Sicilian phlebovirus

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Sicilian phlebovirus
Virus classification Red Pencil Icon.png
(unranked): Virus
Realm: Riboviria
Kingdom: Orthornavirae
Phylum: Negarnaviricota
Class: Ellioviricetes
Order: Bunyavirales
Family: Phenuiviridae
Genus: Phlebovirus
Species:
Sicilian phlebovirus
Synonyms
  • Sandfly fever Sicilian virus

Sicilian phlebovirus is a phlebovirus associated with sandfly fever. It is related to the Naples and Toscana viruses, which also cause sandfly fever.

Contents

Discovery

The virus was discovered in Palermo, Sicilia, Italy where it affected troops of the World War II Allied Army Forces after the 1943 Sicily landings. [1]

Clinical

Sandfly fever is a nonfatal influenza-like illness. The incubation period is 3–6 days, and signs and symptoms include high fever that lasts 3–74 hours, malaise, abdominal pain, headache, severe retro-orbital pain, lower back pain, photophobia, and anorexia. Marked leukopenia may occur. Patients may also experience transient diarrhea or constipation with abdominal discomfort. [2] The only sandfly fever virus known to be neurotropic is Toscana virus. However, there have been a report of encephalitis and aseptic meningitis associated with SFSV. [3]

Treatment is supportive but ribavirin may be beneficial in severe or rapidly decompensating cases. [3]

There is little or no serologic cross-reactivity between sandfly fever viruses. Infection can be confirmed through serologic IgM testing. [3]

Epidemiology

The virus is found in the Mediterranean, Middle East, and parts of central and southern Asia, such as Italy, Egypt, Pakistan, Iran, Cyprus, Algeria, and Turkey. The peak incidence occurs in warm months, especially August, when the Phlebotomus papatasi sandfly vectors, which transmit the virus during blood feeding, are most active. One study has suggested that living near wastewater treatment facilities and the presence of livestock inside the home are risk factors for infection. [3]

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Pappataci fever

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Toscana phlebovirus (TOSV) is an arbovirus belonging to Bunyavirales, an order of negative-stranded, enveloped RNA viruses. The virus can be transmitted to humans by the bite of an infected sandfly of the genus Phlebotomus. Toscana is not normally associated with disease, as indicated by high seroprevalence rates in endemic areas, but in common with other sandfly transmitted viruses such as Naples virus and Sicilian virus, infection may result in Pappataci fever, an illness with mild fever, headache and myalgia. In serious cases that go undiagnosed, acute meningitis, meningoencephalitis and encephalitis may occur. There is no specific treatment for infection, so treatment is supportive, reducing the severity of symptoms until the immune system has cleared the infection.

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References

  1. Izri, Arezki; Temmam, Sarah; Moureau, Gregory; Hamrioui, Boussad; de Lamballerie, Xavier; Charrel, Remi (2008). "Sandfly Fever Sicilian Virus, Algeria". Emerging Infectious Diseases. 14 (5): 795–7. doi:10.3201/eid1405.071487. PMC   2600228 . PMID   18439364.
  2. Dionisio, Daniele; Esperti, Francesco; Vivarelli, Angela; Valassina, Marcello (2003). "Epidemiological, clinical and laboratory aspects of sandfly fever". Current Opinion in Infectious Diseases. 16 (5): 383–388. doi:10.1097/00001432-200310000-00003. PMID   14501989.
  3. 1 2 3 4 Lesho, Emil; Ludwig, George; Wortmann, Glenn (2004). "Encephalitis and Sandfly Fever (Sicilian) Virus Infection: Case Report and Review of the Literature". Infectious Diseases in Clinical Practice. 12 (6): 352–354. doi:10.1097/01.idc.0000144907.96816.2e.