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dc.contributor.author
Silva, Monaíse M. O.
dc.contributor.author
Tauro, Laura Beatriz
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Kikuti, Mariana
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Anjos, Rosângela O.
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Santos, Viviane C.
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Gonçalves, Thaiza S. F.
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Paploski, Igor A. D.
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Moreira, Patrícia S. S.
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Nascimento, Leile C. J.
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Campos, Gúbio S.
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Ko, Albert I.
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Weaver, Scott C.
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Reis, Mitermayer G.
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Kitron, Uriel D.
dc.contributor.author
Ribeiro, Guilherme S.
dc.date.available
2019-08-07T19:37:09Z
dc.date.issued
2018-12
dc.identifier.citation
Silva, Monaíse M. O.; Tauro, Laura Beatriz; Kikuti, Mariana; Anjos, Rosângela O.; Santos, Viviane C.; et al.; Concomitant Transmission of Dengue, Chikungunya, and Zika Viruses in Brazil: Clinical and Epidemiological Findings From Surveillance for Acute Febrile Illness; Oxford University Press; Clinical Infectious Diseases; 12-2018; 1-25
dc.identifier.issn
1058-4838
dc.identifier.uri
http://hdl.handle.net/11336/81139
dc.description.abstract
AbstractBACKGROUND:Since their emergence in the Americas, chikungunya (CHIKV) and Zika (ZIKV) viruses co-circulate with dengue virus (DENV), hampering clinical diagnosis. We investigated clinical and epidemiological characteristics of arboviral infections during the introduction and spread of CHIKV and ZIKV through northeastern Brazil.METHODS:Surveillance for arboviral diseases among febrile patients was performed at an emergency health unit of Salvador, Brazil between Sep/2014-Jul/2016. We interviewed patients to collect data on symptoms, reviewed medical records to obtain the presumptive diagnoses, and performed molecular and serological testing to confirm DENV, CHIKV, ZIKV, or non-specific flavivirus (FLAV) diagnosis.RESULTS :948 participants, 247 (26.1%) had an acute infection, of which 224 (23.6%) were single infections (DENV: 32, or 3.4%; CHIKV: 159, 16.7%; ZIKV: 13, 1.4%; and FLAV: 20, 2.1%), and 23 (2.4%) co-infections (DENV/CHIKV: 13, 1.4%; CHIKV/FLAV: 9, 0.9%; and DEN/ZIKV: 1, 0.1%). An additional 133 (14.0%) patients had serological evidence for a recent arboviral infection. Patients with Zika presented rash (69.2%) and pruritus (69.2%) more frequently than those with dengue (37.5% and 31.2%, respectively) and chikungunya (22.9% and 14.7%, respectively) (P<0.001 for both comparisons). Conversely, arthralgia was more common in chikungunya (94.9%) and FLAV/CHIKV (100.0%) than in dengue (59.4%) and Zika (53.8%) (P<0.001). A correct presumptive clinical diagnosis was made for 9-23% of the confirmed patients.CONCLUSIONS:Arboviral infections are frequent causes of febrile illness. Co-infections are not rare events during periods of intense, concomitant arboviral transmission. Given the challenge to clinically distinguish these infections, there is an urgent need for rapid, point-of-care, multiplex diagnostics.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Oxford University Press
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Arbovirus
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Chikungunya Virus
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Acute Febrile Illness.
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Epidemiology
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Virología
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Ciencias Biológicas
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CIENCIAS NATURALES Y EXACTAS
dc.title
Concomitant Transmission of Dengue, Chikungunya, and Zika Viruses in Brazil: Clinical and Epidemiological Findings From Surveillance for Acute Febrile Illness
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2019-08-01T20:10:39Z
dc.identifier.eissn
1537-6591
dc.journal.pagination
1-25
dc.journal.pais
Reino Unido
dc.description.fil
Fil: Silva, Monaíse M. O.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Tauro, Laura Beatriz. Ministerio de Salud. Instituto Nacional de Medicina Tropical; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú | Universidad Nacional de Misiones. Instituto de Biología Subtropical. Instituto de Biología Subtropical - Nodo Puerto Iguazú; Argentina. Instituto Gonçalo Moniz - Fiocruz Bahia; Brasil
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Fil: Kikuti, Mariana. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Anjos, Rosângela O.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Santos, Viviane C.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Gonçalves, Thaiza S. F.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Paploski, Igor A. D.. Universidade Federal da Bahia; Brasil
dc.description.fil
Fil: Moreira, Patrícia S. S.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Nascimento, Leile C. J.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Campos, Gúbio S.. Universidade Federal da Bahia; Brasil
dc.description.fil
Fil: Ko, Albert I.. University of Yale; Estados Unidos
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Fil: Weaver, Scott C.. University of Texas; Estados Unidos
dc.description.fil
Fil: Reis, Mitermayer G.. Instituto Gonçalo Moniz; Brasil
dc.description.fil
Fil: Kitron, Uriel D.. University of Emory; Estados Unidos
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Fil: Ribeiro, Guilherme S.. Universidade Federal da Bahia; Brasil
dc.journal.title
Clinical Infectious Diseases
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1093/cid/ciy1083
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/cid/advance-article-abstract/doi/10.1093/cid/ciy1083/5251719
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