Complete Genome Sequence of Houston Virus, a Newly Discovered Mosquito-Specific Virus Isolated from Culex quinquefasciatus in Mexico

ABSTRACT We fully sequenced the genome of Houston virus, a recently discovered mosquito-associated virus belonging to the newly established family Mesoniviridae. The isolate was recovered from Culex quinquefasciatus in southern Mexico, which shows that the geographic range of Houston virus is not restricted to the United States in North America

Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)

Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters. Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs). Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001). Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio

Fecundity and morphological description of the eggs of Psorophora cyanescens (Coquillett, 1902) (Diptera: Culicidae) by scanning electron microscopy

Taxonomic studies on mosquitoes are based on the morphological description of larvae and adults. However, few studies have focused on the morphological description of eggs despite their taxonomic value. The description of mosquito eggs by scanning electron microscopy (SEM) allows more detailed descriptions of the ornamentation of the egg, which can provide diagnostic characters of the species. The objective of the work was to describe the eggs of Psorophora cyanescens by SEM and provide fecundity data for the species. In general, Ps. cyanescens eggs are elliptical and very wide. The exochorion is characterized by polygon pattern, where each polygon consists of longitudinal ridges joined by cross-ridges defining regular "hexagonal" areas. Each longitudinal ridge consisting by a small tubercle. The small tubercles are irregular, rectangular, rounded, or tubular. The ornamentation of the exochorion also has long and conical tubercles throughout the egg region. The micropylar apparatus located in the anterior region of the egg has a prominent, continuous and thickness collar. Psorophora cyanescens laid mature eggs at 2.5 days post-feeding. The mean number of eggs per female was 82.20 (± 13.31). This is the first study that describes the ultrastructure of the morphology of the eggs of Ps. cyanescens by SEM. With the contribution of the present work, there are five species of the genus Psorophora whose eggs morphology is described by SEM: Ps. albigenu, Ps. albipes, Ps. columbiae, Ps. cyanescens, and Ps. ferox.Los estudios taxonómicos sobre mosquitos se basan en la descripción morfológica de larvas y adultos. Sin embargo, son pocos los estudios enfocados en la descripción morfológica de los huevos a pesar de su valor taxonómico. La descripción de los huevos de mosquitos mediante microscopía electrónica de barrido (MEB) permite obtener imágenes más detalladas de la ornamentación del huevo, los cuales pueden proporcionar caracteres diagnósticos de la especie. El objetivo del trabajo fue describir los huevos de Psorophora cyanescens por MEB y proporcionar datos de fecundidad de la especie. En general, los huevos de Ps. cyanescens son de forma elíptica y muy anchos. El exocorión se caracteriza por un patrón de polígono, donde cada polígono consta de crestas longitudinales unidas por crestas cruzadas que definen áreas "hexagonales" regulares. Cada cresta longitudinal consiste en un pequeño tubérculo. Los pequeños tubérculos son irregulares, rectangulares, redondeados o tubulares. La ornamentación del exocorión también presenta largos tubérculos cónicos en toda la región del huevo. El aparato micropilar ubicado en la región anterior del huevo tiene un collar prominente, continuo y grueso. Psorophora cyanescens puso huevos maduros a los 2.5 días después de la alimentación sanguínea. El número promedio de huevos por hembra fue de 82.20 (± 13.31). Este es el primer estudio que describe la ultraestructura de la morfología de los huevos de Ps. cyanescens mediante MEB. Con el aporte del presente trabajo, son cinco las especies del género Psorophora que cuentan con la descripción de la morfología de los huevos mediante MEB: Ps. albigenu, Ps. albipes, Ps. columbiae, Ps. cyanescens, and Ps. ferox

Study of Aedes aegypti population with emphasis on the gonotrophic cycle length and identification of arboviruses: implications for vector management in cemeteries

