rehana S: Crimean Congo Hemorrhagic Fever (CCHF) outbreak in Karachi. Pakistan J Med Sci 2002, 41(1):36-38.
- [22]Aradaib IE, Erickson BR, Mustafa ME, Khristova ML, Saeed NS, Elageb RM, Nichol ST: Nosocomial outbreak of Crimean-Congo hemorrhagic fever, Sudan. Emerg Infect Dis 2010, 16(5):837-839.
- [23]Burt FJ, Swanepoel R: Molecular epidemiology of African and Asian Crimean-Congo haemorrhagic fever isolates. Epidemiol Infect 2005, 133(4):659-666.
- [24]Olschlager S, Gabriel M, Schmidt-Chanasit J, Meyer M, Osborn E, Conger NG, Allan PF, Gunther S: Complete sequence and phylogenetic characterisation of Crimean-Congo hemorrhagic fever virus from Afghanistan. J Clin Virol: the official publication of the Pan American Society for Clinical Virology 2011, 50(1):90-92.
- [25]Izadi S, Holakouie-Naieni K, Majdzadeh SR, Chinikar S, Nadim A, Rakhshani F, Hooshmand B: Seroprevalence of Crimean-Congo hemorrhagic fever in Sistan-va-Baluchestan province of Iran. Jpn J Infect Dis 2006, 59(5):326-328.
- [26]Suleiman MN, Muscat-Baron JM, Harries JR, Satti AG, Platt GS, Bowen ET, Simpson DI: Congo/Crimean haemorrhagic fever in Dubai. An outbreak at the Rashid Hospital. Lancet 1980, 2(8201):939-941.
- [27]Sun S, Dai X, Aishan M, Wang X, Meng W, Feng C, Zhang F, Hang C, Hu Z, Zhang Y: Epidemiology and phylogenetic analysis of crimean-congo hemorrhagic fever viruses in xinjiang, china. J Clin Microbiol 2009, 47(8):2536-2543.
- [28]Deyde VM, Khristova ML, Rollin PE, Ksiazek TG, Nichol ST: Crimean-Congo hemorrhagic fever virus genomics and global diversity. J Virol 2006, 80(17):8834-8842.
- [29]Raziq MYZR: Prospects of Livestock Production in Baluchistan. Pakistan Vet J 2010, 30(3):181-186.
- [30]Drosten C, Minnak D, Emmerich P, Schmitz H, Reinicke T: Crimean-Congo hemorrhagic fever in Kosovo. J Clin Microbiol 2002, 40(3):1122-1123.
- [31]Papa A, Bozovi B, Pavlidou V, Papadimitriou E, Pelemis M, Antoniadis A: Genetic detection and isolation of crimean-congo hemorrhagic fever virus, Kosovo, Yugoslavia. Emerg Infect Dis 2002, 8(8):852-854.