Human outbreak of St. Louis encephalitis detected in Argentina, 2005

  • Lorena I. Spinsanti
  • , Luis A. Díaz
  • , Nora Glatstein
  • , Sergio Arselán
  • , María A. Morales
  • , Adrián A. Farías
  • , Cintia Fabbri
  • , Juán J. Aguilar
  • , Viviana Ré
  • , María Frías
  • , Walter R. Almirón
  • , Elizabeth Hunsperger
  • , Marina Siirin
  • , Amelia Travassos Da Rosa
  • , Robert B. Tesh
  • , Delia Enría
  • , Marta Contigiani

Research output: Contribution to journalArticlepeer-review

74 Scopus citations

Abstract

Background: An outbreak of flavivirus encephalitis occurred in 2005 in Córdoba province, Argentina. Objectives: To characterize the epidemiologic and clinical features of that outbreak and provide the serologic results that identified St. Louis encephalitis virus (SLEV) as the etiologic agent. Study design: From January to May 2005, patients with symptoms of encephalitis, meningitis, or fever with severe headache were evaluated and an etiologic diagnosis achieved by detection of flavivirus-specific antibody sera and cerebrospinal fluid. Results: The epidemic curve of 47 cases showed an explosive outbreak starting in January 2005 with one peak in mid-February and a second peak in mid-March; the epidemic ended in May. Cases occurred predominantly among persons 60 years and older. Nine deaths were reported. SLEV antibodies, when detected in 47 patients studied, had a pattern characteristic of a primary SLEV infection. Conclusions: Even though isolated cases of St. Louis encephalitis have been reported in Argentina, this is the first description of a large SLEV encephalitis outbreak in Argentina.

Original languageEnglish (US)
Pages (from-to)27-33
Number of pages7
JournalJournal of Clinical Virology
Volume42
Issue number1
DOIs
StatePublished - May 2008
Externally publishedYes

Keywords

  • Argentina
  • Encephalitis outbreak
  • SLEV antibodies
  • St. Louis encephalitis virus

ASJC Scopus subject areas

  • Virology
  • Infectious Diseases

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