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The Fecal Virome of Children with Hand,Foot, and Mouth Disease that Tested PCR Negative for Pathogenic Enteroviruses
Authors:Piyada Linsuwanon  Yong Poovorawan  Linlin Li  Xutao Deng  Sompong Vongpunsawad  Eric Delwart
Institution:1. Center of Excellence in Clinical Virology, Chulalongkorn University, Bangkok, Thailand.; 2. Blood Systems Research Institute, San Francisco, California, United States of America.; 3. Department of Laboratory Medicine, University of California San Francisco, San Francisco, California, United States of America.; University of California, San Francisco, UNITED STATES,
Abstract:Hand, foot, and mouth disease (HFMD) affects infant and young children. A viral metagenomic approach was used to identify the eukaryotic viruses in fecal samples from 29 Thai children with clinical diagnosis of HFMD collected during the 2012 outbreak. These children had previously tested negative by PCR for enterovirus 71 and coxsackievirus A16 and A6. Deep sequencing revealed nine virus families: Picornaviridae, Astroviridae, Parvoviridae, Caliciviridae, Paramyxoviridae, Adenoviridae, Reoviridae, Picobirnaviridae, and Polyomaviridae. The highest number of viral sequences belonged to human rhinovirus C, astrovirus-MLB2, and coxsackievirus A21. Our study provides an overview of virus community and highlights a broad diversity of viruses found in feces from children with HFMD.
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