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Retrospective meta-transcriptomic identification of severe dengue in a traveller returning from Africa to Sweden, 1990.


ABSTRACT: Pathogens associated with haemorrhagic fever commonly have zoonotic origins. The first documented imported case of likely viral severe haemorrhagic fever in Sweden occurred in 1990. Despite extensive study, no aetiological agent was identified. Following retrospective investigation with total RNA-sequencing of samples collected between 7 and 36 days from onset of symptoms we identified dengue virus 3 (DENV-3) and a human pegivirus (HPgV). We conclude that the patient likely suffered from haemorrhagic symptoms due to an atypical severe and undiagnosed dengue infection.

SUBMITTER: Alfsnes K 

PROVIDER: S-EPMC7851179 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Retrospective meta-transcriptomic identification of severe dengue in a traveller returning from Africa to Sweden, 1990.

Alfsnes Kristian K   Lagerqvist Nina N   Vene Sirkka S   Bohlin Jon J   Verner-Carlsson Jenny J   Ekqvist David D   Bråve Andreas A   Holmes Edward C EC   Shi Weifeng W   Pettersson John H-O JH  

One health (Amsterdam, Netherlands) 20210122


Pathogens associated with haemorrhagic fever commonly have zoonotic origins. The first documented imported case of likely viral severe haemorrhagic fever in Sweden occurred in 1990. Despite extensive study, no aetiological agent was identified. Following retrospective investigation with total RNA-sequencing of samples collected between 7 and 36 days from onset of symptoms we identified dengue virus 3 (DENV-3) and a human pegivirus (HPgV). We conclude that the patient likely suffered from haemorr  ...[more]

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