Abstract

Bufavirus (BuV) and human parvovirus 4 (PARV4) belong to the Parvoviridae family. We assessed BuV and PARV4 DNA presence by real-time PCR analysis in stool, blood and respiratory samples collected in patients from Marseille and Nice, two large cities in the South-East of France. Bu-V DNA was detected in diarrheic stool samples from 92 patients (3.6% of 2583 patients), particularly men and adults, and patients from the nephrology and the infectious disease departments. Among the patients with a BuV-positive stool sample and for whom at least one blood sample was available (n = 30 patients), BuV DNA was detected also in 3 blood samples. In contrast, BuV DNA was not detected in any of the respiratory samples from 23 patients with BuV-positive stool. BuV detection rate was comparable in stool samples from patients with and without diarrhea. We did not detect PARV4 DNA in any of the stool specimens (n = 2583 patients). Our results suggest that PARV4 fecal–oral transmission is rare or non-existent in the South-East of France while BuV circulates with a relatively high rate in this area.

Highlights

  • Viruses of the Parvoviridae family are small single-stranded DNA viruses that infect a wide range of organisms, from invertebrates to humans

  • BuV DNA has been detected in stool samples, mostly from patients presenting with diarrhea, in many countries

  • The aims of the present study were (i) to investigate BuV and parvovirus 4 (PARV4) presence in stool samples from patients with diarrhea in the South-East of France; (ii) to check whether in patients with positive stools, both viruses can be found in blood and respiratory samples; (iii) to determine whether the detection rate of these viruses varies in patients with and without diarrhea in hospital settings

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Summary

Introduction

Viruses of the Parvoviridae family are small single-stranded DNA viruses that infect a wide range of organisms, from invertebrates to humans. The first human parvovirus was discovered in 1965 and since 2005, many new parvoviruses have been identified in human samples [1,2]. Bufavirus (BuV), a virus from the genus Protoparvovirus, was identified in 2012 from fecal samples of children with diarrhea in Burkina Faso [3,4]. BuV DNA has been detected in stool samples (prevalence ranging from 0 to 4%), mostly from patients presenting with diarrhea, in many countries. The causative role of BuV in gastroenteritis remains unclear, and its association with other clinical presentations remains largely to be explored [5,6,8]

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