@article{PAR00006125, title = {{P}ig liver sausage as a source of hepatitis {E} virus transmission to humans}, author = {{C}olson, {P}. and {B}orentain, {P}. and {Q}ueyriaux, {B}. and {K}aba, {M}. and {M}oal, {V}. and {G}allian, {P}. and {H}eyries, {L}. and {R}aoult, {D}idier and {G}erolami, {R}.}, editor = {}, language = {{ENG}}, abstract = {{B}ackground. {T}he source and route of autochthonous hepatitis {E} virus ({HEV}) infections are not clearly established in industrialized countries despite evidence that it is a zoonosis in pigs. {W}e investigated the role of figatellu, a traditional pig liver sausage widely eaten in {F}rance and commonly consumed raw, as a source of {HEV} infection. {M}ethods. {A} case-control study was conducted of 3 patients who presented autochthonous hepatitis {E} and 15 members of their 3 different families. {A}nti-{HEV} immunoglobulin {G} and immunoglobulin {M} antibody testing was performed with commercial assays. {HEV} {RNA} was detected in serum samples of patients and in pig liver sausages by means of real-time polymerase chain reaction and sequenced by means of in-house sequencing assays. {G}enetic links between {HEV} sequences were analyzed. {R}esults. {A}cute or recent {HEV} infection, defined by detection of anti-{HEV} immunoglobulin {M} antibodies and/or {HEV} {RNA}, was observed in 7 of 13 individuals who ate raw figatellu and 0 of 5 individuals who did not eat raw figatellu ({P} = .041). {M}oreover, {HEV} {RNA} of genotype 3 was recovered from 7 of 12 figatelli purchased in supermarkets, and statistically significant genetic links were found between these sequences and those recovered from patients who ate raw figatellu. {C}onclusion. {O}ur findings strongly support the hypothesis of {HEV} infection through ingestion of raw figatellu.}, keywords = {}, booktitle = {}, journal = {{J}ournal of {I}nfectious {D}iseases}, volume = {202}, numero = {6}, pages = {825--834}, ISSN = {0022-1899}, year = {2010}, DOI = {10.1086/655898}, URL = {https://www.documentation.ird.fr/hor/{PAR}00006125}, }