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Reynes JM, Schaeffer L, Papadopoulos P, Ait-Ahmed M, Siby-Diakite D, Ripaux-Lefèvre M, Buivan TP, Lechat S, Vray M, Galempoix JM. Molecular Detection of Orthohantavirus puumalaense in Plasma and Urine Samples from Hospitalized Patients Presenting with a Serologically Confirmed Acute Hantavirus Infection in France. J Clin Microbiol 2023; 61:e0037223. [PMID: 37486218 PMCID: PMC10446862 DOI: 10.1128/jcm.00372-23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 06/05/2023] [Indexed: 07/25/2023] Open
Abstract
Molecular detection of Orthohantavirus puumalaense (PUUV) RNA during the course of the disease has been studied in blood of patients in Sweden and Slovenia. The use of urine has been poorly investigated. The aims of this work were to study PUUV RNA detection in plasma from a cohort of patients in France where a different PUUV lineage circulates and to assess the use of urine instead of plasma. Matched plasma and urine samples were collected daily from hospitalized patients presenting with fever, pain, and thrombocytopenia within the last 8 days and testing positive for IgM and IgG against PUUV in serum collected at inclusion and/or approximately 1 month after release. RNA was extracted from samples, and PUUV RNA was detected using real-time reverse transcription-PCR for plasma and urine samples. Sixty-seven patients presented a serologically confirmed acute hantavirus infection. At inclusion, PUUV RNA was detected in plasma from 55 of 62 patients (88.7%) sampled within the first week after disease onset, whereas it was detected in 15 of 60 (25.0%) of matched urine samples. It was then detected from 33 (71.7%) and 2 (4.4%) of 46 patients discharged from the hospital during the second week after disease onset, in plasma and urine, respectively. When PUUV RNA was detected in urine it was also detected in plasma, and not vice versa. Detection of PUUV RNA in plasma from hospitalized patients in France is similar to that observed in Sweden and Slovenia. Urine is not an appropriate sample for this detection.
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Affiliation(s)
- Jean-Marc Reynes
- Institut Pasteur, Université Paris Cité, Unité Environnement et Risques Infectieux, Centre National de Référence Hantavirus, Paris, France
| | - Laura Schaeffer
- Institut Pasteur, Université Paris Cité, Unité Epidémiologie des Maladies Emergentes, Paris, France
| | - Pavlos Papadopoulos
- Institut Pasteur, Université Paris Cité, Unité Environnement et Risques Infectieux, Centre National de Référence Hantavirus, Paris, France
| | - Mohand Ait-Ahmed
- Institut Pasteur, Université Paris Cité, Centre de Recherche Translationnelle, Paris, France
| | - Dieyenaba Siby-Diakite
- Institut Pasteur, Université Paris Cité, Unité Environnement et Risques Infectieux, Centre National de Référence Hantavirus, Paris, France
| | - Maryline Ripaux-Lefèvre
- Institut Pasteur, Université Paris Cité, Unité Environnement et Risques Infectieux, Centre National de Référence Hantavirus, Paris, France
| | - Tan-Phuc Buivan
- Institut Pasteur, Université Paris Cité, Centre de Recherche Translationnelle, Paris, France
| | - Sylvie Lechat
- Centre Hospitalier Intercommunal nord Ardennes, Laboratoire de Biologie Médicale, Charleville- Mézières, France
| | - Muriel Vray
- Institut Pasteur, Université Paris Cité, Unité Epidémiologie des Maladies Emergentes, Paris, France
| | - Jean-Marc Galempoix
- Centre Hospitalier Intercommunal nord Ardennes, Service de Médecine Interne et Maladies Infectieuses, Charleville- Mézières, France
| | - for The HANTADIAG Study Group
- Institut Pasteur, Université Paris Cité, Unité Environnement et Risques Infectieux, Centre National de Référence Hantavirus, Paris, France
- Institut Pasteur, Université Paris Cité, Unité Epidémiologie des Maladies Emergentes, Paris, France
- Institut Pasteur, Université Paris Cité, Centre de Recherche Translationnelle, Paris, France
- Centre Hospitalier Intercommunal nord Ardennes, Laboratoire de Biologie Médicale, Charleville- Mézières, France
- Centre Hospitalier Intercommunal nord Ardennes, Service de Médecine Interne et Maladies Infectieuses, Charleville- Mézières, France
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