Isolation of Mayaro Virus from a Venezuelan Patient with Febrile Illness, Arthralgias, and Rash: Further Evidence of Regional Strain Circulation and Possible Long-Term Endemicity

Gabriela M. Blohm Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida;
Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
Venezuelan Science Research Incubator, Zoonoses and Emerging Pathogens Collaborative Network, Barquisimeto, Venezuela;

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Marilianna C. Márquez-Colmenarez Venezuelan Science Research Incubator, Zoonoses and Emerging Pathogens Collaborative Network, Barquisimeto, Venezuela;
Department of Medicine, Universidad Centroccidental Lisandro Alvarado, Barquisimeto, Venezuela;

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John A. Lednicky Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, Florida;
Emerging Pathogens Institute, University of Florida, Gainesville, Florida;

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Tania S. Bonny Department of Pathology, School of Medicine, The Johns Hopkins University, Baltimore, Maryland;

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Carla Mavian Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, Florida;

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Marco Salemi Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, Florida;

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Lourdes Delgado-Noguera Venezuelan Science Research Incubator, Zoonoses and Emerging Pathogens Collaborative Network, Barquisimeto, Venezuela;

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John Glenn Morris Jr. Emerging Pathogens Institute, University of Florida, Gainesville, Florida;
Department of Medicine, College of Medicine, University of Florida, Gainesville, Florida;

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Alberto E. Paniz-Mondolfi Venezuelan Science Research Incubator, Zoonoses and Emerging Pathogens Collaborative Network, Barquisimeto, Venezuela;
Instituto Diagnóstico Barquisimeto (IDB), Barquisimeto, Venezuela;
Laboratory of Cellular Signaling and Parasite Biochemistry, Instituto de Estudios Avanzados (IDEA), Caracas, Venezuela

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Fifty-two febrile patients living in Barquisimeto, Venezuela, were screened for arbovirus infection by virus culture during an outbreak of what was thought to be Zika virus infection. We report identification of Mayaro virus (MAYV) on culture of plasma from one patient, an 18-year-old woman with acute febrile illness, arthralgias, and psoriasiform rash. The strain was sequenced and was found to be most closely related to a 1999 strain from French Guiana, which, in turn, was related to two 2014 strains from Haiti. By contrast, previously reported outbreak-related MAYV strains from a sylvatic area approximately 80 miles from where the case patient lived were most closely related to Peruvian isolates. The two strain groups show evidence of having diverged genetically approximately 100 years ago.

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Author Notes

Address correspondence to J. Glenn Morris Jr., University of Florida, P.O. Box 100009, Gainesville, FL 32611. E-mail: jgmorris@epi.ufl.edu

Authors’ addresses: Gabriela M. Blohm and John A. Lednicky, Department of Environmental and Global Health, College of Public Health and Health Professions, University of Florida, Gainesville, FL, E-mail: gblohm@ufl.edu and jlednicky@phhp.ufl.edu. Marilianna C. Márquez-Colmenarez, Department of Medicine, Universidad Centroccidental Lisandro Alvarado, Barquisimeto, Venezuela, E-mail: mariliannamarquez@gmail.com. Emerging Pathogens Institute, University of Florida, Gainesville, FL J. Glenn Morris Jr., Emerging Pathogens Institute, University of Florida, Gainesville, FL, and Department of Medicine, College of Medicine, University of Florida, Gainesville, FL E-mail jgmorris@epi.ufl.edu. Tania S. Bonny, Department of Pathology, School of Medicine, The Johns Hopkins University, Baltimore, MD, E-mail: bonny4190@gmail.com. Carla Mavian and Marco Salemi, Emerging Pathogens Institute, University of Florida, Gainesville, FL, and Department of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL, E-mails: cmavian@ufl.edu and salemi@pathology.ufl.edu. Lourdes Delgado-Noguera, Venezuelan Science Research Incubator, Zoonoses and Emerging Pathogens Collaborative Network, Barquisimeto, Venezuela, E-mail: lourdesadelgado01@gmail.com. Alberto E. Paniz-Mondolfi, Instituto Diagnóstico Barquisimeto (IDB), Barquisimeto, Venezuela, and Laboratory of Cellular Signaling and Parasite Biochemistry, Instituto de Estudios Avanzados (IDEA), Caracas, Venezuela, E-mail: albertopaniz@yahoo.com.

  • 1.

