Fatal Encephalitic Borna Disease Virus 1 in Solid-Organ Transplant Recipients
Kore Schlottau(Friedrich-Loeffler-Institut), Leonie F. Forth(Friedrich-Loeffler-Institut), Klemens Angstwurm(University of Regensburg), Dirk W. Höper(Friedrich-Loeffler-Institut), Daniel Zecher(University Hospital Regensburg), Friederike Liesche‐Starnecker(Technical University of Munich), Bernd Hoffmann(Friedrich-Loeffler-Institut), Victoria Kegel(University Hospital Leipzig), Daniel Seehofer(University Hospital Leipzig), Sabine Platen(University of Regensburg), Bernd Salzberger(University Hospital Regensburg), Uwe G. Liebert(Leipzig University), Hans-Helmut Niller(University Hospital Regensburg), Bárbara Schmidt(University Hospital Regensburg), Kaspar Matiasek(Ludwig-Maximilians-Universität München), Markus J. Riemenschneider(University Hospital Regensburg), Christoph Brochhausen(University of Regensburg), Bernhard Banas(University Hospital Regensburg), Lutz Renders(Technical University of Munich), Philipp Moog(Technical University of Munich), Silke Wunderlich(Technical University of Munich), Christian Seifert(Technical University of Munich), Ana Barreiros(German Organ Transplantation Foundation), Axel Rahmel(German Organ Transplantation Foundation), Jutta Weiss(German Organ Transplantation Foundation), Dennis Tappe(Bernhard Nocht Institute for Tropical Medicine), Christiane Herden(Justus-Liebig-Universität Gießen), Jonas Schmidt‐Chanasit(Bernhard Nocht Institute for Tropical Medicine), Martin Schwemmle(University of Freiburg), Dennis Rubbenstroth(University of Freiburg), Jürgen Schlegel(Technical University of Munich), Corinna Pietsch(Leipzig University), Donata Hoffmann(Friedrich-Loeffler-Institut), Jonathan Jantsch(University Hospital Regensburg), Martin Beer(Friedrich-Loeffler-Institut)
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Abstract
Borna disease virus 1 (BoDV-1; species Mammalian 1 orthobornavirus) causes progressive meningoencephalitis, mainly in horses and sheep. Evidence of BoDV-1 infection in humans is limited.1,2 However, after the identification of a bornavirus transmitted by exotic pet squirrels — the variegated squirrel bornavirus 1 (species Mammalian 2 orthobornavirus)3 — the zoonotic potential of mammalian bornaviruses should be considered. Here, we report evidence of donor-transmitted BoDV-1 infection occurring in three solid-organ transplant recipients, two of whom died.
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