2009
DOI: 10.1371/journal.pone.0006145
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The Incidence Risk, Clustering, and Clinical Presentation of La Crosse Virus Infections in the Eastern United States, 2003–2007

Abstract: BackgroundAlthough La Crosse virus (LACV) is one of the most common causes of pediatric arboviral infections in the United States, little has been done to assess its geographic distribution, identify areas of higher risk of disease, and to provide a national picture of its clinical presentation. Therefore, the objective of this study was to investigate the geographic distribution of LACV infections reported in the United States, to identify hot-spots of infection, and to present its clinical picture.Methods an… Show more

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Cited by 98 publications
(105 citation statements)
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References 42 publications
(68 reference statements)
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“…We hypothesize that the differences we see are greater at day 6 due to highly infected flies in the population succumbing to infection by 20 dpi. Additionally, we tested whether decapping restricted another distantly related bunyavirus, LACV, an orthobunyavirus transmitted by mosquitoes to humans (Gerhardt et al 2001;Haddow and Odoi 2009). Control flies challenged with LACV presented with little mortality, while Dcp2-depleted flies succumbed to LACV infection (Fig.…”
Section: Dcp2 Restricts Bunyavirus Infection In Adult Fliesmentioning
confidence: 99%
“…We hypothesize that the differences we see are greater at day 6 due to highly infected flies in the population succumbing to infection by 20 dpi. Additionally, we tested whether decapping restricted another distantly related bunyavirus, LACV, an orthobunyavirus transmitted by mosquitoes to humans (Gerhardt et al 2001;Haddow and Odoi 2009). Control flies challenged with LACV presented with little mortality, while Dcp2-depleted flies succumbed to LACV infection (Fig.…”
Section: Dcp2 Restricts Bunyavirus Infection In Adult Fliesmentioning
confidence: 99%
“…ediatric populations are often more susceptible to virus infections than adults and develop more severe diseases, including virus-mediated neurological diseases (1)(2)(3). A more comprehensive understanding of differences underlying infection in pediatric populations may provide important interventions for treatment of virus infections of the central nervous system (CNS).…”
mentioning
confidence: 99%
“…One virus which induces disease primarily in the pediatric population is mosquito-borne La Crosse virus (LACV), genus Orthobunyavirus, family Bunyaviridae. LACV is a primary cause of pediatric viral encephalitis in the United States, and the expanding vector range makes LACV infections of significant concern for pediatric populations (2,(4)(5)(6)(7). Over 80% of reported neurological disease cases caused by LACV occur in children under 16 and include clinical outcomes ranging from behavioral changes, cognitive defects, and seizures to coma or death (2,6).…”
mentioning
confidence: 99%
“…25 Our data confirm more recent observations that the highest burden of La Crosse virus disease has now shifted to the Appalachian region of West Virginia, Tennessee, North Carolina, and Ohio. [26][27][28] West Nile virus, a flavivirus, is transmitted primarily by Culex mosquitoes, with birds as its natural reservoir. 23,29 This virus now affects children from all regions of the contiguous United States, demonstrating less specificity for particular ecologic and geographic regions than other arboviral etiologies.…”
Section: Discussionmentioning
confidence: 99%
“…For example, spinal cord involvement resulting in acute flaccid paralysis has only rarely been described with La Crosse virus or other orthobunyaviruses but 10 cases of acute flaccid paralysis were reported after La Crosse virus infections in our series. [25][26][27][28][55][56][57][58][59][60] This finding should prompt further investigation to determine if these cases were classified as acute flaccid paralysis due to generalized weakness or true spinal cord infection.…”
Section: Discussionmentioning
confidence: 99%