1. Adenovirus type 4 respiratory infections among civilian adults, northeastern United States, 2011–2015
- Author
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St George K, Bair Cr, Daryl M. Lamson, Marie L. Landry, Marilyn A. Menegus, Adriana E. Kajon, Xiaoyan Lu, and Dean D. Erdman
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0301 basic medicine ,Letter ,Epidemiology ,Adenoviridae Infections ,lcsh:Medicine ,medicine.disease_cause ,community onset ,Disease Outbreaks ,Adenovirus Infections, Human ,civilians ,New England ,adenovirus type 4 ,Young adult ,Respiratory system ,cluster ,Respiratory Tract Infections ,Community onset ,Adenovirus Type 4 Respiratory Infections among Civilian Adults, Northeastern United States, 2011–2015 ,Molecular Epidemiology ,Respiratory tract infections ,adenovirus ,genome typing ,HAdV-4 ,ARD ,3. Good health ,Vaccination ,Infectious Diseases ,Synopsis ,disease severity ,human adenovirus B7 ,Adult ,Microbiology (medical) ,medicine.medical_specialty ,Acute respiratory disease ,influenza-like illness ,Genome, Viral ,Disease cluster ,lcsh:Infectious and parasitic diseases ,Adenoviridae ,acute respiratory disease ,respiratory infections ,03 medical and health sciences ,New england ,Disease severity ,Internal medicine ,medicine ,Humans ,lcsh:RC109-216 ,viruses ,Letters to the Editor ,Retrospective Studies ,Influenza-like illness ,Molecular epidemiology ,outbreak ,business.industry ,Adenoviruses, Human ,lcsh:R ,Outbreak ,Retrospective cohort study ,United States ,030104 developmental biology ,Family medicine ,ILI ,next-generation sequencing ,business ,Ireland - Abstract
Human adenovirus type 4 (HAdV-4) is most commonly isolated in military settings. We conducted detailed molecular characterization on 36 HAdV-4 isolates recovered from civilian adults with acute respiratory disease (ARD) in the northeastern United States during 2011-2015. Specimens came from college students, residents of long-term care facilities or nursing homes, a cancer patient, and young adults without co-morbidities. HAdV-4 genome types 4a1 and 4a2, the variants most frequently detected among US military recruits in basic training before the restoration of vaccination protocols, were isolated in most cases. Two novel a-like variants were recovered from students enrolled at a college in Tompkins County, New York, USA, and a prototype-like variant distinguishable from the vaccine strain was isolated from an 18-year-old woman visiting a physician's office in Ulster County, New York, USA, with symptoms of influenza-like illness. Our data suggest that HAdV-4 might be an underestimated causative agent of ARD among civilian adults.
- Published
- 2018
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