Title Outbreak of febrile illness caused by coxsackievirus A4 in a nursery school in Beijing, China.
Author Li, Jin-Song; Dong, Xiao-Gen; Qin, Meng; Xie, Zhi-Ping; Gao, Han-Chun; Yang, Jun-Yong; Yang, Xiao-Xin; Li, Dan-Di; Li, Jie; Duan, Zhao-Jun
Journal Virol J Publication Year/Month 2015-Jun
PMID 26084565 PMCID PMC4495935
Affiliation + expend 1.National Institute for Viral Disease Control and Prevention, China CDC, 100 Ying-Xin St., Xuan-Wu District, Beijing, 100052, China. lionalex@126.com.

BACKGROUND: Coxsackievirus A4 (CV-A4) is classified as human enterovirus A according to its serotype. CV-A4, an etiological agent of hand, foot, and mouth disease, affects children worldwide and can circulate in closed environments such as schools and hospitals for long periods. FINDINGS: An outbreak of febrile illness at a nursery school in Beijing, China, was confirmed to be caused by CV-A4. Phylogenetic analysis of the complete genome of the isolated strain showed that the virus belongs to the same cluster as the predominant CV-A4 strain in China. This outbreak was controlled by effective measures. CONCLUSIONS: The early identification of the pathogen and timely intervention may be the most critical factors in controlling an outbreak caused by CV-A4 in a preschool.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
ANC05669 A None 312 China 2011 RHV/FT/CHN/29
ANM05670 A None 271 China 2011 RHV/FT/CHN/36
ANP05672 A None 271 China 2011 RHV/FT/CHN/33
ANZ05671 A None 274 China 2011 RHV/FT/CHN/34
CNS03833 C None 472 China 2011 RHV/FT/CHN/27
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