Abstract

In August 2020, during the coronavirus disease (COVID-19) pandemic, five locally acquired cases of dengue virus type 1 were detected in a family cluster in Vicenza Province, North-East Italy where Aedes albopictus mosquitoes are endemic. The primary case was an importation from West Sumatra, Indonesia. This is the first outbreak of autochthonous dengue reported in Italy. During the COVID-19 pandemic, screening of febrile travelers from endemic countries is crucial in areas where competent vectors are present.

Highlights

  • In August 2020, during the coronavirus disease (COVID-19) pandemic, five locally acquired cases of dengue virus type 1 were detected in a family cluster in Vicenza Province, North-East Italy where Aedes albopictus mosquitoes are endemic

  • She was investigated for West Nile virus, Usutu virus, dengue virus (DENV), chikungunya virus (CHIKV) and Zika virus (ZIKV) by molecular and serology testing, because she reported that a family member (Case 1) had had similar symptoms after a recent travel in Indonesia

  • The results were available on 22 August, and she was consecutively diagnosed with DENV type 1 (DENV-1) infection based on positive realtime reverse transcriptase (RT)-PCR on plasma, urine, and saliva, and positive DENV NS1 antigen in plasma, while serology testing was negative

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Summary

Rapid communication

Citation style for this article: Lazzarini Luca , Barzon Luisa , Foglia Felice , Manfrin Vinicio , Pacenti Monia , Pavan Giacomina , Rassu Mario , Capelli Gioia , Montarsi Fabrizio , Martini Simone , Zanella Francesca , Padovan Maria Teresa , Russo Francesca , Gobbi Federico. First autochthonous dengue outbreak in Italy, August 2020. Article submitted on 31 Aug 2020 / accepted on 10 Sep 2020 / published on 10 Sep 2020. The primary case was an importation from West Sumatra, Indonesia This is the first outbreak of autochthonous dengue reported in Italy. In Europe, dengue is almost always imported from endemic countries, and only very few autochthonous cases and limited outbreaks have been reported. We present the first autochthonous outbreak of dengue in Italy, due to an imported case from Indonesia

Case description
Negative Negative Negative Negative Positive Positive
Vector control activities and public health measures
Discussion
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