2021
DOI: 10.1093/cid/ciab175
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Reassortant Cache Valley Virus Associated With Acute Febrile, Nonneurologic Illness, Missouri

Abstract: An adult male from Missouri sought care for fever, fatigue, and gastrointestinal symptoms. He had leukopenia and thrombocytopenia and was treated for a presumed tickborne illness. His condition deteriorated with respiratory and renal failure, lactic acidosis, and hypotension. Next-generation sequencing and phylogenetic analysis identified a reassortant Cache Valley virus.

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Cited by 12 publications
(14 citation statements)
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“…Our progressive timepoints (days 1, 3, 5) showed a decrease which may be associated with the histopathologic inflammation observed. This has previously been recorded in human infections with CVV and other bunyavirus infections [ 16–19 ], which provides further support of an accurate reflection of CVV disease in this model. The immunoassays showed the most significant cytokine/chemokine responses in CVV-infected IFN-αβR -/- mice at 3 and 5 DPI.…”
Section: Discussionsupporting
confidence: 81%
See 1 more Smart Citation
“…Our progressive timepoints (days 1, 3, 5) showed a decrease which may be associated with the histopathologic inflammation observed. This has previously been recorded in human infections with CVV and other bunyavirus infections [ 16–19 ], which provides further support of an accurate reflection of CVV disease in this model. The immunoassays showed the most significant cytokine/chemokine responses in CVV-infected IFN-αβR -/- mice at 3 and 5 DPI.…”
Section: Discussionsupporting
confidence: 81%
“…Rates were as high as 96.7% in the eastern U.S., to 53.3% in the central U.S., and 58.9% in the Western U.S. [ 15 ]. CVV infections have been reported in humans [ 9 , 16–19 ] and seroprevalence rates in humans have been shown to be as high as 40% [ 9 , 19–22 ]. The virus is known to cause disease in humans, including fever, headaches, nausea, fatigue, encephalitis, meningitis, spontaneous abortions, and macrocephaly in infants [ 17–20 , 23 , 24 ].…”
Section: Introductionmentioning
confidence: 99%
“…In recent years, isolates have become increasingly characterized by nucleic-acid-based methods [ 18 , 19 , 20 ], including whole-genome sequencing, rather than serology. This transition has facilitated the more rapid identification of reassortant viruses [ 4 , 21 ] and allows for taxonomic classification based upon nucleic-acid-based criteria for demarcation [ 1 ]. In fact, with the advent of RT-PCR, isolation-based methods have become more infrequently used altogether in the interest of the relatively fast, specific answer that these methods, including nested, real-time, and consensus formats, can provide when directly applied to clinical samples [ 22 , 23 , 24 , 25 ].…”
Section: Methods For the Detection Of Phleboviruses And Their Infectionsmentioning
confidence: 99%
“…no. KX100118-KX100120), isolated in Mexico in 1961 from Culex titillans mosquitoes [38]. To date, full-length CHLV L segments have not been obtained.…”
Section: Cache Valley Orthobunyavirusmentioning
confidence: 99%