Whole-genome sequencing of EV-A71 isolates in West Africa reveals the circulation of genogroups C and E and genetic exchanges that may contribute to the emergence of pathogenic lineages.
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Warrants heightened EV surveillance in West Africa; leaves open the clinical impact of genogroup E and recombination.
We analyzed whole-genome sequences of 8 enterovirus A71 isolates (EV-A71). We confirm the circulation of genogroup C and the new genogroup E in West Africa. Our analysis demonstrates wide geographic circulation and describes genetic exchanges between EV-A71 and autochthonous EV-A that might contribute to the emergence of pathogenic lineages.
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Fernández-García et al. (2018) studied this question.
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