4.7 Article

Viral Genome Sequencing Proves Nosocomial Transmission of Fatal Varicella

Journal

JOURNAL OF INFECTIOUS DISEASES
Volume 214, Issue 9, Pages 1399-1402

Publisher

OXFORD UNIV PRESS INC
DOI: 10.1093/infdis/jiw398

Keywords

fatal varicella; nosocomial transmission; whole genome sequencing

Funding

  1. MRC Centre for Medical Molecular Virology
  2. Medical Research Foundation
  3. National Institute for Health Research
  4. NIHR Biomedical Resource Centre at University College London Hospitals NHS Foundation Trust and University College London
  5. MRC [G0700814] Funding Source: UKRI
  6. Medical Research Foundation [C0485] Funding Source: researchfish

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We report the first use of whole viral genome sequencing to identify nosocomial transmission of varicella-zoster virus with fatal outcome. The index case patient, nursed in source isolation, developed disseminated zoster with rash present for 1 day before being transferred to the intensive care unit (ICU). Two patients who had received renal transplants while inpatients in an adjacent ward developed chickenpox and 1 died; neither patient had direct contact with the index patient.

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