Publications by authors named "Hiroyuki Tsukagoshi"

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has repeatedly undergone mutations since its emergence, based on which it has been assumed that there was a change in its characteristic, including virulence or antigenicity. In this study, we investigated the viral load in the nasopharyngeal samples of patients with SARS-CoV-2 in Gunma prefecture, Japan, from April 2, 2020, to April 1, 2023. The amount of virus in samples in the Omicron-variant-prevalent period was higher than that of strains detected in samples before week 50 of 2020, the B.

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Transient abnormal myelopoiesis (TAM) occurs in 10% of neonates with Down syndrome (DS). Although most patients show spontaneous resolution of TAM, early death occurs in ∼20% of cases. Therefore, new biomarkers are needed to predict early death and determine therapeutic interventions.

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Human rhinovirus (HRV) infections are generally referred to as the common cold, and are the main cause of mild symptoms. HRV is less frequently implicated in the development of severe respiratory infections. This study reports a nosocomial outbreak of bronchitis and pneumonia caused by HRV in a hospital during the COVID-19 epidemic in September 2022 in Gunma Prefecture, Japan.

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Article Synopsis
  • - Routine surveillance of respiratory viruses is important, especially for detecting novel diseases like COVID-19, as respiratory infections are often caused by viruses.
  • - A study tested 613 specimens that were negative for SARS-CoV-2 and found that 9.6% contained other viruses, with human rhinovirus (HRV) and human metapneumovirus (HMPV) being the most detected.
  • - The findings suggest that various respiratory viruses can still be present during a pandemic, highlighting the need for systematic monitoring even in non-pandemic periods to improve clinical and public health responses.
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  • The study analyzed the evolution and genetic diversity of the RSV-A fusion (F) gene using 1465 global strains, revealing insights into its lineage and reinfection patterns.
  • It found that RSV-A and RSV-B diverged around 250 years ago and identified eight genotypes formed over the last 80 years.
  • The analysis showed that while the F gene is relatively conserved, mismatches between conformational epitopes and neutralizing antibody binding sites may lead to reinfection by RSV-A.
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  • Japan's three COVID-19 waves featured different PANGO lineages, specifically B.1.1.162, B.1.1.284, and B.1.1.214.
  • Along with these, the B.1.1.7 lineage is present at 25%, while the R.1 lineage with the E484K mutation has a 40% prevalence.
  • The E484K mutation may help the virus escape immune responses, highlighting the need for ongoing genome surveillance to track and manage emerging variants.
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In the worldwide coronavirus disease 2019 (COVID-19) outbreak, skin manifestations were seen in COVID-19 patients. We report a case in which a COVID-19 patient developed cutaneous lesions that were diagnosed as erythema nodosum-like lesions, which were associated with COVID-19. Nasopharyngeal swab polymerase chain reaction (PCR) confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

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To predict the clinical outcome of coronavirus disease-2019 (COVID-19), we examined relationships among epidemiological data, viral load, and disease severity. We examined viral loads of severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) in fatal (15 cases), symptomatic/survived (133 cases), and asymptomatic cases (138 cases) using reverse transcription quantitative real-time PCR (RT-qPCR). We examined 5768 nasopharyngeal swabs (NPS) and attempted to detect the SARS-CoV-2 genome using RT-qPCR.

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Article Synopsis
  • The first COVID-19 case in Japan was reported on January 15, 2020, and multiple clusters emerged by the end of February, prompting the government to conduct active surveillance.
  • Despite efforts to contain the virus, cases continued to rise until early April, with many instances lacking clear infection routes.
  • Genome sequencing of SARS-CoV-2 from early cases revealed at least two distinct introductions of the virus into Japan—first from China and later from Europe—contributing to the spread within the country.
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Although a variety of existing drugs are being tested for patients with coronavirus disease 2019 (COVID-19), no efficacious treatment has been found so far, particularly for severe cases. We report successful recovery in an elderly patient with severe pneumonia requiring mechanical ventilation and extracorporeal membrane oxygenation (ECMO). Despite administration of multiple antiviral drugs, including lopinavir/ritonavir, chloroquine, and favipiravir, the patient's condition did not improve.

