Table 3. Differences in TMAdV-associated disease between marmosets, titi monkeys, and humans.
Marmoset (n = 3)* | Titi Monkey (n = 37)** | Human (n = 2)*** | |
mode of infection | experimental, with passaged TMAdV harboring a 3202C→G mutation | natural, with wild-type TMAdV | natural, with wild type TMAdV (probable zoonotic transmission) |
clinical signs or symptoms | low grade-fever, reduced activity,decreased stool, anorexia, sneezing (n = 1) | fever, cough, lethargy, respiratorydistress (23 cases) | fever, cough, pleurisy |
disease | brief respiratory illness with spontaneous recovery | severe pneumonia and hepatitis | prolonged (4 weeks) upper respiratory illness |
subclinical/mild infection possible? | yes (100%, or 3 of 3) | yes (14 cases) | unknown |
case fatality rate | 0% (0 of 3) | 83% (19 of 23 cases with pneumonia/hepatitis) | 0% (0 of 2) |
viremia present | no (0 of 3) | yes, rarely (2 of 6 fatal cases; 0 of 4survivors among cases examined) | unknown |
necropsy findings | mild bronchitis and atypical nodular hyperplasia of the liver (1 of 3),mild enteritis and/or colitis (3 of 3) | diffuse, consolidated pneumonia with hemorrhage; hepatic necrosis and hemorrhage; destruction of normal lung, tracheal, and liver architecture (in fatal cases) | n/a |
intranuclear inclusionbodies observed? | no (0 of 3) | yes (in fatal cases) | n/a |
Immunofluorescent staining of lungand liver positive for TMAdV? | no (0 of 3) | yes (in fatal cases) | n/a |
electron microscopy of lung positivefor adenoviral particles? | not done | yes (lung alveoli) | n/a |
magnitude of antibody responseto TMAdV infection | 1∶16–1∶32 | up to >1∶512 | 1∶16 (researcher) and 1∶8 (household member) |
3 marmosets experimentally infected with TMAdV in the current study.
23 cases of largely fatal pneumonia/hepatitis and 14 cases of subclinical TMAdV infection in titi monkeys at the California National Primate Research Center (CNPRC) [6].
TMAdV-infected human researcher and household member at the CNPRC [6].