Evidence of Lineage 1 and 3 West Nile Virus in Person with Neuroinvasive Disease, Nebraska, USA, 2023

West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In 2023, an immunocompetent patient was hospitalized in Nebraska with West Nile neuroinvasive disease and multisystem organ failure. Testing at the...

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Published inEmerging infectious diseases Vol. 30; no. 10; pp. 2090 - 2098
Main Authors Davis, Emily, Velez, Jason, Hamik, Jeff, Fitzpatrick, Kelly, Haley, Jacki, Eschliman, Jeremy, Panella, Amanda, Staples, J. Erin, Lambert, Amy, Donahue, Matthew, Brault, Aaron C., Hughes, Holly R.
Format Journal Article
LanguageEnglish
Published United States U.S. National Center for Infectious Diseases 01.10.2024
Centers for Disease Control and Prevention
Subjects
Asymptomatic
Cardiovascular disease
Case studies
Central nervous system diseases
co-infection
Disease transmission
Evidence of Lineage 1 and 3 West Nile Virus in Person with Neuroinvasive Disease, Nebraska, USA, 2023
Genetic aspects
Genome, Viral
Genomics
Health aspects
Hospitals
Humans
Infections
lineage 3
Medical laboratories
Medical research
Medicine, Experimental
Nebraska - epidemiology
Ostomy
Phylogeny
Physiological aspects
Proteins
Public health
Rabensburg virus
Risk factors
Type 2 diabetes
Vector-borne diseases
Viruses
West Nile fever
West Nile Fever - epidemiology
West Nile Fever - virology
West Nile virus
West Nile virus - genetics
zoonoses
Nebraska
United States
Colorado
United States > US
Europe
Africa
Rabensburg virus
viruses
vector-borne infections
co-infection
United States
West Nile virus
lineage 3
West Nile neuroinvasive disease
zoonoses
genomic surveillance
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Abstract West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In 2023, an immunocompetent patient was hospitalized in Nebraska with West Nile neuroinvasive disease and multisystem organ failure. Testing at the Centers for Disease Control and Prevention indicated an unusually high viral load and acute antibody response. Upon sequencing of serum and cerebrospinal fluid, we detected lineage 3 (L3) and L1 WNV genomes. L3 WNV had previously only been found in Central Europe in mosquitoes. The identification of L3 WNV in the United States and the observed clinical and laboratory features raise questions about the potential effect of L3 WNV on the transmission dynamics and pathogenicity of WNV infections. Determining the distribution and prevalence of L3 WNV in the United States and any public health and clinical implications is critical.
AbstractList West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In 2023, an immunocompetent patient was hospitalized in Nebraska with West Nile neuroinvasive disease and multisystem organ failure. Testing at the Centers for Disease Control and Prevention indicated an unusually high viral load and acute antibody response. Upon sequencing of serum and cerebrospinal fluid, we detected lineage 3 (L3) and L1 WNV genomes. L3 WNV had previously only been found in Central Europe in mosquitoes. The identification of L3 WNV in the United States and the observed clinical and laboratory features raise questions about the potential effect of L3 WNV on the transmission dynamics and pathogenicity of WNV infections. Determining the distribution and prevalence of L3 WNV in the United States and any public health and clinical implications is critical.West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In 2023, an immunocompetent patient was hospitalized in Nebraska with West Nile neuroinvasive disease and multisystem organ failure. Testing at the Centers for Disease Control and Prevention indicated an unusually high viral load and acute antibody response. Upon sequencing of serum and cerebrospinal fluid, we detected lineage 3 (L3) and L1 WNV genomes. L3 WNV had previously only been found in Central Europe in mosquitoes. The identification of L3 WNV in the United States and the observed clinical and laboratory features raise questions about the potential effect of L3 WNV on the transmission dynamics and pathogenicity of WNV infections. Determining the distribution and prevalence of L3 WNV in the United States and any public health and clinical implications is critical.
West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In 2023, an immunocompetent patient was hospitalized in Nebraska with West Nile neuroinvasive disease and multisystem organ failure. Testing at the Centers for Disease Control and Prevention indicated an unusually high viral load and acute antibody response. Upon sequencing of serum and cerebrospinal fluid, we detected lineage 3 (L3) and L1 WNV genomes. L3 WNV had previously only been found in Central Europe in mosquitoes. The identification of L3 WNV in the United States and the observed clinical and laboratory features raise questions about the potential effect of L3 WNV on the transmission dynamics and pathogenicity of WNV infections. Determining the distribution and prevalence of L3 WNV in the United States and any public health and clinical implications is critical.
Audience Professional
Academic
Author Davis, Emily
Eschliman, Jeremy
Brault, Aaron C.
Velez, Jason
Panella, Amanda
Staples, J. Erin
Haley, Jacki
Lambert, Amy
Hughes, Holly R.
Fitzpatrick, Kelly
Donahue, Matthew
Hamik, Jeff
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Issue 10
Keywords Rabensburg virus
viruses
vector-borne infections
co-infection
United States
West Nile virus
lineage 3
West Nile neuroinvasive disease
zoonoses
genomic surveillance
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Snippet West Nile virus (WNV) is the most common cause of human arboviral disease in the contiguous United States, where only lineage 1 (L1) WNV had been found. In...
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SubjectTerms Asymptomatic
Cardiovascular disease
Case studies
Central nervous system diseases
co-infection
Disease transmission
Evidence of Lineage 1 and 3 West Nile Virus in Person with Neuroinvasive Disease, Nebraska, USA, 2023
Genetic aspects
Genome, Viral
Genomics
Health aspects
Hospitals
Humans
Infections
lineage 3
Medical laboratories
Medical research
Medicine, Experimental
Nebraska - epidemiology
Ostomy
Phylogeny
Physiological aspects
Proteins
Public health
Rabensburg virus
Risk factors
Type 2 diabetes
Vector-borne diseases
Viruses
West Nile fever
West Nile Fever - epidemiology
West Nile Fever - virology
West Nile virus
West Nile virus - genetics
zoonoses
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Title Evidence of Lineage 1 and 3 West Nile Virus in Person with Neuroinvasive Disease, Nebraska, USA, 2023
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https://doaj.org/article/601731470b014d56a353401ddbf2d986
Volume 30
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