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A New Phlebovirus Associated with Severe Febrile Illness in Missouri

Authors: Laura K, McMullan; Scott M, Folk; Aubree J, Kelly; Adam, MacNeil; Cynthia S, Goldsmith; Maureen G, Metcalfe; Brigid C, Batten; +5 Authors

A New Phlebovirus Associated with Severe Febrile Illness in Missouri

Abstract

Two men from northwestern Missouri independently presented to a medical facility with fever, fatigue, diarrhea, thrombocytopenia, and leukopenia, and both had been bitten by ticks 5 to 7 days before the onset of illness. Ehrlichia chaffeensis was suspected as the causal agent but was not found on serologic analysis, polymerase-chain-reaction (PCR) assay, or cell culture. Electron microscopy revealed viruses consistent with members of the Bunyaviridae family. Next-generation sequencing and phylogenetic analysis identified the viruses as novel members of the phlebovirus genus. Although Koch's postulates have not been completely fulfilled, we believe that this phlebovirus, which is novel in the Americas, is the cause of this clinical syndrome.

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Keywords

Male, Phlebovirus, Missouri, Fever, Genome, Viral, Middle Aged, Antibodies, Viral, Bunyaviridae Infections, Immunoglobulin A, Bone Marrow, Tick-Borne Diseases, Leukocytes, Animals, Humans, RNA, Viral, Phylogeny, Aged

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Powered by OpenAIRE graph
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
556
Top 0.1%
Top 1%
Top 0.1%
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