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  • Spatial-Temporal Co-Circula...
    Andrade, Elisa H P; Figueiredo, Leandra B; Vilela, Ana P P; Rosa, Júlio C C; Oliveira, Jaquelline G; Zibaoui, Hassan M; Araújo, Valdelaine E M; Miranda, Daniela P J; Ferreira, Paulo C P; Abrahão, Jonatas S; Kroon, Erna G

    The American journal of tropical medicine and hygiene, 05/2016, Letnik: 94, Številka: 5
    Journal Article

    Dengue is currently regarded as a major public health problem worldwide. In a hyperendemic region during an outbreak, we detected the co-circulation of all Dengue virus (DENV) serotypes including two different genotypes of DENV-3 and DENV-4, and concurrent infections with up to three serotypes were identified in symptomatic patients. A total of 49 acute phase plasma samples from patients clinically suspected of dengue were collected during the 4 weeks of May 2013. DENV-1-4 was detected by reverse transcriptase semi-nested polymerase chain reaction in 33 samples (67.3%), of which 26 DNA fragments were sequenced. Twenty samples (76.9%) were identified with a single DENV serotype and six (23.1%) with more than one serotype. DENV-3 was the predominant serotype of the outbreak. On the basis of phylogenetic analyses, DENV-1 isolates belong to genotype V, DENV-2 to American-Asian genotype, DENV-3 to genotypes I and III, and DENV-4 to genotypes I and II.