Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.

Although Japanese encephalitis virus (JEV) is considered endemic in Indonesia, there are only limited reports of JEV infection from a small number of geographic areas within the country with the majority of these being neuroinvasive disease cases. Here, we report cases of JEV infection in non-enceph...

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Autores principales: Chairin Nisa Ma'roef, Rama Dhenni, Dewi Megawati, Araniy Fadhilah, Anton Lucanus, I Made Artika, Sri Masyeni, Asri Lestarini, Kartika Sari, Ketut Suryana, Frilasita A Yudhaputri, Ungke Anton Jaya, R Tedjo Sasmono, Jeremy P Ledermann, Ann M Powers, Khin Saw Aye Myint
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Publicado: Public Library of Science (PLoS) 2020
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spelling oai:doaj.org-article:e1167482141c43b69be46b93663a52e92021-12-02T20:23:28ZJapanese encephalitis virus infection in non-encephalitic acute febrile illness patients.1935-27271935-273510.1371/journal.pntd.0008454https://doaj.org/article/e1167482141c43b69be46b93663a52e92020-07-01T00:00:00Zhttps://doi.org/10.1371/journal.pntd.0008454https://doaj.org/toc/1935-2727https://doaj.org/toc/1935-2735Although Japanese encephalitis virus (JEV) is considered endemic in Indonesia, there are only limited reports of JEV infection from a small number of geographic areas within the country with the majority of these being neuroinvasive disease cases. Here, we report cases of JEV infection in non-encephalitic acute febrile illness patients from Bali, Indonesia. Paired admission (S1) and discharge (S2) serum specimens from 144 acute febrile illness patients (without evidence of acute dengue virus infection) were retrospectively tested for anti-JEV IgM antibody and confirmed by plaque reduction neutralization test (PRNT) for JEV infection. Twenty-six (18.1%) patients were anti-JEV IgM-positive or equivocal in their S2 specimens, of which 5 (3.5%) and 8 (5.6%) patients met the criteria for confirmed and probable JEV infection, respectively, based on PRNT results. Notably, these non-encephalitic JE cases were less likely to have thrombocytopenia, leukopenia, and lower hematocrit compared with confirmed dengue cases of the same cohort. These findings highlight the need to consider JEV in the diagnostic algorithm for acute febrile illnesses in endemic areas and suggest that JEV as a cause of non-encephalitic disease has likely been underestimated in Indonesia.Chairin Nisa Ma'roefRama DhenniDewi MegawatiAraniy FadhilahAnton LucanusI Made ArtikaSri MasyeniAsri LestariniKartika SariKetut SuryanaFrilasita A YudhaputriUngke Anton JayaR Tedjo SasmonoJeremy P LedermannAnn M PowersKhin Saw Aye MyintPublic Library of Science (PLoS)articleArctic medicine. Tropical medicineRC955-962Public aspects of medicineRA1-1270ENPLoS Neglected Tropical Diseases, Vol 14, Iss 7, p e0008454 (2020)
institution DOAJ
collection DOAJ
language EN
topic Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
spellingShingle Arctic medicine. Tropical medicine
RC955-962
Public aspects of medicine
RA1-1270
Chairin Nisa Ma'roef
Rama Dhenni
Dewi Megawati
Araniy Fadhilah
Anton Lucanus
I Made Artika
Sri Masyeni
Asri Lestarini
Kartika Sari
Ketut Suryana
Frilasita A Yudhaputri
Ungke Anton Jaya
R Tedjo Sasmono
Jeremy P Ledermann
Ann M Powers
Khin Saw Aye Myint
Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
description Although Japanese encephalitis virus (JEV) is considered endemic in Indonesia, there are only limited reports of JEV infection from a small number of geographic areas within the country with the majority of these being neuroinvasive disease cases. Here, we report cases of JEV infection in non-encephalitic acute febrile illness patients from Bali, Indonesia. Paired admission (S1) and discharge (S2) serum specimens from 144 acute febrile illness patients (without evidence of acute dengue virus infection) were retrospectively tested for anti-JEV IgM antibody and confirmed by plaque reduction neutralization test (PRNT) for JEV infection. Twenty-six (18.1%) patients were anti-JEV IgM-positive or equivocal in their S2 specimens, of which 5 (3.5%) and 8 (5.6%) patients met the criteria for confirmed and probable JEV infection, respectively, based on PRNT results. Notably, these non-encephalitic JE cases were less likely to have thrombocytopenia, leukopenia, and lower hematocrit compared with confirmed dengue cases of the same cohort. These findings highlight the need to consider JEV in the diagnostic algorithm for acute febrile illnesses in endemic areas and suggest that JEV as a cause of non-encephalitic disease has likely been underestimated in Indonesia.
format article
author Chairin Nisa Ma'roef
Rama Dhenni
Dewi Megawati
Araniy Fadhilah
Anton Lucanus
I Made Artika
Sri Masyeni
Asri Lestarini
Kartika Sari
Ketut Suryana
Frilasita A Yudhaputri
Ungke Anton Jaya
R Tedjo Sasmono
Jeremy P Ledermann
Ann M Powers
Khin Saw Aye Myint
author_facet Chairin Nisa Ma'roef
Rama Dhenni
Dewi Megawati
Araniy Fadhilah
Anton Lucanus
I Made Artika
Sri Masyeni
Asri Lestarini
Kartika Sari
Ketut Suryana
Frilasita A Yudhaputri
Ungke Anton Jaya
R Tedjo Sasmono
Jeremy P Ledermann
Ann M Powers
Khin Saw Aye Myint
author_sort Chairin Nisa Ma'roef
title Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
title_short Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
title_full Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
title_fullStr Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
title_full_unstemmed Japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
title_sort japanese encephalitis virus infection in non-encephalitic acute febrile illness patients.
publisher Public Library of Science (PLoS)
publishDate 2020
url https://doaj.org/article/e1167482141c43b69be46b93663a52e9
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