Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.

As a result of successful implementation of the measles/rubella elimination program, the etiology of more and more double negative cases remains elusive. The present study determined the role of different viruses as causative agents in measles or rubella suspected cases in Belarus. A total of 856 se...

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Autores principales: Marina A Yermalovich, Galina V Semeiko, Elena O Samoilovich, Ekaterina Y Svirchevskaya, Claude P Muller, Judith M Hübschen
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Publicado: Public Library of Science (PLoS) 2014
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Acceso en línea:https://doaj.org/article/13489b3b47964f42bc5267bb5792dd0f
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spelling oai:doaj.org-article:13489b3b47964f42bc5267bb5792dd0f2021-11-25T05:55:03ZEtiology of maculopapular rash in measles and rubella suspected patients from Belarus.1932-620310.1371/journal.pone.0111541https://doaj.org/article/13489b3b47964f42bc5267bb5792dd0f2014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0111541https://doaj.org/toc/1932-6203As a result of successful implementation of the measles/rubella elimination program, the etiology of more and more double negative cases remains elusive. The present study determined the role of different viruses as causative agents in measles or rubella suspected cases in Belarus. A total of 856 sera sent to the WHO National Laboratory between 2009 and 2011 were tested for specific IgM antibodies to measles virus (MV), rubella virus (RV) and human parvovirus B19 (B19V). The negatives were further investigated for antibodies to enterovirus (EV) and adenovirus (AdV). Children of up to 3 years were tested for IgM antibodies to human herpesvirus 6 (HHV6). A viral etiology was identified in 451 (52.7%) cases, with 6.1% of the samples being positive for MV; 2.6% for RV; 26.2% for B19V; 9.7% for EV; 4.6% for AdV; and 3.6% for HHV6. Almost all measles and rubella cases occurred during limited outbreaks in 2011 and nearly all patients were at least 15 years old. B19V, EV and AdV infections were prevalent both in children and adults and were found throughout the 3 years. B19V occurred mainly in 3-10 years old children and 20-29 years old adults. EV infection was most common in children up to 6 years of age and AdV was confirmed mainly in 3-6 years old children. HHV6 infection was mostly detected in 6-11 months old infants. Laboratory investigation of measles/rubella suspected cases also for B19V, EV, AdV and HHV6 allows diagnosing more than half of all cases, thus strengthening rash/fever disease surveillance in Belarus.Marina A YermalovichGalina V SemeikoElena O SamoilovichEkaterina Y SvirchevskayaClaude P MullerJudith M HübschenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 10, p e111541 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Marina A Yermalovich
Galina V Semeiko
Elena O Samoilovich
Ekaterina Y Svirchevskaya
Claude P Muller
Judith M Hübschen
Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
description As a result of successful implementation of the measles/rubella elimination program, the etiology of more and more double negative cases remains elusive. The present study determined the role of different viruses as causative agents in measles or rubella suspected cases in Belarus. A total of 856 sera sent to the WHO National Laboratory between 2009 and 2011 were tested for specific IgM antibodies to measles virus (MV), rubella virus (RV) and human parvovirus B19 (B19V). The negatives were further investigated for antibodies to enterovirus (EV) and adenovirus (AdV). Children of up to 3 years were tested for IgM antibodies to human herpesvirus 6 (HHV6). A viral etiology was identified in 451 (52.7%) cases, with 6.1% of the samples being positive for MV; 2.6% for RV; 26.2% for B19V; 9.7% for EV; 4.6% for AdV; and 3.6% for HHV6. Almost all measles and rubella cases occurred during limited outbreaks in 2011 and nearly all patients were at least 15 years old. B19V, EV and AdV infections were prevalent both in children and adults and were found throughout the 3 years. B19V occurred mainly in 3-10 years old children and 20-29 years old adults. EV infection was most common in children up to 6 years of age and AdV was confirmed mainly in 3-6 years old children. HHV6 infection was mostly detected in 6-11 months old infants. Laboratory investigation of measles/rubella suspected cases also for B19V, EV, AdV and HHV6 allows diagnosing more than half of all cases, thus strengthening rash/fever disease surveillance in Belarus.
format article
author Marina A Yermalovich
Galina V Semeiko
Elena O Samoilovich
Ekaterina Y Svirchevskaya
Claude P Muller
Judith M Hübschen
author_facet Marina A Yermalovich
Galina V Semeiko
Elena O Samoilovich
Ekaterina Y Svirchevskaya
Claude P Muller
Judith M Hübschen
author_sort Marina A Yermalovich
title Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
title_short Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
title_full Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
title_fullStr Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
title_full_unstemmed Etiology of maculopapular rash in measles and rubella suspected patients from Belarus.
title_sort etiology of maculopapular rash in measles and rubella suspected patients from belarus.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/13489b3b47964f42bc5267bb5792dd0f
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