Bourbon virus

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Bourbon virus
Electron micrograph of the spherical form of Bourbon virus (scale bar: 100 nm)
Virus classification Edit this classification
(unranked): Virus
Realm: Riboviria
Kingdom: Orthornavirae
Phylum:
Negarnaviricota
Class: Insthoviricetes
Order: Articulavirales
Family: Orthomyxoviridae
Genus: Thogotovirus
Virus:
Bourbon virus

Bourbon virus is an

Missouri State Park employee died from an infection of the Bourbon virus after it had been misdiagnosed for a significant period of time.[1]

Discovery

The virus was discovered in 2014 by Olga Kosoy, Amy Lambert and colleagues from the

Heartland virus, a recently discovered Phlebovirus known to be transmitted by ticks, prominent plaques, or areas where the cells were affected by virus infection, were observed on one-cell-thick cultures of African green monkey kidney cells. The plaques did not resemble the effects of Heartland virus, and the researchers hypothesized that they were the work of another virus. Recently developed "next-generation" sequencing techniques were employed to find novel viral RNA sequences in cell culture supernatants, similar to viruses of the genus Thogotovirus, family Orthomyxoviridae. Lambert, who worked on the sequencing, explained that these "state-of-the-art" techniques could be used to identify pathogens that older technologies could not detect.[3]

Next,

supernatants from the cell cultures under the electron microscope revealed virus particles of different shapes, including filaments and spheres. The virus was named "Bourbon virus" for the county in which it originated.[4][5]

Virology

Bourbon virus is a type of

Batken virus, both members of the genus Thogotovirus, but has diverged substantially from these viruses. Dhori and Batken viruses have only been reported in the Eastern hemisphere.[2]

Epidemiology

The Bourbon virus was first identified in a previously healthy man aged more than 50 years from

University of Kansas Hospital, where the patient was treated, has speculated that the virus had been previously present undetected.[4][7] There have been five confirmed cases since 2014.[8][9] The CDC is developing investigational diagnostic tests for Bourbon virus infection;[5][6] as of December 2014, CDC and the Kansas Department of Health and Environment were planning to test blood samples from people in Kansas who have recently experienced similar unexplained symptoms.[5] It is unknown whether the virus can infect non-human animals, and studies are ongoing to investigate this.[6]

Phylogeny of selected orthomyxoviruses, based on the nucleocapsid protein (scale bar: amino acid substitutions per site)

The case patient reported multiple tick bites, including a blood-filled tick in the shoulder area that was observed a few days before the onset of symptoms.[2] Based on the history of the case patient, the virus is considered to be possibly tick-borne, but this has not been proven. Most thogotoviruses are transmitted solely by ticks, but the similar Batken virus has also been isolated from mosquitoes.[2][10] Studies to establish the prevalence of Bourbon virus in tick and insect populations were planned in December 2014.[5][7]

Signs and symptoms

The patient had high

Heartland virus.[5]

The degree, if any, to which the Bourbon virus contributed to the individual's illness and death remains unknown as of February 2015, as does whether these symptoms and laboratory abnormalities represent the typical course of infection with Bourbon virus.[2][5] Hawkinson has speculated that there have been previous undiagnosed cases with milder symptoms from which the infected patients recovered.[7]

Thogotoviruses rarely cause disease in humans. The case in Bourbon County is only the eighth report of human disease associated with a thogotovirus globally.

Thogoto virus caused disease in two people from Nigeria, one of whom died; Dhori virus caused disease in five laboratory workers infected accidentally.[2][11][12] Although another member of the genus Thogotovirus, Aransas Bay virus, has been found in seabird-associated ticks in the United States;[2][13] this is the first reported case of human disease apparently associated with a thogotovirus in the Western hemisphere.[3][14]

Treatment and prevention

No routine diagnostic test is yet available.[6] There is currently no specific treatment or vaccine for the virus;[5][6] supportive therapy is recommended.[6] On the assumption that the virus is transmitted by a tick or insect, the main prevention method recommended is the avoidance of tick and insect bites.[6] In mice models, Favipiravir has been shown to be beneficial both therapeutically and prophylactically.[15]

See also

Wikimedia Commons has media related to Bourbon virus.

References

  1. ^ Bernhard, Blyth, "Meramec State Park employee dies after catching mysterious tick illness", "St. Louis Post-Dispatch, 12 July 2017
  2. ^
    PMID 25899080
    .
  3. ^ a b c "Tried-and-true and state-of-the-art combine to uncover a hidden virus", CDC website, CDC, retrieved 4 March 2015
  4. ^ a b c "New "Bourbon Virus" linked to death", Medical News Network: the University of Kansas Hospital, University of Kansas, retrieved 24 December 2014
  5. ^ a b c d e f g h i KDHE Office of Communications (22 December 2014), KDHE and CDC Investigate New Virus, KDHE Office of Communications, archived from the original on 31 December 2014, retrieved 30 December 2014
  6. ^ a b c d e f g h i "Bourbon virus", CDC website, Division of Vector-Borne Diseases, CDC, retrieved 4 March 2015
  7. ^ a b c d Grady, Denise (23 December 2014), "Mysterious virus that killed a farmer in Kansas Is Identified", The New York Times, retrieved 5 March 2015
  8. ^ "Missouri woman dies of rare tick-borne illness called 'Bourbon virus'". USA TODAY. Retrieved 2017-07-13.
  9. ^ "Woman dies after contracting rare tick-borne "Bourbon virus"". CBS News. Retrieved 2017-07-13.
  10. PMID 9349464
    .
  11. PMID 21994326
  12. PMID 3445590
    .
  13. PMID 24574415
    .
  14. ^ Lowes, Robert (December 24, 2014). "Discovery of Bourbon Virus Raises Many Questions". Medscape Medical News. Medscape. Archived from the original on 2015-01-12. Retrieved December 18, 2017.
  15. PMID 31194854
    .