title: Pandemic serovars (O3:K6 and O4:K68) of Vibrio parahaemolyticus associated with diarrhea in Mozambique: spread of the pandemic into the African continent.
abstract: Forty-two episodes of Vibrio parahaemolyticus infections were detected in Beira, Mozambique, from January to May 2004. The majority of the isolates (81%) belonged to the pandemic serovars (O3:K6 and O4:K68) of V. parahaemolyticus. The pandemic serovars were positive by group-specific PCR (GS-PCR) and a PCR specific for open reading frame ORF8 (ORF8-PCR), which are molecular markers of the pandemic clone, and were positive for tdh but negative for trh. The remaining 19% of the strains also possessed the tdh gene but were GS-PCR and ORF8-PCR negative and did not belong to the pandemic serovars. Patients with V. parahaemolyticus infection were older (mean age, 27 years) than patients infected by other diarrheal agents (mean age, 21 years). Ten percent of diarrhea patients from whom no V. parahaemolyticus was cultured were severely dehydrated, but none of the V. parahaemolyticus cases were severely dehydrated. This is the first report of the isolation of pandemic strains of V. parahaemolyticus in sub-Saharan Africa and clearly indicates that the pandemic of V. parahaemolyticus has spread into the African continent.
authors.affiliation: Laboratory Sciences Division, ICDDR,B: Centre for Health and Population Research, GPO Box-128, Dhaka-1000, Bangladesh. ansar@icddrb.org
authors.forename: M
authors.initials: M
authors.lastname: Ansaruzzaman
authors.forename: Marcelino
authors.initials: M
authors.lastname: Lucas
authors.forename: Jacqueline L
authors.initials: JL
authors.lastname: Deen
authors.forename: N A
authors.initials: NA
authors.lastname: Bhuiyan
authors.forename: Xuan-Yi
authors.initials: XY
authors.lastname: Wang
authors.forename: Ashrafus
authors.initials: A
authors.lastname: Safa
authors.forename: Marzia
authors.initials: M
authors.lastname: Sultana
authors.forename: A
authors.initials: A
authors.lastname: Chowdhury
authors.forename: G Balakrish
authors.initials: GB
authors.lastname: Nair
authors.forename: David A
authors.initials: DA
authors.lastname: Sack
authors.forename: Lorenz
authors.initials: L
authors.lastname: von Seidlein
authors.forename: Mahesh K
authors.initials: MK
authors.lastname: Puri
authors.forename: Mohammad
authors.initials: M
authors.lastname: Ali
authors.forename: Claire-Lise
authors.initials: CL
authors.lastname: Chaignat
authors.forename: John D
authors.initials: JD
authors.lastname: Clemens
authors.forename: Avertino
authors.initials: A
authors.lastname: Barreto
mesh_terms: D000328:Adult; D000349:Africa / Q000453:epidemiology; D001426:Bacterial Proteins / Q000235:genetics; D003967:Diarrhea / Q000453:epidemiology* / Q000382:microbiology; D004196:Disease Outbreaks; D006801:Humans; D009073:Mozambique / Q000453:epidemiology; D016133:Polymerase Chain Reaction / Q000379:methods; D011159:Population Surveillance; D012703:Serotyping; D014735:Vibrio Infections / Q000453:epidemiology* / Q000382:microbiology / Q000635:transmission*; D014736:Vibrio parahaemolyticus / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification
chemical_list: D001426:Bacterial Proteins