BACKGROUND AND OBJECTIVE: We aimed to analyze the clinical and epidemiological data from the first series of patients with meningitis by Toscana virus in Spain. PATIENTS AND METHOD: We analyzed a total of 724 cerebrospinal fluid (CSF) samples from patients with suspicion of aseptic meningitis for virus isolation in cell culture. The clinical records of patients in whom Toscana virus was isolated were analyzed. RESULTS: Toscana virus was isolated in CSF in 17 patients (7% of all viral isolates). The first case was diagnosed in June 1988 and the last one in August 2002. The mean age was 27 years (range: 10-64 years). Most patients were based in rural area (n = 11, 64.7%). Most common symptoms were headache (holocranial or focal) present in all patients and moderate fever observed in 76.5% of them with a mean duration of 48 h (range: 18 h-5 days). Nuchal rigidity was present in 9 patients (53%). All cases were seen between June and October, and predominantly in August (53%). The outcome was favorable in all cases, and the mean time of duration of the disease was 7 days (range: 3-10 days). CONCLUSIONS: Toscana virus must be taken into account among those agents responsible of lymphocytic meningitis in Spain.
BACKGROUND AND OBJECTIVE: We aimed to analyze the clinical and epidemiological data from the first series of patients with meningitis by Toscana virus in Spain. PATIENTS AND METHOD: We analyzed a total of 724 cerebrospinal fluid (CSF) samples from patients with suspicion of aseptic meningitis for virus isolation in cell culture. The clinical records of patients in whom Toscana virus was isolated were analyzed. RESULTS:Toscana virus was isolated in CSF in 17 patients (7% of all viral isolates). The first case was diagnosed in June 1988 and the last one in August 2002. The mean age was 27 years (range: 10-64 years). Most patients were based in rural area (n = 11, 64.7%). Most common symptoms were headache (holocranial or focal) present in all patients and moderate fever observed in 76.5% of them with a mean duration of 48 h (range: 18 h-5 days). Nuchal rigidity was present in 9 patients (53%). All cases were seen between June and October, and predominantly in August (53%). The outcome was favorable in all cases, and the mean time of duration of the disease was 7 days (range: 3-10 days). CONCLUSIONS:Toscana virus must be taken into account among those agents responsible of lymphocytic meningitis in Spain.
Authors: José María Navarro-Marí; Cristina Gómez-Camarasa; Mercedes Pérez-Ruiz; Sara Sanbonmatsu-Gámez; Irene Pedrosa-Corral; María Jiménez-Valera Journal: Am J Trop Med Hyg Date: 2013-02-18 Impact factor: 2.345
Authors: Rémi N Charrel; Pierre Gallian; José-María Navarro-Mari; Loredana Nicoletti; Anna Papa; Mária Paz Sánchez-Seco; Antonio Tenorio; Xavier de Lamballerie Journal: Emerg Infect Dis Date: 2005-11 Impact factor: 6.883
Authors: Sara Sanbonmatsu-Gámez; Mercedes Pérez-Ruiz; Ximena Collao; María Paz Sánchez-Seco; Francisco Morillas-Márquez; Manuel de la Rosa-Fraile; José Maria Navarro-Mari; Antonio Tenorio Journal: Emerg Infect Dis Date: 2005-11 Impact factor: 6.883