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Confirmation of two outbreak-associated echovirus infections in Central America. Echovirus 30 and 40 are members of the species Echovirus 9, which is associated with sporadic cases of meningitis and encephalitis in humans, including one recent outbreak of such cases in the United States. In February-March 1997, an outbreak of echovirus 30 meningitis and an outbreak of echovirus 40 meningitis occurred in Escuintla, Guatemala. Sera from these two outbreaks were tested for echoviruses and for antibodies to other enteroviruses by neutralization (NT), hemagglutination-inhibition (HI), and complement-fixation (CF) assays. The results indicated that one Escuintla outbreak was caused by echovirus 30 and the other by echovirus 40. Analysis of antigenically similar virus isolates from Escuintla and St. Louis, MO, indicated that echovirus 40 is most closely related to the prototype sequence for Echovirus 30. Echoviruses 60, 65, and 70 were also isolated from Escuintla but were not associated with the Escuintla outbreaks. These data indicate that two different Echovirus 9 strains were associated with the Escuintla outbreaks and that at least one of these strains was related to the prototype for Echovirus 30.The effects of intra-arterial bradykinin on microvascular autoregulation and leukocyte-endothelial adhesion. The effects of intra-arterial (i.a.) bradykinin (BK) on microvascular autoregulation and leukocyte-endothelial adhesion were examined in the rat cremaster muscle. BK increased the microvascular filtration coefficient (Kf) from 0.097 +/- 0.026 to 0.105 +/- 0.022 (SE; n = 8; P less than 0.05) in control animals, and significantly decreased Kf in the BK group (0.070 +/- 0.022; n = 8; P less than 0.01). Baseline adhesion did not differ between control and BK-treated animals. Intermittent exposure to BK (5 min) significantly increased adhesion of leukocytes to the endothelium (n = 6; P less than 0.01). These data suggest that intra-arterial BK may



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