2015
DOI: 10.3201/eid2112.150132
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Sindbis and Middelburg Old World Alphaviruses Associated with Neurologic Disease in Horses, South Africa

Abstract: Old World alphaviruses were identified in 52 of 623 horses with febrile or neurologic disease in South Africa. Five of 8 Sindbis virus infections were mild; 2 of 3 fatal cases involved co-infections. Of 44 Middelburg virus infections, 28 caused neurologic disease; 12 were fatal. Middelburg virus likely has zoonotic potential.

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Cited by 33 publications
(58 citation statements)
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“…The endemic areas of SINV reflect high SINV seroprevalence [24,38]. This virus was linked to outbreaks in South Africa [39], although human viral diseases related to SINV are mostly restricted to northern Europe [23].…”
Section: Discussionmentioning
confidence: 99%
“…The endemic areas of SINV reflect high SINV seroprevalence [24,38]. This virus was linked to outbreaks in South Africa [39], although human viral diseases related to SINV are mostly restricted to northern Europe [23].…”
Section: Discussionmentioning
confidence: 99%
“…We tested all specimens for WNV, Shuni virus, alphaviruses, and equine encephalitis virus and submitted samples for rabies virus testing, if suspected, to Onderstepoort Veterinary Research, Onderstepoort, South Africa, as previously described ( 12 ). All WNV-positive cases were tested for AHSV ( 13 ).…”
Section: The Studymentioning
confidence: 99%
“…In another surveillance study among horses in the country, AHSV, Shuni virus, equine encephalitis virus, Sindbis virus, Middelburg virus, and WNV infections were reported during January 2008 to December 2013 [263]. Blood, tissue, and cerebrospinal fluid samples were tested to find the cause of the underlying febrile illness and neurologic symptoms among the horses.…”
Section: South Africamentioning
confidence: 99%
“…Blood, tissue, and cerebrospinal fluid samples were tested to find the cause of the underlying febrile illness and neurologic symptoms among the horses. Under this surveillance, a total of 623 horses were investigated, out of which eight were diagnosed with Sindbis virus while 44 were infected with Middelburg virus [263]. There was one horse that was infected with only Sindbis virus, which had mild colic symptoms in addition to tongue paralysis and pale mucous membranes.…”
Section: South Africamentioning
confidence: 99%
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