Aedes aegypti is the vector of the arboviruses causing dengue, chikungunya and zika infections in Mexico. However, its presence in public places has not been fully evaluated. In a cemetery from Merida, Yucatan, Mexico, the productivity of Ae. aegypti, the gonotrophic cycle, and the presence of Ae. aegypti females infected with arboviruses were evaluated. Immature and adult mosquitoes were inspected every two months between April 2016 to June 2017. For the gonotrophic cycle length, the daily pattern of total and parous female ratio was registered and was analyzed using time series analysis. Ae. aegypti females were sorted into pools and assayed for flavivirus RNA by RT-PCR and Sanger sequencing. Aedes aegypti immatures represented 82.86% (8,627/10,411) of the collection. In total, 1,648 Ae. aegypti females were sorted into 166 pools. Two pools were positive; one for dengue virus (DENV-1) and the other for zika virus (ZIKV). The phylogenetic analysis revealed that the DENV-1 is more closely related to isolates from Brazil. While ZIKV is more closely related to the Asian lineage, which were isolates from Guatemala and Mexico. We report some evidence of vertical transmission of DENV-1 in nulliparous females of Ae. aegypti. The gonotrophic cycle was four and three days in the rainy and dry season, respectively. The cemetery of Merida is an important focus of Ae. aegypti proliferation, and these environments may play a role in arboviruses transmission; probably limiting the efficacy of attempts to suppress the presence of mosquitoes in domestic environments

Orthobunyavirus Antibodies in Humans, Yucatan Peninsula, Mexico

We performed a serologic investigation to determine whether orthobunyaviruses commonly infect humans in the Yucatan Peninsula of Mexico. Orthobunyavirus-specific antibodies were detected by plaque reduction neutralization test in 146 (18%) of 823 persons tested. Further studies are needed to determine health risks for humans from this potentially deadly group of viruses

Determinación de la acetilcolinesterasa insensible asociada a la resistencia a insecticidas en Culex quinquefasciatus, Say,1823 (Diptera: Culicidae) colectadoss en Yucatán, México

Acetylcholinesterase is an enzyme whose main function is to terminate the transmission of nerve impulses in the cholinergic synapse in insects through the hydrolysis of acetylcholine. However, frequent applications of insecticides can select for individuals with an alteration in the enzyme and functional changes that result in an insensitivity to insecticides. In Mexico, the current strategy to combat insect vectors such as Culex quinquefasciatus is based mainly on the use of synthetic insecticides. The use of these chemicals in health and agricultural practices may also contribute to mosquito insensitivity to several groups of insecticides. Therefore, it is considered necessary to determine if there is any physiological mechanism associated with resistance. For this reason, the objective of this research was to identify if there is insensitivity of acetylcholinesterase to insecticides in Cx. quinquefasciatus populations, collected in urban and rural areas of the State of Yucatán, Mexico. Enzymatic tests were carried out with slight modifications to the established protocols. Areas were identified with mosquito populations showing acetylcholinesterase insensitivity to propoxur, a carbamate insecticide. We consider it important to determine the environmental factors that affect the behavior and response of mosquitoes following exposure to insecticides, and this knowledge could inform the design of efficient strategies in vector control programs. La acetilcolinesterasa es una enzima, cuya principal función es finalizar la transmisión de los impulsos nerviosos en la sinapsis colinérgica en los insectos mediante la hidrólisis de la acetilcolina. Sin embargo, el uso frecuente de los insecticidas sintéticos, probablemente originen una alteración en la enzima y cambios funcionales conduciendo a la insensibilidad a los insecticidas neurotóxicos. En México la estrategia actual para el combate de insectos vectores como Culex quinquefasciatus, se basa principalmente en el uso de estos compuestos. El uso de estos productos químicos en áreas de la salud y prácticas agrícolas probablemente contribuye a la insensibilidad a diferentes grupos de insecticidas. Por lo tanto, se considera necesario determinar si existe algún mecanismo fisiológico asociado a la resistencia. Por tal motivo, el objetivo de esta investigación fue identificar si existe insensibilidad de la acetilcolinesterasa a insecticidas en poblaciones de Cx. quinquefasciatus, colectados en áreas urbanas y rurales en Yucatán. Se realizaron pruebas enzimáticas con ligeras modificaciones en los protocolos establecidos y se identificaron áreas con poblaciones de mosquitos con acetilcolinesterasa insensible a propoxur, que es un carbamato ampliamente utilizado en México. Con nuestro trabajo consideramos importante identificar los factores ambientales que afectan el comportamiento y respuesta de los mosquitos a los insecticidas, lo cual será de gran utilidad para el diseño eficiente de estrategias en los programas de control de vectores

