Abstract

Venezuelan equine encephalitis (VEE) is reemerging in Peru. VEE virus subtype ID in Peru has not been previously associated with severe disease manifestations. In 2006, VEE virus subtype ID was isolated from a boy with severe febrile disease and gastrointestinal bleeding; the strain contained 2 mutations within the PE2 region.

Highlights

  • Venezuelan equine encephalitis (VEE) is reemerging in Peru

  • Venezuelan equine encephalitis (VEE) is a reemerging disease in the Amazon region of Peru; subtype ID is the subtype most commonly isolated from humans [1,2,3]

  • Human infections with VEE virus subtype IAB and IC produce more neurologic involvement and result in mortality rates as high as 0.5% during epidemics; epidemics with these viruses have not been reported in South America for more than a decade [5,6,7]

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Summary

Gastrointestinal Bleeding in Child

VEE virus subtype ID in Peru has not been previously associated with severe disease manifestations. In 2006, VEE virus subtype ID was isolated from a boy with severe febrile disease and gastrointestinal bleeding; the strain contained 2 mutations within the PE2 region. On the day of hospitalization, the boy was in poor general condition and had coffee-ground emesis (with blood clots) and melena. His temperature was 37oC, blood pressure was 90/60 mm Hg, respiratory rate was 45 breaths/min, and heart rate was 132 beats/min. Venezuelan equine encephalitis (VEE) is a reemerging disease in the Amazon region of Peru; subtype ID is the subtype most commonly isolated from humans [1,2,3].

Desert coast
Highlands Rainforest
Conclusions
Subtype IE

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