Introduction of the American/Asian genotype of Dengue-2 virus into Yucatán state, México

ABSTRACT: A dengue (DEN) outbreak occurred in the Yucatan State of Mexico in 2002. Three isolates were obtained from patients presenting with DEN-like symptoms, and examined by partial nucleotide sequencing and phylogenetic analysis. The isolates were identified as DEN-2 viruses of the American-Asia...

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Bibliographic Details
Authors: Díaz Castrillón, Francisco Javier, Loroño Pino, María A., Farfán Ale, José A., Zapata Peraza, Alicia L., Rosado Paredes, Elsy P., Flores Flores, Luis F., García Rejón, Julián E., Blitvich, Bradley J., Andrade Narváez, Manuel, Jiménez Ríos, Eusebio, Blair, Carol D., Olson, Ken E., Black IV, William, Beaty, Barry J.
Format: article
Status:Published version
Publication Date:2004
Country:Colombia
Institution:Universidad de Antioquia
Repository:Repositorio UdeA
Language:English
OAI Identifier:oai:bibliotecadigital.udea.edu.co:10495/32043
Online Access:https://hdl.handle.net/10495/32043
Access Level:Open access
Keyword:Distribución por Edad
Age Distribution
Anticuerpos Antivirales
Antibodies, Viral
Dengue
Virus del Dengue
Dengue Virus
Brotes de Enfermedades
Disease Outbreaks
Genotipo
Genotype
Dengue Grave
Severe Dengue
Description
Summary:ABSTRACT: A dengue (DEN) outbreak occurred in the Yucatan State of Mexico in 2002. Three isolates were obtained from patients presenting with DEN-like symptoms, and examined by partial nucleotide sequencing and phylogenetic analysis. The isolates were identified as DEN-2 viruses of the American-Asian genotype; this is the first report of this genotype in the Yucatan State. The DEN-2 viruses of the American-Asian genotype have been associated with more severe disease outcomes. Thus, its introduction into the Yucatan State presents a serious problem to public health authorities. During this outbreak, DEN virus infection was confirmed in 18% (282 of 1,560) of the patients who presented with DEN-like symptoms. Of these, 87 (31%) patients met the World Health Organization criteria for dengue hemorrhagic fever, including two patients who died. The majority (77%) of the patients experienced secondary infections in this epidemic.