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Group B streptococcus (GBS) is a leading cause of neonatal infections. Most isolates are β-hemolytic, and their activity is considered to be pivotal for GBS pathogenicity. We report a case of a neonate with meningitis caused by nonhemolytic GBS.

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Norovirus GII.3 has been suggested to be a prevalent genotype in patients with acute gastroenteritis. However, the genetic properties of the region encoding the major GII.

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  • A study was conducted to investigate the prevalence of E. coli in premature infants at three Japanese perinatal centers, focusing on antibiotic resistance and risk factors for colonization.
  • Out of 421 enrolled premature infants, 2.4% were colonized by antibiotic-resistant E. coli, and the study found significant links between maternal colonization of ESBL-E and vaginal delivery as risk factors for neonatal colonization.
  • The findings highlight a low prevalence of colonization but a concerning rate of antibiotic resistance and the need for close monitoring of infants born to ESBL-E positive mothers to prevent early-onset sepsis.
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Flagella are the well-known structural appendages used by bacteria for motility. Although generally reported to be non-motile, the enteropathogenic bacterial species Escherichia albertii produces flagella intermittently. We found that E.

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Article Synopsis
  • Human norovirus GII.P17-GII.17 emerged in 2014, causing global gastroenteritis outbreaks, with significant evolutionary changes noted over the years.
  • Analysis of samples from 2013-2017 revealed that the GII.17 region diverged in 1949 and GII.P17 in 2010, with varied evolutionary rates indicating significant genomic changes.
  • Variants of the virus show potential changes in antigenicity, host interaction, and replication capabilities due to specific amino acid substitutions in key proteins, which could affect how the virus functions and spreads.
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Background: Rhinovirus is a common respiratory pathogen for children throughout the year; nevertheless, its central nervous system involvement is extremely rare, and only two cases have been reported to date: meningitis and sepsis-like illness.

Patient: A previously healthy 2-year-old Japanese boy developed fever, followed by seizures and lethargy. His cerebrospinal fluid cell count and protein level were slightly increased; brain magnetic resonance imaging showed abnormal intensities in the bilateral cerebellar dentate nuclei, which were prominent in diffusion-weighted images.

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Koplik spots are considered a disease-specific sign for measles, although comprehensive virological studies have not been conducted to date. In Japan, a national survey of 3023 measles and measles-suspected cases was conducted between 2009 and 2014 using polymerase chain reaction (PCR) or reverse transcription PCR (RT-PCR) to detect various rash/fever-associated viruses. Koplik spots were observed in 717 of 3023 cases (23.

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Background: Mumps is a common childhood viral disease characterized by fever and swelling of the parotid gland. The prognosis is generally good, although some complications, such as encephalitis (0.1%), exist.

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In this study, we examined the molecular evolution of the fusion protein (F) gene in human respiratory syncytial virus subgroup B (HRSV-B). First, we performed time-scale evolution analyses using the Bayesian Markov chain Monte Carlo (MCMC) method. Next, we performed genetic distance, linear B-cell epitope prediction, N-glycosylation, positive/negative selection site, and Bayesian skyline plot analyses.

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Purpose: To genetically explore the fusion protein gene (F) in human parainfluenza virus type 1 (HPIV1) and type 3 (HPIV3) strains, we analysed them in patients with acute respiratory infections in Eastern Japan from 2011 to 2015.

Methodology: We constructed phylogenetic trees based on the HPIV and HPIV3 F gene using the maximum likelihood method and conducted P-distance and selective pressure analyses. We also predicted the linear epitopes of the protein in the prototype strains.

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We performed molecular evolutionary analyses of the G gene C-terminal 3rd hypervariable region of RSV-A genotypes NA1 and ON1 strains from the paediatric acute respiratory infection patients in central Vietnam during the 2010-2012 study period. Time-scaled phylogenetic analyses were performed using Bayesian Markov Chain Monte Carlo (MCMC) method, and pairwise distances (p-distances) were calculated. Bayesian Skyline Plot (BSP) was constructed to analyze the time-trend relative genetic diversity of central Vietnam RSV-A strains.

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