Table 15.1.
Chronological List of Emerged Infectious Agents/Diseases 1967–1992
| Year | Agent | Agent characteristics | Disease | CDC molecular test name (test code)a | FDA-approved/cleared molecular test (manufacturer)b | Reference |
|---|---|---|---|---|---|---|
| 1967 | Marburg virus |
|
Hemorrhagic fever | Marburg Identification (CDC-10349) | NA | 1–5 |
| 1969 | Lassa virus | Enveloped, single-stranded, bisegmented, ambisense RNA arenavirus | Hemorrhagic fever | Lassa Fever Identification (CDC-10343) | NA | 1,6–8 |
| 1972 | Norovirus | Nonenveloped, single-stranded RNA, viruses in the Caliciviridae family | Gastroenteritis | Norovirus Molecular Detection (CDC-10357), Norovirus Genotyping (CDC-10356), Norovirus Molecular Detection and Genotyping (CDC-10358) | NA | 9 |
| 1973 | Rotavirus | Double-stranded RNA virus. Five groups (A, B, C, D, and E); group A is the main human pathogen | Gastroenteritis | Rotavirus Molecular Detection and Genotyping (CDC-10410), Rotavirus Genotyping (CDC-10409) | NA | 10–12 |
| 1975 | Parvovirus B19 | Nonenveloped, single-stranded DNA virus | Fifth disease or erythema infectiosum | Parvovirus B19 Molecular Detection (CDC-10363) | NA | 13–15 |
| 1976 | Vibrio vulnificus | Gram-negative, motile, curved, rod-shaped bacterium of the genus Vibrio | Vomiting, diarrhea, abdominal pain, and a blistering, cellulitis or septicemia |
|
NA | 16,17 |
| 1976 | Cryptosporidium parvum | A protozoan | Cryptosporidiosis with symptoms including acute, watery, and nonbloody diarrhea | Cryptosporidium Special Study (CDC-10491) | NA | 18–20 |
| 1977 | Ebola virus | Enveloped, linear, single-stranded, negative-sense RNA filovirus | Hemorrhagic fever | Ebola Identification (CDC-10309) | FilmArray Biothreat-E test. Emergency Use Authorization (EUA) (Idaho Technology, Inc.) | 2,5 |
| 1977 | Clostridium difficile | A gram-positive bacterium | Colitis, diarrhea |
|
|
21–23 |
| 1977 | Legionella pneumophila | A thin, aerobic, pleomorphic, flagellated, non-spore forming, gram-negative bacterium of the genus Legionella | Legionnaires’ disease |
|
NA | 24,25 |
| 1977 | Hantaan virus | Single-stranded, enveloped, negative sense RNA viruses in the Bunyaviridae family | Hantavirus hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS) | Pathologic Evaluation of Unexplained Illness Due to Possible Infectious Etiology (CDC-10372) | NA | 26,27 |
| 1977 | Hepatitis delta virus | A small circular enveloped RNA virus | Superimposed on conditions of hepatitis with HBV | Hepatitis D Serology, NAT, and Genotyping (CDC-10328) | NA | 28,29 |
| 1977 | Campylobacter sp. (or jejuni) | Curved, helical-shaped, non-spore forming, gram-negative, and microaerophilic bacteria | Campylobacteriosis, Guillain-Barré syndrome (GBS) |
|
NA | 30,31 |
| 1979 | Cyclospora cayetanensis | An apicomplexan, cyst-forming coccidian protozoan | Cyclosporiasis, gastroenteritis | Cyclospora Molecular Detection (CDC-10477) | NA | 32,33 |
| 1980 | HTLV-1 | A retrovirus of the human T-lymphotropic virus (HTLV) family | Adult T-cell lymphoma (ATL), HTLV-I-associated myelopathy, uveitis, Strongyloides stercoralis hyper-infection | Pathologic Evaluation of Unexplained Illness Due to Possible Infectious Etiology (CDC-10372) | NA | 34–37 |
| 1981 | Staphylococcus aureus toxin | Exotoxins secreted by S. aureus that are compact, ellipsoidal proteins sharing a characteristic folding pattern with superantigen | Toxic shock syndrome | Staphylococcal Toxic Shock Syndrome Toxin (TSST-1) (CDC-10426) | NA | 38–40 |
| 1982 | Borrelia burgdorferi | A bacterial species of the spirochete class of the genus Borrelia | Lyme disease |
|
NA | 41,42 |
| 1982 | Escherichia coli O157:H7 | An enterohemorrhagic serotype of the bacterium E. coli | Hemolytic-uremic syndrome (HUS) | Escherichia and Shigella Identification, Serotyping, and Virulence Profiling (CDC-10114), Bacterial Select Agent Identification and AST (CDC-10224) | NA | 43,44 |
