2019
DOI: 10.1111/tbed.13225
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Prevalence and molecular epidemiology of West Nile and Usutu virus infections in Croatia in the ‘One health’ context, 2018

Abstract: In 2018, Croatia reported the largest outbreak of West Nile virus (WNV) infections as well as the re-occurrence of human Usutu virus (USUV) infections. For the first time, fatal WNV and USUV infections were detected in wild birds. We analysed epidemiological characteristics and molecular epidemiology of WNV and USUV infections detected during 2018 transmission season. From April to November, 178 patients with neuroinvasive disease and 68 patients with febrile disease were tested for WNV and USUV. Viral RNA was… Show more

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Cited by 63 publications
(85 citation statements)
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References 43 publications
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“…The factors explaining the induction of neurological disease in a single specimen are uncertain. A particular viral-host interaction clearly influenced the course and outcome of the infection in this individual, as in a similar manner with the rare natural cases of USUV clinical disease with encephalitis in humans [8,37]. Larger group sizes would be needed in future experiments to express the morbidity and mortality rates in relevant percentages.…”
Section: Discussionmentioning
confidence: 86%
“…The factors explaining the induction of neurological disease in a single specimen are uncertain. A particular viral-host interaction clearly influenced the course and outcome of the infection in this individual, as in a similar manner with the rare natural cases of USUV clinical disease with encephalitis in humans [8,37]. Larger group sizes would be needed in future experiments to express the morbidity and mortality rates in relevant percentages.…”
Section: Discussionmentioning
confidence: 86%
“…Usutu virus (USUV) is a mosquito-borne virus classified together with the West Nile virus (WNV) in the Japanese encephalitis virus (JEV) serogroup, of the family Flaviviridae, genus Flavivirus [1]. It has become an endemic pathogen in many European countries and has been co-circulating with WNV, in a similar mosquito-bird life cycle, with humans and other mammals being occasional hosts [2][3][4][5]. USUV infection in humans is often asymptomatic.…”
Section: Introductionmentioning
confidence: 99%
“…In humans, USUV infection was first described in Africa (Central African Republic and Burkina Faso in 1981 and 2004, respectively), with mild clinical signs such as fever and skin rash reported [12]. In Europe, the recent epizootics were also accompanied by several descriptions of human neurological disorders, including facial paralysis, encephalitis, meningitis and meningoencephalitis, in immunocompromised and immunocompetent patients, representing to date around 30 cases [7,[18][19][20][21][22][23][24][25]. Moreover, molecular and serologic evidence of USUV infection in Italian, German, Austrian and Dutch blood donors indicates that the virus is also circulating silently among asymptomatic humans in Europe and could potentially be a concern PLOS NEGLECTED TROPICAL DISEASES for blood transfusions [26][27][28][29].…”
Section: Introductionmentioning
confidence: 99%