Abstract
Hand, foot and mouth disease (HFMD) is usually caused by coxsackievirus A16 or enterovirus 71 (EV71). Between 2011 and 2013, HFMD cases were reported from different Cuban provinces. A total of 42 clinical specimens were obtained from 23 patients. Detection, identification and phylogenetic analysis of enterovirus-associated HFMD were carried out by virus isolation, specific enterovirus PCR and partial VP1 sequences. HEV was detected in 11 HFMD cases. Emerging genetic variants of coxsackievirus A6 and EV71 were identified as the causative agents of the Cuban HFMD cases.
References
Blomqvist S, Klemola P, Kaijalainen S, Pananen A, Simonen ML, Vuorinen T, Roivainen M (2010) Co-circulation of coxsackieviruses A6 and A10 in hand, foot and mouth disease outbreak in Finland. J Clin Virol 48:49–54
Cardosa MJ, Perera D, Brown BA, Cheon D, Chan HM, Chan KP et al (2003) Molecular epidemiology of human enterovirus 71 strains and recent outbreaks in the Asia-Pacific region: comparative analysis of the VP1 and VP4 genes. Emerg Infect Dis 9:461–468
Coiras MT, Aguilar JC, Garcia ML, Casas I, Perez-Brena P (2004) Simultaneous detection of fourteen respiratory viruses in clinical specimens by two multiplex reverse transcription nested-PCR assays. J Med Virol 72:484–495
Flett K, Youngster I, Huang J, McAdam A, Sandora TJ, Rennick M et al (2012) Hand, foot, and mouth disease caused by coxsackievirus A6. Emerg Infect Dis 18:1702–1704
Fujimoto T, Iizuka S, Enomoto M, Abe K, Yamashita K, Hanaoka N et al (2012) Hand, foot, and mouth disease caused by coxsackievirus A6, Japan, 2011. Emerg Infect Dis 18:337–339
Mirand A, Henquell C, Archimbaud C, Ughetto S, Antona D, Bailly JL et al (2012) Outbreak of hand, foot and mouth disease/herpangina associated with coxsackievirus A6 and A10 infections in 2010, France: a large citywide, prospective observational study. Clin Microbiol Infect 18:E110–E118
Montes M, Artieda J, Piñeiro LD, Gastesi M, Diez-Nieves I, Cilla G (2013) Hand, foot, and mouth disease outbreak and coxsackievirus A6, Northern Spain, 2011. Emerg Infect Dis 19:676–677
Nix WA, Oberste MS, Pallansch MA (2006) Sensitive, seminested PCR amplification of VP1 sequences for direct identification of all enterovirus serotypes from original clinical specimens. J Clin Microbiol 44:2698–2704
Perera D, Podin Y, Akin W, Tan WS, Cardosa MJ (2004) Incorrect identification of recent Asian strains of coxsackievirus A16 as human enterovirus 71: improved primers for the specific detection of human enterovirus 71 by RT-PCR. BMC Infect Dis 4:11
Puenpa J, Chieochansin T, Linsuwanon P, Korkong S, Thongkomplew S, Vichaiwattana P et al (2013) Hand, foot, and mouth disease caused by coxsackievirus A6, Thailand, 2012. Emerg Infect Dis 19:641–643
Solomon T, Lewthwaite P, Perera D, Cardosa MJ, McMinn P, Ooi MH (2010) Virology, epidemiology, pathogenesis, and control of enterovirus 71. Lancet Infect Dis 10:778–790
Tamura K, Peterson D, Peterson N, Stecher G, Nei M, Kumar S (2011) MEGA5: molecular evolutionary genetics analysis using maximum likelihood, evolutionary distance, and maximum parsimony methods. Mol Biol Evol 28:2731–2739
Wei SH, Huang YP, Liu MC, Tsou TP, Lin HC, Lin TL et al (2011) An outbreak of coxsackievirus A6 hand, foot, and mouth disease associated with onychomadesis in Taiwan, 2010. BMC Infect Dis 11:346
Yang CF, De L, Yang SJ, Gómez JR, Cruz JR, Halloway MA, Pallansch MA, Kew OM (1992) Genotype-specific in vitro amplification of sequences of the wild type 3 polioviruses from México and Guatemala. Virus Res 24:277–296
Acknowledgments
We thank the patients, parents and physicians for participation in this study. We acknowledge the assistance from Cuban Provincial Centers for Epidemiology, Hygiene and Microbiology from Cienfuegos and Sancti Spiritus provinces for collecting the samples. We also thank Dr. Lídice Bernardo for helpful comments, and Dr. Ondrej Mach for reviewing the manuscript. This study was supported by the Cuban Ministry of Health as part of an enterovirus surveillance system maintained by the National Enterovirus Laboratory at Tropical Medicine Institute “Pedro Kourí”.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fonseca, M.C., Sarmiento, L., Resik, S. et al. Coxsackievirus A6 and enterovirus 71 causing hand, foot and mouth disease in Cuba, 2011–2013. Arch Virol 159, 2451–2455 (2014). https://doi.org/10.1007/s00705-014-2071-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00705-014-2071-x