Bourbon virus

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A virus of the genus Thogotovirus''


Bourbon virus

The Bourbon virus is a member of the genus Thogotovirus within the family Orthomyxoviridae. It was first identified in 2014 in a patient from Bourbon County, Kansas, United States, who died after contracting the virus. The discovery of the Bourbon virus has raised concerns about emerging infectious diseases transmitted by arthropods, such as ticks and mosquitoes.

Virology

The Bourbon virus is an RNA virus with a segmented genome, characteristic of the Orthomyxoviridae family. It is closely related to other members of the Thogotovirus genus, which are known to be transmitted by arthropod vectors. The virus is enveloped and spherical in shape, as depicted in electron micrographs.

Thogotovirus phylogeny

Genomic Structure

The genome of the Bourbon virus consists of multiple segments of negative-sense single-stranded RNA. This segmented nature allows for genetic reassortment, which can lead to the emergence of new viral strains. The virus encodes several proteins necessary for its replication and interaction with host cells.

Phylogeny

Phylogenetic analysis places the Bourbon virus within the Thogotovirus genus, which includes other viruses such as the Dhori virus and the Thogoto virus. These viruses are primarily transmitted by ticks and have been associated with febrile illnesses in humans and animals.

Transmission

The exact mode of transmission of the Bourbon virus is not fully understood, but it is believed to be transmitted through tick bites. Ticks are known vectors for many Thogotovirus species, and the presence of the virus in areas with high tick activity suggests a similar transmission route.

Clinical Presentation

In the documented case, the patient presented with symptoms including fever, fatigue, rash, headache, and myalgia. The disease progressed rapidly, leading to multiple organ failure and death. The clinical presentation is similar to other tick-borne viral infections, making diagnosis challenging without specific laboratory tests.

Diagnosis

Diagnosis of Bourbon virus infection is primarily based on polymerase chain reaction (PCR) testing to detect viral RNA in blood samples. Serological tests may also be used to identify antibodies against the virus, indicating past or current infection.

Prevention and Control

Preventive measures focus on reducing exposure to ticks, such as using insect repellent, wearing protective clothing, and performing tick checks after spending time in wooded or grassy areas. Public health efforts aim to increase awareness of tick-borne diseases and promote research into effective vaccines and treatments.

Research and Future Directions

Ongoing research is focused on understanding the ecology of the Bourbon virus, its transmission dynamics, and potential animal reservoirs. Studies are also exploring the development of diagnostic tools and therapeutic options to manage infections.

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Contributors: Prab R. Tumpati, MD