2008
DOI: 10.3201/eid1404.071310
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Hemorrhagic Fever with Renal Syndrome Caused by 2 Lineages of Dobrava Hantavirus, Russia1

Abstract: Dobrava-Belgrade virus (DOBV) is a European hanta-virus that causes hemorrhagic fever with renal syndrome (HFRS); case-fatality rates in Balkan countries are as high as 12%. To determine causative agents, we examined 126 cases of DOBV-associated HFRS in central and southern European Russia. In central Russia (Lipetsk, Voronezh, Orel regions), outbreaks were caused by a DOBV variant (DOBV-Aa) carried by Apodemus agrarius. In southern Russia (Sochi district), where HFRS is endemic, HFRS cases were caused by a ne… Show more

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Cited by 105 publications
(107 citation statements)
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References 30 publications
(32 reference statements)
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“…In European Russia and Europe, although the DOBV strains from different Apodemus hosts share high amino acid sequence similarity, they can be distinguished in phylogenetic analyses as distinct lineages and seem to possess different virulence in humans as well as in an animal model [12]. The novel DOBV-Ap lineage associated with A. ponticus, emerging in an area south of European Russia, confirms the reputation of DOBV as being the most virulent of the European hantaviruses [11]. Rather unusually for hantaviruses, DOBV has already been found in three different Apodemus species.…”
Section: )mentioning
confidence: 60%
See 1 more Smart Citation
“…In European Russia and Europe, although the DOBV strains from different Apodemus hosts share high amino acid sequence similarity, they can be distinguished in phylogenetic analyses as distinct lineages and seem to possess different virulence in humans as well as in an animal model [12]. The novel DOBV-Ap lineage associated with A. ponticus, emerging in an area south of European Russia, confirms the reputation of DOBV as being the most virulent of the European hantaviruses [11]. Rather unusually for hantaviruses, DOBV has already been found in three different Apodemus species.…”
Section: )mentioning
confidence: 60%
“…Strains from central Europe and central European Russia form the DOBV-Aa lineage, which is distinct from the Saaremaa strains from northeastern Europe [9,10]. In southern Russia (Sochi district), a new DOBV variant (DOBV-Ap) found in A. ponticus, a novel hantavirus natural host, was identified as the causative agent of HFRS [11,42]. In European Russia and Europe, although the DOBV strains from different Apodemus hosts share high amino acid sequence similarity, they can be distinguished in phylogenetic analyses as distinct lineages and seem to possess different virulence in humans as well as in an animal model [12].…”
Section: )mentioning
confidence: 99%
“…The prototype of DOBV is known as DOBV-Af, as it is associated with Apodemus flavicollis. A DOBV variant, Sochi subtype, known as DOBV-Ap (associated with Apodemus ponticus) causes severe human infection in the Black Sea coast region of Russia (Klempa et al, 2008). Another DOBV-like virus, referred to as SAAV or DOBV-Aa, was recovered from Apodemus agrarius on the Saaremaa island of Estonia (Papa, 2012).…”
Section: European Countriesmentioning
confidence: 99%
“…6 Turkey has reported an outbreak of hantavirus infection from the Black Sea region in 2009. 7 Additionally, emergence of CCHF in southwest Russia and Turkey has been observed in the recent years. 8 The first reports of CCHF and hantavirus cases from Georgia were published by our team in 2009.…”
mentioning
confidence: 99%