A Variegated Squirrel Bornavirus Associated with Fatal Human Encephalitis

N Engl J Med. 2015 Jul 9;373(2):154-62. doi: 10.1056/NEJMoa1415627.

Abstract

Between 2011 and 2013, three breeders of variegated squirrels (Sciurus variegatoides) had encephalitis with similar clinical signs and died 2 to 4 months after onset of the clinical symptoms. With the use of a metagenomic approach that incorporated next-generation sequencing and real-time reverse-transcriptase quantitative polymerase chain reaction (RT-qPCR), the presence of a previously unknown bornavirus was detected in a contact squirrel and in brain samples from the three patients. Phylogenetic analyses showed that this virus, tentatively named variegated squirrel 1 bornavirus (VSBV-1), forms a lineage separate from that of the known bornavirus species. (Funded by the Federal Ministry of Food and Agriculture [Germany] and others.).

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Animals
  • Antibodies, Viral / blood
  • Antibodies, Viral / cerebrospinal fluid
  • Bornaviridae / classification
  • Bornaviridae / genetics*
  • Bornaviridae / isolation & purification
  • Brain / pathology*
  • Encephalitis, Viral / pathology
  • Encephalitis, Viral / virology*
  • Fatal Outcome
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Mononegavirales Infections / pathology
  • Mononegavirales Infections / transmission
  • Mononegavirales Infections / virology*
  • Phylogeny
  • RNA, Viral
  • Sciuridae / virology*
  • Sequence Analysis, DNA
  • Zoonoses / transmission
  • Zoonoses / virology

Substances

  • Antibodies, Viral
  • RNA, Viral