Journal
JOURNAL OF NIPPON MEDICAL SCHOOL
Volume 85, Issue 3, Pages 187-190Publisher
MEDICAL ASSOC NIPPON MEDICAL SCH
DOI: 10.1272/jnms.JNMS.2018_85-28
Keywords
infant; meningitis; coxsackie B5; sewage sample
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Funding
- grants for Research on Emerging and Re-Emerging Infectious Diseases from the Ministry of Health, Labour and Welfare of Japan
- Promotion and Mutual Aid Corporation for Private Schools of Japan
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Background: Infantile aseptic meningitis is a rare infection of the central nervous system. Coxsackievirus B5 (CVB5) is an enterovirus that is sometimes associated with aseptic meningitis and encephalitis. Case presentation: We report on three isolated infants with aseptic meningitis caused by CVB5 in the spring and summer of 2016 with nearly identical 404-bp CVB5 Viral Capsid Protein 1 (VP1) sequences. In addition, viral analysis of sewage samples from Chiba Prefecture in 2016 showed similar 404-bp CVB5 VP1 sequences from May to September 2016. Conclusion: These results indicate that viral screening of sewage water may help detect occult outbreaks of viral infection, particularly for enterovirus strains.
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