    Anderson CR, Downs WG, Wattley GH, Ahin NW, Reese AA, 1957. Mayaro virus: a new human disease agent. II. Isolation from blood of patients in Trinidad, B.W.I. Am J Trop Med Hyg 6: 10121016.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Pinheiro F, LeDuc J, 1998. Mayaro virus disease. Monath TP, ed. The Arboviruses: Epidemiology and Ecology. Boca Raton, FL: CRC Press, 137150.

  • 3.

    Tesh RB, Watts DM, Russell KL, Damodaran C, Calampa C, Cabezas C, 1999. Mayaro virus disease: an emerging mosquito-borne zoonosis in tropical South America. Clin Infect Dis 28: 6773.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Halsey ES, Siles C, Guevara C, Vilcarromero S, Jhonston EJ, Ramal C, 2013. Mayaro virus infection, Amazon basin region, Peru, 2010–2013. Emerg Infect Dis 19: 18391842.

  • 5.

    Taylor SF, Patel PR, Herold TJ, 2005. Recurrent arthralgias in a patient with previous Mayaro fever infection. South Med J 98: 484485.

  • 6.

    Acosta-Ampudia Y, Monsalve DM, Rodríguez Y, Pacheco Y, Anaya JM, Ramírez-Santana C, 2018. Mayaro: an emerging viral threat? Emerg Microbes Infect 7: 163.

  • 7.

    Auguste AJ et al. 2015. Evolutionary and ecological characterization of Mayaro virus strains isolated during an outbreak, Venezuela, 2010. Emerg Infect Dis 21: 17421750.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Muñoz MJ, Navarro JC, 2012. Mayaro: a re-emerging arbovirus in Venezuela and Latin America [article in Spanish]. Biomedica 32: 286302.

  • 9.

    Blohm GM et al. 2018. Evidence for mother-to-child transmission of Zika virus through breast milk. Clin Infect Dis 66: 11201121.

  • 10.

    Blohm GM, Paniz-Mondolfi AE, Márquez-Colmenarez MC, Loeb JC, Pacheco CA, Pulliam JRC, Morris JG Jr., 2018. Complete genome sequence of dengue virus serotype 2, Asian/American genotype, isolated from the urine of a Venezuelan child with hemorrhagic fever in 2016. Genome Announc 6: e0052918.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Blohm GM, Lednicky JA, White SK, Mavian CN, Márquez-Colmenarez MC, González-García KP, Salemi M, Morris JG Jr., Paniz-Mondolfi AE, 2018. Madariaga virus: identification of a lineage III strain in a Venezuelan child with acute undifferentiated febrile illness, in the setting of a possible equine epizootic. Clin Infect Dis 67: 619621.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Lednicky JA et al. 2016. Zika virus outbreak in Haiti in 2014: molecular and clinical data. PLoS Negl Trop Dis 10: e0004687.

  • 13.

    Lednicky JA et al. 2016. Mayaro virus in a child with acute febrile illness, Haiti, 2015. Emerg Infect Dis 22: 20002002.

  • 14.

    Lanciotti RS, Kosoy OL, Laven JJ, Velez JO, Lambert AJ, Johnson AJ, Stanfield SM, Duffy MR, 2007. Genetic and serologic properties of Zika virus associated with an epidemic, Yap state, Micronesia. Emerg Infect Dis 14: 12321239.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Santiago GA, Vergne E, Quiles Y, Cosme J, Vazquez J, Medina JF, Medina F, Colón C, Margolis H, Muñoz-Jordán JL, 2013. Analytical and clinical performance of the CDC real time RT-PCR assay for detection and typing of dengue virus. PLoS Negl Trop Dis 7: e2311.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    de Morais Bronzoni RV, Baleotti FG, Ribeiro Nogueira RM, Nunes M, Moraes Figueiredo LT, 2005. Duplex reverse transcription-PCR followed by nested PCR assays for detection and identification of Brazilian alphaviruses and flaviviruses. J Clin Microbiol 43: 696702.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Katoh K, Standley DM, 2016. A simple method to control over-alignment in the MAFFT multiple sequence alignment program. Bioinformatics 32: 19331942.

  • 18.

    Mavian C, Rife BD, Dollar JJ, Cella E, Ciccozzi M, Prosperi MC, Lednicky JA, Morris JG Jr., Capua I, Salemi M, 2017. Emergence of recombinant Mayaro virus strains from the Amazon basin. Sci Rep 7: 8718.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Martin DP, Murrell B, Golden M, Khoosal A, Muhire B, 2015. RDP4: detection and analysis of recombination patterns in virus genomes. Virus Evol 1: vev003.

