Detection and phylogenetic characterization of arbovirus dual-infections among persons during a chikungunya fever outbreak, Haiti 2014

PLoS Negl Trop Dis. 2018 May 31;12(5):e0006505. doi: 10.1371/journal.pntd.0006505. eCollection 2018 May.

Abstract

In the context of recent arbovirus epidemics, questions about the frequency of simultaneous infection of patients with different arbovirus species have been raised. In 2014, a major Chikungunya virus (CHIKV) epidemic impacted the Caribbean and South America. As part of ongoing screening of schoolchildren presenting with acute undifferentiated febrile illness in rural Haiti, we used RT-PCR to identify CHIKV infections in 82 of 100 children with this diagnosis during May-August 2014. Among these, eight were infected with a second arbovirus: six with Zika virus (ZIKV), one with Dengue virus serotype 2, and one with Mayaro virus (MAYV). These dual infections were only detected following culture of the specimen, suggesting low viral loads of the co-infecting species. Phylogenetic analyses indicated that the ZIKV and MAYV strains differ from those detected later in 2014 and 2015, respectively. Moreover, CHIKV and ZIKV strains from co-infected patients clustered monophyletically in their respective phylogeny, and clock calibration traced back the common ancestor of each clade to an overlapping timeframe of introduction of these arboviruses onto the island.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Antibodies, Viral / blood
  • Arbovirus Infections / epidemiology
  • Arbovirus Infections / immunology
  • Arbovirus Infections / virology*
  • Chikungunya Fever / epidemiology*
  • Chikungunya Fever / immunology
  • Chikungunya Fever / virology
  • Chikungunya virus / isolation & purification
  • Child
  • Coinfection / epidemiology*
  • Coinfection / immunology
  • Coinfection / virology
  • Dengue / epidemiology
  • Dengue Virus / genetics
  • Dengue Virus / isolation & purification
  • Disease Outbreaks*
  • Female
  • Genotype
  • Haiti / epidemiology
  • Humans
  • Male
  • Phylogeny
  • RNA, Viral / genetics
  • Reverse Transcriptase Polymerase Chain Reaction
  • Serogroup
  • Zika Virus / genetics
  • Zika Virus / isolation & purification
  • Zika Virus Infection / epidemiology

Substances

  • Antibodies, Viral
  • RNA, Viral