Molecular epidemiology of an enterovirus A71 outbreak associated with severe neurological disease, Spain, 2016 Article Swipe
Rubén González-Sanz
,
Dídac Casas‐Alba
,
Cristian Launes
,
Carmen Muñoz‐Almagro
,
María Montserrat Ruiz-García
,
Mercedes Alonso
,
María José González-Abad
,
Gregoria Megías
,
Núria Rabella
,
Margarita del Cuerpo
,
Mónica Gozalo-Margüello
,
Alejandro González‐Praetorius
,
Ana Martínez-Sapiña
,
María José Goyanes-Galán
,
María Pilar Romero‐Gómez
,
Cristina Calvo
,
Andrés Antón
,
Manuel Imaz
,
Maitane Aranzamendi
,
Àgueda Hernández-Rodríguez
,
Antonio Moreno‐Docón
,
Sonia Rey‐Cao
,
Ana Navascués
,
Almudena Otero
,
María Cabrerizo
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.2807/1560-7917.es.2019.24.7.1800089
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.2807/1560-7917.es.2019.24.7.1800089
Introduction Enterovirus A71 (EV-A71) is an emerging pathogen that causes a wide range of disorders including severe neurological manifestations. In the past 20 years, this virus has been associated with large outbreaks of hand, foot and mouth disease with neurological complications in the Asia-Pacific region, while in Europe mainly sporadic cases have been reported. In spring 2016, however, an EV-A71 outbreak associated with severe neurological cases was reported in Catalonia and spread further to other Spanish regions. Aim Our objective was to investigate the epidemiology and clinical characteristics of the outbreak. Methods We carried out a retrospective study which included 233 EV-A71-positive samples collected during 2016 from hospitalised patients. We analysed the clinical manifestations associated with EV-A71 infections and performed phylogenetic analyses of the 3’-VP1 and 3Dpol regions from all Spanish strains and a set of EV-A71 from other countries. Results Most EV-A71 infections were reported in children (mean age: 2.6 years) and the highest incidence was between May and July 2016 (83%). Most isolates (218/233) were classified as subgenogroup C1 and 217 of them were grouped in one cluster phylogenetically related to a new recombinant variant strain associated with severe neurological diseases in Germany and France in 2015 and 2016. Moreover, we found a clear association of EV-A71-C1 infection with severe neurological disorders, brainstem encephalitis being the most commonly reported. Conclusion An emerging recombinant variant of EV-A71-C1 was responsible for the large outbreak in 2016 in Spain that was associated with many severe neurological cases.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2807/1560-7917.es.2019.24.7.1800089
- https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/24/7/eurosurv-24-7-3.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2019.24.7.1800089&mimeType=pdf&containerItemId=content/eurosurveillance
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
- https://openalex.org/W2912742379
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2912742379Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2807/1560-7917.es.2019.24.7.1800089Digital Object Identifier
- Title
-
Molecular epidemiology of an enterovirus A71 outbreak associated with severe neurological disease, Spain, 2016Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
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2019-02-14Full publication date if available
- Authors
-
Rubén González-Sanz, Dídac Casas‐Alba, Cristian Launes, Carmen Muñoz‐Almagro, María Montserrat Ruiz-García, Mercedes Alonso, María José González-Abad, Gregoria Megías, Núria Rabella, Margarita del Cuerpo, Mónica Gozalo-Margüello, Alejandro González‐Praetorius, Ana Martínez-Sapiña, María José Goyanes-Galán, María Pilar Romero‐Gómez, Cristina Calvo, Andrés Antón, Manuel Imaz, Maitane Aranzamendi, Àgueda Hernández-Rodríguez, Antonio Moreno‐Docón, Sonia Rey‐Cao, Ana Navascués, Almudena Otero, María CabrerizoList of authors in order
- Landing page
-
https://doi.org/10.2807/1560-7917.es.2019.24.7.1800089Publisher landing page
- PDF URL
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https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/24/7/eurosurv-24-7-3.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2019.24.7.1800089&mimeType=pdf&containerItemId=content/eurosurveillanceDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/24/7/eurosurv-24-7-3.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2019.24.7.1800089&mimeType=pdf&containerItemId=content/eurosurveillanceDirect OA link when available
- Concepts
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Outbreak, Epidemiology, Medicine, Incidence (geometry), Pediatrics, Foot-and-mouth disease, Encephalitis, Disease, Enterovirus, Virology, Virus, Internal medicine, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
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50Total citation count in OpenAlex
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2025: 5, 2024: 15, 2023: 6, 2022: 8, 2021: 8Per-year citation counts (last 5 years)
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40Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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