A new Puumala hantavirus subtype in rodents associated with an outbreak of Nephropathia epidemica in South-East Germany in 2004

Epidemiol Infect. 2006 Dec;134(6):1333-44. doi: 10.1017/S0950268806006170. Epub 2006 May 2.

Abstract

A micro-epidemic of hantavirus infections occurred in Lower Bavaria, South-East Germany, starting in April 2004. While only three cases were registered from 2001 to 2003, a dramatically increased number of clinically apparent human hantavirus infections (n=38) was observed in 2004, plus seven additional cases by June 2005. To determine the reservoir responsible for the infections, a total of 43 rodents were trapped in Lower Bavaria. Serological and genetic investigations revealed that Puumala virus (PUUV) is dominant in the local population of bank voles. Partial PUUV S segment nucleotide sequences originating from bank voles at four different trapping sites in Lower Bavaria showed a low divergence (up to 3.1%). This is contrasted by a nucleotide sequence divergence of 14-16% to PUUV strains detected in Belgium, France, Slovakia or North-Western Germany. PUUV sequences from bank voles in Lower Bavaria represent a new PUUV subtype which seems to be responsible for the observed increase of human hantavirus infections in 2004-2005.

MeSH terms

  • Animals
  • Disease Outbreaks*
  • Disease Reservoirs
  • Genetic Variation
  • Germany / epidemiology
  • Hantavirus Infections / epidemiology*
  • Hantavirus Infections / virology
  • Hemorrhagic Fever with Renal Syndrome / epidemiology*
  • Humans
  • Nucleocapsid Proteins / analysis
  • Orthohantavirus / classification
  • Orthohantavirus / genetics
  • Orthohantavirus / immunology*

Substances

  • Nucleocapsid Proteins