Reassortant Cache Valley Virus Associated With Acute Febrile, Nonneurologic Illness, Missouri.

Baker, Molly; Hughes, Holly R; Naqvi, S Hasan; Yates, Karen; Velez, Jason O; McGuirk, Sophia; Schroder, Barb; Lambert, Amy J et al. · Clin Infect Dis · 2021

case_report · Level V

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Abstract

An adult male from Missouri sought care for fever, fatigue, and gastrointestinal symptoms. He had leukopenia and thrombocytopenia and was treated for a presumed tickborne illness. His condition deteriorated with respiratory and renal failure, lactic acidosis, and hypotension. Next-generation sequencing and phylogenetic analysis identified a reassortant Cache Valley virus.

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