The first imported case of Rift Valley fever in China reveals a genetic reassortment of different viral lineages

Jingyuan Liu,Yulan Sun,Wei-feng Shi,Shuguang Tan,Yang Pan,S. Cui,Qingchao Zhang,X. Dou,Y. Lv,Xinyu Li,Xi-tai Li,Li-juan Chen,Chuansong Quan,Qianli Wang,Yingze Zhao,Q. Lv,Wenhao Hua,H. Zeng,Zhihai Chen,H. Xiong,Chengyu Jiang,X. Pang,Fujie Zhang,M. Liang,Guizhen Wu,G. Gao,William J. Liu,Ang Li,Quanyi Wang

Published 2017 in Emerging Microbes &Infections

ABSTRACT

We report the first imported case of Rift Valley fever (RVF) in China. The patient returned from Angola, a non-epidemic country, with an infection of a new reassortant from different lineages of Rift Valley fever viruses (RVFVs). The patient developed multiorgan dysfunction and gradually recovered with continuous renal replacement therapy and a short regimen of methylprednisolone treatment. The disordered cytokines and chemokines in the plasma of the patient revealed hypercytokinemia, but the levels of protective cytokines were low upon admission and fluctuated as the disease improved. Whole-genome sequencing and phylogenetic analysis revealed that the imported strain was a reassortant comprising the L and M genes from lineage E and the S gene from lineage A. This case highlights that RVFV had undergone genetic reassortment, which could potentially alter its biological properties, cause large outbreaks and pose a serious threat to global public health as well as the livestock breeding industry.

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