Related Experiment Video
Updated: Jun 15, 2026

Using Zebrafish Models of Human Influenza A Virus Infections to Screen Antiviral Drugs and Characterize Host Immune Cell Responses
Published on: January 20, 2017
Contribution of human metapneumovirus to influenza-like infections in North Greece, 2005-2008
G Gioula1, D Chatzidimitriou, A Melidou
1National Influenza Centre for North Greece, B Laboratory of Microbiology, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece. ggioula@med.auth.gr
Abstract:
Following its detection in 2001, human metapneumovirus (hMPV) has repeatedly been reported as a respiratory pathogen, especially in children. This study was aimed at determining the proportion of hMPV infections in patients with influenza-like illness (ILI) during the three influenza seasons 2005-6, 2006-7, 2007-8 in northern Greece. We collected 380 nasopharyngeal swabs or aspirates from ILI patients during the winter seasons 2005-2008 and examined them for influenza viruses and hMPV by one-step real time RT-PCR and nested RT-PCR. Influenza viruses were detected in 151 of the 380 specimens (39.7%) and hMPV in 23 of them (6.05%). Co-infections with hMPV and influenza viruses were observed in seven cases. The majority of the ILI patients (60.5%) were 0-18 years-old. However, the incidence of influenza was slightly higher in the age group of 19-60-year-olds, while the incidence of hMPV infections was higher in the age group of 0-18-year-olds. We conclude that hMPV plays an important role as a contributor in influenza-like infections, especially in children. It circulates in the community during influenza seasons and its clinical appearance can be confused with influenza symptoms. However, further research is needed to elucidate the quantitative and qualitative importance of hMPV infections.
Insights
Human metapneumovirus (hMPV) is a significant cause of influenza-like illness (ILI), particularly in children. This study found hMPV in 6.05% of ILI cases during three winter seasons, highlighting its role alongside influenza.
Area of Science:
- Virology
- Epidemiology
- Public Health
Background:
- Human metapneumovirus (hMPV), identified in 2001, is recognized as a significant respiratory pathogen, especially affecting children.
- Influenza-like illness (ILI) presents a diagnostic challenge due to overlapping symptoms with various respiratory viruses.
Purpose of the Study:
- To determine the prevalence of hMPV infections among patients presenting with ILI in northern Greece.
- To analyze the co-occurrence of hMPV and influenza virus infections during three consecutive influenza seasons (2005-2008).
Main Methods:
- Collection of 380 nasopharyngeal swabs/aspirates from ILI patients during winter seasons (2005-2008).
- Detection of influenza viruses and hMPV using one-step real-time RT-PCR and nested RT-PCR techniques.
Main Results:
- Influenza viruses were identified in 39.7% (151/380) of specimens.
- hMPV was detected in 6.05% (23/380) of ILI cases.
- Co-infections with hMPV and influenza viruses occurred in 7 cases; hMPV incidence was higher in the 0-18 age group.
Conclusions:
- hMPV is an important contributor to ILI, particularly in pediatric populations.
- hMPV circulates during influenza seasons and its symptoms can mimic influenza, necessitating further research into its impact.
Related Concept Videos
Influenza
Atypical Pneumonia
Respiratory Syncytial Virus Disease
Viral Recombination

