Viruses associated with measles-like illnesses in Uganda - 30/04/24
Summary |
Objectives |
In this study, we investigated the causes of measles-like illnesses (MLI) in the Uganda national surveillance program in order to inform diagnostic assay selection and vaccination strategies.
Methods |
We used metagenomic next-generation sequencing (M-NGS) on the Illumina platform to identify viruses associated with MLI (defined as fever and rash in the presence of either cough, coryza or conjunctivitis) in patient samples that had tested IgM negative for measles between 2010 and 2019.
Results |
Viral genomes were identified in 87/271 (32%) of samples, of which 44/271 (16%) contained 12 known viral pathogens. Expected viruses included rubella, human parvovirus B19, Epstein Barr virus, human herpesvirus 6B, human cytomegalovirus, varicella zoster virus and measles virus (detected within the seronegative window-period of infection) and the blood-borne hepatitis B virus. We also detected Saffold virus, human parvovirus type 4, the human adenovirus C2 and vaccine-associated poliovirus type 1.
Conclusions |
The study highlights the presence of undiagnosed viruses causing MLI in Uganda, including vaccine-preventable illnesses. NGS can be used to monitor common viral infections at a population level, especially in regions where such infections are prevalent, including low and middle income countries to guide vaccination policy and optimize diagnostic assays.
Le texte complet de cet article est disponible en PDF.Highlights |
• | We investigated viral causes of measles-like illness in Uganda between 2010 and 2019. |
• | Expected infections with rubella virus, human parvovirus B19, Epstein Barr virus, human herpesvirus 6B, human cytomegalovirus, varicella zoster virus and measles virus were detected. |
• | We detected Saffold virus in two cases. |
• | Other viral infections for which standard diagnostic tests are not currently available included human parvovirus 4, human adenovirus C2 and vaccine-associated poliovirus. |
Keywords : Measles-like illness, Serum, Metagenomic next-generation sequencing, Viruses, Uganda
Plan
Vol 88 - N° 5
Article 106148- mai 2024 Retour au numéro
Article précédent
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