  • 20.

    Xia X, 2018. DAMBE7: new and improved tools for data analysis in molecular biology and evolution. Mol Biol Evol 35: 15501552.

  • 21.

    Nguyen LT, Schmidt HA, von Haeseler A, Minh BQ, 2015. IQ-tree: a fast and effective stochastic algorithm for estimating maximum-likelihood phylogenies. Mol Biol Evol 32: 268274.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22.

    Schmidt HA, Strimmer K, Vingron M, von Haeseler A, 2002. TREE-PUZZLE: maximum likelihood phylogenetic analysis using quartets and parallel computing. Bioinformatics 18: 502504.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    Trifinopoulos J, Nguyen LT, von Haeseler A, Minh BQ, 2016. W-IQ-TREE: a fast online phylogenetic tool for maximum likelihood analysis. Nucleic Acids Res 44: W232W235.

  • 24.

    Minh BQ, Thi Nguyen MA, von Haeseler A, 2013. Ultrafast approximation for phylogenetic Bootstrap. Mol Biol Evol 30: 11881195.

  • 25.

    Rambaut A, Lam TT, Carvalho LM, Pybus OG, 2016. Exploring the temporal structure of heterochronous sequences using TempEst (formerly Patho-O-Gen). Virus Evol 2: vew007.

  • 26.

    Drummond AJ, Suchard MA, Xie D, Rambaut A, 2012. Bayesian phylogenetics with BEAUti and the BEAST 1.7. Mol Biol Evol 29: 19691973.

  • 27.

    Hall MD, Woolhouse ME, Rambaut A, 2016. The effects of sampling strategy on the quality of reconstruction of viral population dynamics using Bayesian skyline family coalescent methods: a simulation study. Virus Evol 2: vew003.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Baele G, Lemey P, Bedford T, Rambaut A, Suchard MA, Alekseyenko AV, 2012. Improving the accuracy of demographic and molecular clock model comparison while accommodating phylogenetic uncertainty. Mol Biol Evol 29: 21572167.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Blohm G et al. 2019. Mayaro as a Caribbean traveler: evidence for multiple introductions and transmisión of the virus in Haiti. Int J Infect Dis. Available at: https://doi.org/10.1016/j.ijid.2019.07.031.

    • PubMed
    • Export Citation
  • 30.

    Paniz-Mondolfi AE, Rodríguez-Morales AJ, Blohm GM, Márquez-Colmenarez MC, Villamil-Gomez WE, 2016. ChikDenMaZika syndrome: the challenge of diagnosing arboviral infections in the midst of concurrent epidemics. Ann Clin Microbiol Antimicrob 15: 42.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Fry L, Baker BS, 2007. Triggering psoriasis: the role of infections and medications. Clin Dermatol 25: 606615.

  • 32.

    Paniz-Mondolfi AE, Hernandez Perez M, Blohm GM, Márquez-Colmenarez MC, Mogollon Mendoza A, Hernandez-Pereira CE, Escalona MA, Lodeiro Colatosti A, Rothe DeArocha J, Rodriguez Morales AJ, 2017. Generalized pustular psoriasis triggered by Zika virus infection. Clin Exp Dermatol 43: 171174.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Seetharam KA, Sridevi K, 2011. Chikungunya infection: a new trigger for psoriasis. J Dermatol 38: 10331034.

  • 34.

    Kumar R, Sharma MK, Jain SK, Yadav SK, Singhal AK, 2017. Cutaneous manifestations of chikungunya fever: observations from an outbreak at a tertiary care hospital in southeast Rajasthan, India. Indian Dermatol Online J 8: 336342.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Li A, Li P, Li Y, Li W, 2018. Recurrent pityriasis rosea: a case report. Hum Vaccin Immunother 14: 10241026.

  • 36.

    Drago F, Ciccarese G, Rebora A, Broccolo F, Parodi A, 2016. Pityriasis rosea: a comprehensive classification. Dermatology 232: 431437.

  • 37.

    Wiggins K, Eastmond B, Alto BW, 2018. Transmission potential of Mayaro virus in Florida Aedes aegypti and Aedes albopictus mosquitoes. Med Vet Entomol 32: 436442.

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