| 1983 | HIV-1 | A lentivirus (a subgroup of retrovirus) | Acquired immune deficiency syndrome (AIDS) |
|
|
45,46 |
| 1983 | Helicobacter pylori | A gram-negative, microaerophilic bacterium | Peptic ulcer, MALT lymphoma, gastric cancer | Helicobacter pylori Special Study (CDC-10117) | NA | 47,48 |
| 1984 | Haemophilus influenzae biogroup aegyptius | Phylogenetically the same as H. influenzae, a gram-negative, coccobacillary, facultatively anaerobic bacterium belonging to the Pasteurellaceae family | Acute and often purulent conjunctivitis (pink eye) |
|
NA | 49,50 |
| 1985 | Enterocytozoon bieneusi | A unicellular, obligate intracellular eukaryote, a species of the order microsporida | Diarrhea |
|
NA | 20,51 |
| 1986 | Chlamydophila pneumoniae | An obligate intracellular bacterium in the species of Chlamydophila | Pneumonia | Chlamydophila pneumoniae Molecular Detection (CDC-10152) | FilmArray Respiratory Panel (RP) (Idaho Technology, Inc.) | 52,53 |
| 1988 | Human herpesvirus 6 | Double-stranded DNA virus within the betaherpesvirinae subfamily and of the genus Roseolovirus | Neuroinflammatory diseases such as multiple sclerosis, exanthem subitum (also known as roseola infantum or sixth disease), and encephalitis, bone marrow suppression and pneumonitis in transplant recipients | Human Herpes Virus 6 (HHV6) Detection and Subtyping (CDC-10266) | NA | 54,55 |
| 1989 | Rickettsia japonica | A genus of nonmotile, gram-negative, non-spore forming, highly pleomorphic bacteria | Japanese spotted fever |
|
NA | 56,57 |
| 1989 | Hepatitis C virus | A small, enveloped, positive-sense single-stranded RNA virus of the family Flaviviridae | Hepatitis C | Hepatitis C Serology, NAT and Genotyping (CDC-10327) | Abbott RealTime HCV Genotype II (Abbott Molecular, Inc.), Abbott Realtime HCV Assay (Abbott Molecular, Inc.), COBAS AmpliPrep/COBAS TaqMan HCV test (Roche Molecular Systems), Versant HCV 3.0 Assay (bDNA) (Siemens Healthcare Diagnostics), Versant HCV RNA Qualitative Assay (Gen-Probe, Inc.), COBAS AMPLICOR Hepatitis C Virus (HCV) Test (Roche Molecular Systems, Inc.), AMPLICOR HCV Test, v2.0 (Roche Molecular Systems, Inc.) | 58,59 |
| 1990 | Hepatitis E virus | A single-stranded positive-sense RNA, nonenveloped | Hepatitis | Hepatitis E Serology, NAT and Genotyping (CDC-10329) | NA | 60,61 |
| 1990 | Balamuthia mandrillaris | A free-living leptomyxid amoeba | Amoebiasis including granulomatous amoebic encephalitis (GAE) |
|
NA | 62,63 |
| 1990 | Human herpesvirus 7 | A member of Betaherpesviridae, a subfamily of the Herpesviridae | Exanthema subitum, acute febrile diseases | Human Herpes Virus 7 (HHV7) Detection (CDC-10267) | NA | 64,65 |
| 1991 | Guanarito virus | Enveloped, single-stranded, bisegmented RNA viruses with ambisense genomes | Venezuelan hemorrhagic fever | Pathologic Evaluation of Unexplained Illness Due to Possible Infectious Etiology (CDC-10372) | NA | 66,67 |
| 1991 | Encephalitozoon hellem | A unicellular, intracellular microsporidian species | Keratoconjunctivitis, infection of respiratory and genitourinary tract, and disseminated infection | Microsporidia Molecular Identification (CDC-10481) | NA | 68,69 |
| 1991 | Ehrlichia chaffeensis | An obligately intracellular gram-negative rickettsial bacterium | Human monocytotropic ehrlichiosis |
|
NA | 70–72 |
NA, not available.
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CDC molecular test name (test code) are available from the Center for Disease Control and Prevention Test Directory, http://www.cdc.gov/laboratory/specimen-submission/list.html#M (last accessed 12/19/2014).
FDA-approved/cleared molecular test (manufacturer) are available from the US Food and Drug Administration at http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/InVitroDiagnostics/ucm330711.htm (last accessed 12/19/2014).