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Published on: February 23, 2014
Human metapneumovirus in adults
Lenneke E M Haas1, Steven F T Thijsen, Leontine van Elden
1Department of Intensive Care Medicine, Diakonessenhuis, Utrecht, 3582 KE, The Netherlands. lvlelyveld@diakhuis.nl
Abstract:
Human metapneumovirus (HMPV) is a relative newly described virus. It was first isolated in 2001 and currently appears to be one of the most significant and common human viral infections. Retrospective serologic studies demonstrated the presence of HMPV antibodies in humans more than 50 years earlier. Although the virus was primarily known as causative agent of respiratory tract infections in children, HMPV is an important cause of respiratory infections in adults as well. Almost all children are infected by HMPV below the age of five; the repeated infections throughout life indicate transient immunity. HMPV infections usually are mild and self-limiting, but in the frail elderly and the immunocompromised patients, the clinical course can be complicated. Since culturing the virus is relatively difficult, diagnosis is mostly based on a nucleic acid amplification test, such as reverse transcriptase polymerase chain reaction. To date, no vaccine is available and treatment is supportive. However, ongoing research shows encouraging results. The aim of this paper is to review the current literature concerning HMPV infections in adults, and discuss recent development in treatment and vaccination.
Insights
Human metapneumovirus (HMPV) causes common respiratory infections in all ages. While typically mild, HMPV can be severe in vulnerable adults, with ongoing research for vaccines and treatments.
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- Human metapneumovirus (HMPV) is a significant viral pathogen, identified in 2001, causing widespread respiratory infections.
- While known for pediatric infections, HMPV is increasingly recognized as a major cause of respiratory illness in adults.
- Widespread childhood infections suggest transient immunity, leading to recurrent adult infections.
Purpose of the Study:
- To review current literature on HMPV infections in adults.
- To discuss recent advancements in HMPV treatment strategies.
- To explore the latest developments in HMPV vaccine research.
Main Methods:
- Literature review of scientific articles and research papers.
- Analysis of diagnostic methods, including nucleic acid amplification tests (NAATs).
- Examination of clinical presentations and outcomes in adult HMPV cases.
Main Results:
- HMPV infections are common in adults, often presenting as mild to moderate respiratory illness.
- Severe HMPV cases occur in immunocompromised individuals and the elderly.
- Diagnosis relies heavily on NAATs like RT-PCR due to culture difficulties.
Conclusions:
- HMPV is a critical respiratory pathogen in adults, necessitating further research.
- Development of effective vaccines and targeted treatments is ongoing.
- Improved diagnostic and therapeutic approaches are crucial for managing HMPV.
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