Detection of Hepatitis C Virus Coinfection in Patients with Dengue Diagnosis

Coinfection produced by dengue virus (DENV) and hepatitis C virus (HCV) is a serious problem of public health in Mexico, as they both circulate in tropical zones and may lead to masking or complicating symptoms. In this research, we detected active coinfected patients by HCV residing in the endemic city of Mérida, Yucatán, Mexico, with positive diagnosis to dengue during the acute phase. We performed a retrospective analysis of 240 serum samples from dengue patients. The IgM-ELISA serological test was used for dengue diagnosis, as well as viral isolation to confirm infection. DENV and HCV were detected by RT-PCR. Thus, 31 (12.9%) samples showed DENV-HCV coinfection, but interestingly the highest frequency of coinfection cases was found in male patients presenting hemorrhagic dengue in 19/31 (61.29%), with a predominance of 12 : 7 in males. Firstly, coinfection of DENV-HCV in Mérida, Mexico, was detected in young dengue patients, between 11 and 20 years old (38.7%), followed by those between 21 and 30 years old (32%); only 16.13% were between 0 and 10 years of age. Diagnosis of HCV infection in patients with dengue is highly recommended in order to establish potential risk in clinical manifestations as well as dictate patients' special care

Detection of hand, foot and mouth disease in the Yucatan Peninsula of Mexico

We report a case of hand, foot and mouth disease (HFMD) in a 5-year-old male from Merida City in the Yucatan Peninsula of Mexico. A clinical and physical examination revealed that the patient had symptoms typical of HFMD, including fever, fatigue, odynophagia, throat edema, hyperemia, lesions on the hands and feet, and blisters in the oral cavity. The patient fully recovered after a convalescence period of almost three weeks. Reverse transcription-polymerase chain reaction and nucleotide sequencing revealed that the etiological agent was enterovirus 71 (EV71). The sequence has greatest (90.4%) nucleotide identity to the corresponding regions of EV71 isolates from the Netherlands and Singapore. Although HFMD is presumably common in Mexico, surprisingly there are no data in the PubMed database to support this. This case report provides the first peer-reviewed evidence of HFMD in Mexico

Entomological and virological surveillance for dengue virus in churches in Merida, Mexico

ABSTRACT This study was designed to assess whether churches in endemic dengue districts in Merida, Mexico provide suitable breeding habitats for mosquitoes and are potential sites for dengue virus (DENV) transmission. Churches were inspected for immature and adult mosquitoes once every week from November 2015 to October 2016. A total of 10,997 immatures of five species were collected. The most abundant species were Aedes aegypti (6,051) and Culex quinquefasciatus (3,018). The most common source of immature Ae. aegypti were buckets followed by disposable containers. Adult collections yielded 21,226 mosquitoes of nine species. The most common species were Cx. quinquefasciatus (15,215) and Ae. aegypti (3,902). Aedes aegypti were found all year long. Female Ae. aegypti (1,380) were sorted into pools (166) and assayed for flavivirus RNA by RT-PCR and Sanger sequencing. Two pools were positive for DENV (DENV-1 and 2). In conclusion, we demonstrated that some churches in Merida are infested with mosquitoes all year long and they potentially serve as sites for DENV transmission and should therefore be considered for inclusion in mosquito and arboviruses control and surveillance efforts