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Virological Features and Clinical Manifestations Associated with Human Metapneumovirus: A New Paramyxovirus Responsible for Acute Respiratory-Tract Infections in All Age Groups

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Virological Features and Clinical Manifestations Associated with Human Metapneumovirus: A New Paramyxovirus Responsible for Acute Respiratory-Tract Infections in All Age Groups

Auteurs : Guy Boivin [Canada] ; Yacine Abed [Canada] ; Gilles Pelletier [Canada] ; Louisette Ruel [Canada] ; Danielle Moisan [Canada] ; Stéphanie Côté [Canada] ; Teresa C. T. Peret [Géorgie (pays)] ; Dean D. Erdman [Géorgie (pays)] ; Larry J. Anderson [Géorgie (pays)]

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RBID : ISTEX:E9C43F30305BFAD01067432EE2EDA42F5A882730

Abstract

The virological features and clinical findings associated with the new human metapneumovirus (HMPV) were examined retrospectively in Canadian patients hospitalized for various respiratory conditions since 1993. Thirty-eight previously unidentified respiratory viruses isolated from rhesus monkey kindey (LLC-MK2) cells were found to be positive for HMPV by reverse-transcription polymerase chain reaction, and those strains clustered in 2 phylogenetic groups. Children aged <5 years and elderly subjects aged >65 years represented 35.1% and 45.9% of the HMPV-infected cases, respectively. In hospitalized children, the most frequent diagnoses were pneumonitis (66.7%) and bronchiolitis (58.3%), whereas bronchitis and/or bronchospasm (60%) and pneumonitis (40%) were most commonly seen in elderly subjects. Of the 15 patients with pneumonitis, 4 (26.7%) had immunosuppressive conditions and 6 (40%) were infants aged <15 months. These findings suggest that HMPV can be associated with severe lower-respiratory-tract infections in very young children, the elderly, and immunocompromised patients

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DOI: 10.1086/344319


Affiliations:


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