2017
DOI: 10.3201/eid2306.160929
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High Frequency of Mayaro Virus IgM among Febrile Patients, Central Brazil

Abstract: Mayaro virus (MAYV), an Aedes mosquito–borne alphavirus, is endemic to Brazil and other South America countries. We investigated dengue- and chikungunya-negative febrile patients visiting rural areas near Goiânia, Goiás, and found a high proportion (55%) of MAYV IgM. Our findings suggest the presence of highly endemic foci of MAYV in central Brazil.

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Cited by 47 publications
(35 citation statements)
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“…Since then, MAYV infections have been detected in several states [7][8][9] . MAYV is endemic to the Amazon region and Central Brazil, as confirmed by a high incidence of immunoglobulin M (IgM) against MAYV in febrile patients in the Goiás State 10 . Additionally, Terzian et al 11 isolated a genetically distinct Brazilian MAYV lineage in the State of Acre.…”
Section: Introductionmentioning
confidence: 99%
“…Since then, MAYV infections have been detected in several states [7][8][9] . MAYV is endemic to the Amazon region and Central Brazil, as confirmed by a high incidence of immunoglobulin M (IgM) against MAYV in febrile patients in the Goiás State 10 . Additionally, Terzian et al 11 isolated a genetically distinct Brazilian MAYV lineage in the State of Acre.…”
Section: Introductionmentioning
confidence: 99%
“…Usually the wrist, ankle, hands, and feet joints are significantly affected, and symptoms may persist for several months, incapacitating the infected person [22,23,29]. In recent years in Brazil, several cases of MAYV have been registered in Pará (2008), Mato Grosso (2012), and Goiás (2014-2016) [20][21][22][30][31][32][33][34]. Although there is still no evidence of the transmission efficiency of MAYV in an urban cycle, it has the potential to establish an epidemic scenario in the Americas, similar to what occurred with ZIKV and CHIKV [35].…”
Section: Introductionmentioning
confidence: 99%
“…Additional reports found MAYV exposure in at least 34% of the subjects at certain study sites (41,42), while VEEV exposure was reported in up to 84% of the populations studied (18). After the recent spread of CHIKV throughout the New World, a study of acute febrile illness in Brazil identified CHIKV antibodies in 5 (6.7%) out of 75 DENV-negative samples and MAYV antibodies were detected in 15 (55.6%) out of 27 DENV-and CHIKV-negative samples (43). Misdiagnosis, especially in countries where DENV is endemic, can be problematic.…”
Section: Discussionmentioning
confidence: 97%