2003
DOI: 10.1016/s0163-4453(03)00081-1
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Re-emergence of echovirus type 13 infections in 2002 in Yamagata, Japan

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Cited by 10 publications
(12 citation statements)
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“…Its sudden emergence as a predominant serotype was also observed in other countries: in the United States, E13 accounted for 24% of all reported HEV isolates in 2001, compared to 1.6% in 2000 [33]. In Japan, E13 had only been isolated once before 2001, during which 65 strains were isolated [34]. E13 was first identified in Spain during an aseptic meningitis outbreak in 2000 [35].…”
Section: Discussionmentioning
confidence: 71%
“…Its sudden emergence as a predominant serotype was also observed in other countries: in the United States, E13 accounted for 24% of all reported HEV isolates in 2001, compared to 1.6% in 2000 [33]. In Japan, E13 had only been isolated once before 2001, during which 65 strains were isolated [34]. E13 was first identified in Spain during an aseptic meningitis outbreak in 2000 [35].…”
Section: Discussionmentioning
confidence: 71%
“…However, E13 had not been isolated clinically during the previous 20 years in Japan (9), and its isolation was rare until 2000. Thus, the outbreaks of aseptic meningitis caused by E13 seem to be a case of reemerging enterovirus infection (21,29).…”
mentioning
confidence: 99%
“…While echovirus types 11, 18, and 30 were frequently reported as causative agents of aseptic meningitis, E13 was rarely observed in Japan before 2001 (21) (19,31,32). These data suggested that E13 was present in these areas of Japan until 40 years ago but thereafter disappeared or circulated among extremely few inhabitants.…”
Section: Discussionmentioning
confidence: 99%
“…in 2001 (10,12). After that, the E13 outbreak spread throughout Japan in summer 2002 (8,14,19,33). We have previously reported that partial VP1 nucleotide sequences (703 bases) of isolates from patients with aseptic meningitis and three from river water samples in Toyama in 2002 showed more than 98.7% identity and belonged to the same genetic cluster as those that circulated worldwide in 2000 to 2002.…”
mentioning
confidence: 99%