Understanding Sabiá virus infections (Brazilian mammarenavirus)

Ana Catharina Nastri, Amaro Nunes Duarte-Neto, Luciana Vilas Boas Casadio, William Marciel de Souza, Ingra M. Claro, Erika R. Manuli, Gloria Selegatto, Matias C. Salomão, Gabriel Fialkovitz, Mariane Taborda, Bianca Leal de Almeida, Marcello C. Magri, Ana Rúbia Guedes, Lauro Vieira Perdigão Neto, Fatima Mitie Sataki, Thais Guimarães, Maria Cassia Mendes-Correa, Tania R. Tozetto-Mendoza, Marcilio Jorge Fumagalli, Yeh Li HoCamila Alves Maia da Silva, Thaís M. Coletti, Jaqueline Goes de Jesus, Camila M. Romano, Sarah C. Hill, Oliver Pybus, João Renato Rebello Pinho, Felipe Lourenço Ledesma, Yuri R. Casal, Cristina T. Kanamura, Leonardo José Tadeu de Araújo, Camila Santos da Silva Ferreira, Juliana Mariotti Guerra, Luiz Tadeu Moraes Figueiredo, Marisa Dolhnikoff, Nuno R. Faria, Ester C. Sabino, Venâncio Avancini Ferreira Alves, Anna S. Levin

Research output: Contribution to journalArticlepeer-review


Background: Only two naturally occurring human Sabiá virus (SABV) infections have been reported, and those occurred over 20 years ago. Methods: We diagnosed two new cases of SABV infection using metagenomics in patients thought to have severe yellow fever and described new features of histopathological findings. Results: We characterized clinical manifestations, histopathology and analyzed possible nosocomial transmission. Patients presented with hepatitis, bleeding, neurological alterations and died. We traced twenty-nine hospital contacts and evaluated them clinically and by RT-PCR and neutralizing antibodies. Autopsies uncovered unique features on electron microscopy, such as hepatocyte “pinewood knot” lesions. Although previous reports with similar New-World arenavirus had nosocomial transmission, our data did not find any case in contact tracing. Conclusions: Although an apparent by rare, Brazilian mammarenavirus infection is an etiology for acute hemorrhagic fever syndrome. The two fatal cases had peculiar histopathological findings not previously described. The virological diagnosis was possible only by contemporary techniques such as metagenomic assays. We found no subsequent infections when we used serological and molecular tests to evaluate close contacts.

Original languageEnglish (US)
Article number102351
JournalTravel Medicine and Infectious Disease
StatePublished - Jul 1 2022
Externally publishedYes


  • Arenaviruses
  • Disease transmission
  • Viral hemorrhagic fever

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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