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Biomedical subjects

M Yin-Murphy

Publications and source records attributed to M Yin-Murphy.

At least 37 records · Page 2Linked to original sources

An epidemic of acute conjunctivitis caused by enterovirus-70 in Singapore in 1980.

The clinical, epidemiological and virological findings of the 1980 epidemic of acute conjunctivitis were described. Enterovirus 70 was isolated from 7 (35%) of 20 eye swabs submitted for virus isolation, and the paired sera of eight patients showed a four-fold or greater rise in neutralising antibody titre to Enterovirus 70. The disease mainly affected children and young adults of all ethnic groups. Most of the cases contracted the infection at home. The mean secondary attack rate was 72.6% and the mean incubation period, four days. The clinical features were similar to the 1970 and 1975 epidemics caused by Coxsackievirus A24. Subconjunctival haemorrhage was observed in 10% of the cases. Most of the cases recovered spontaneously within a week. Transmission of infection within the home was either indirect, probably through fomites contaminated with eye or respiratory discharges of cases, or direct, through intimate person-to-person contact. During outbreaks, health education on simple personal hygiene should be highlighted.

Acute Disease↗

Human fibroblast interferon in tears of patients with picornavirus epidemic conjunctivitis.

We report the levels of coxsackievirus type A24 (CA24) and the levels and type of interferon produced early during naturally acquired picornavirus epidemic conjunctivitis. Virus levels ranging from 10(1.8) to 10(5.8) 50% tissue culture infective doses per ml were detected in 29 of 37 acute (collected 1 to 4 days after onset of conjunctivitis) tear samples. Interferon (10(1.5) to 10(3.3) U/ml) was detected in 12 of 29 tear samples collected on day 1, in 2 of 6 tear samples collected on day 2, and in 1 tear sample collected on day 3 after onset of conjunctivitis. The interferon activity in pooled tear samples was completely neutralized by antiserum against human fibroblast interferon, stable at pH 2.0, and active against different viruses. In addition, the interferon activity in tears, like human fibroblast and leukocyte interferons produced in vitro, protected human and rabbit, but not mouse, cells. This is the first report of production and identification of the antigenic type of interferon induced by an enterovirus during natural infection. The early appearance of fibroblast interferon suggests that it may be an important host defense at the local site of implantation against this and possibly other enterovirus infections.

Animals↗

An outbreak of acute conjunctivitis caused by coxsackievirus A24 in Kuala-Lumpur, Malaysia, 1978.

An investigation of an outbreak of acute conjunctivitis in Kuala Lumpur from May to August 1978 was made. A total of 2,133 cases was involved, most of whom were adult Malay males of low income status from the surrounding villages and low-cost flats. The majority of cases had bilateral conjunctivitis with clear discharge. Pain and subconjunctival haemorrhage were not common and recovery, mostly without complications, occurred within 1 week. Eye scrapings and paired sera specimens were examined and the causal agent was found to be Coxsackievirus A24 (CA24).

Acute Disease↗

Preliminary report on an unidentified virus from infantile myocarditis.

A preliminary report on an unidentified virus from two cases of infantile myocarditis is presented. The virus isolated from two separate occasions showed characteristics of an enterovirus. The significance of this virus in its association with infantile myocarditis requires further investigation.

Enterovirus↗

A coxsackievirus type A24 epidemic of acute conjunctivitis.

The 1975 epidemic of acute conjunctivitis was caused by the return of S.E.C. 1970 virus (CA24). The clinical manifestations of cases seen in the recent epidemic were similar to those seen during the 1970 epidemic caused by S.E.C. 1970 virus (CA24) and the 1971 epidemic caused by S.E.C. 1971 virus (entero-virus type 70). In our opinion, both the S.E.C. 1970 VIRUS (CA24) and S.E.C. 1971 virus (enterovirus type 70) are equally important causes of epidemics of acute conjunctivitis more commonly known as the "Acute Haemorrhagic Conjunctivitis". Although these two enteroviruses affect mainly the eye, apart from conjunctival secretions, they could be transmitted in respiratory droplets and faeces. The authors would prefer to retain the term "Picornavirus Epidemic Conjunctivitis" to denote infection by S.E.C. 1970 virus (CA24) and S.E.C. 1971 virus (enterovirus type 70).

Acute Disease↗

A coxsackievirus type A24 epidemic conjunctivitis in Brunei.

The paper reports on a coxsackievirus type A24 epidemic of acute conjunctivitis in Brunei. The role of the Singapore Epidemic Conjunctivitis 1970 (coxsackievirus type A24) virus in the new disease syndrome variously known as the "Epidemic Haemorrhagic Conjunctivitis", "Picornavirus Epidemic Conjunctivitis" and "Acute Haemorrhagic Conjunctivitis" is again established.

Brunei↗

Simple tests for the diagnosis of picornavirus epidemic conjunctivitis (acute haemorrhagic conjunctivitis).

Simple tests for the study of picornavirus epidemic conjunctivitis are described. The virus was successfully isolated in wells of microtitration plates containing HeLa cell suspension and the isolates were easily identifiable by neutralization in the micrometabolic inhibition test. For the estimation of antibody titre in patients' sera, the latter procedure was found to be as reliable as neutralization in tissue culture tubes. These micromethods would enable virus laboratories not equipped for tissue culture work to study this new ocular disease, which has been endemic in a number of countries since the pandemic outbreak of 1969-72 in Africa, Asia, and Europe (London).

Conjunctivitis↗

Enterovirus type 70: the etiologic agent of pandemic acute haemorrhagic conjunctivitis.

A new enterovirus, now classified as enterovirus type 70, was isolated from the conjunctiva of patients with acute haemorrhagic conjunctivitis during the 1971 epidemics that occurred in Japan, Singapore, and Morocco. These epidemics were parts of a pandemic involving Africa (Algeria, Ghana, Morocco, Nigeria, and Tunisia), Asia (Cambodia, China (Province of Taiwan), Hong Kong, India, Indonesia, Japan, Malaysia, the Philippines, Singapore, and Thailand), and England during 1969-71. A representative strain from each of the three epidemic areas was studied cooperatively. The strains exhibited the physicochemical characteristics of enteroviruses. Cross-neutralization tests showed that these viruses were distinct from all known human enterovirus immunotypes, but that they were antigenically closely related. The human origin of the viruses was demonstrated by the appearance of homologous neutralizing antibodies during convalescence in patients with acute haemorrhagic conjunctivitis.

Acute Disease↗