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Updated: May 10, 2026

Influenza A Virus Studies in a Mouse Model of Infection
Published on: September 7, 2017
Influenza virus A(H3N2) strain isolated from cerebrospinal fluid from a patient presenting myelopathy post infectious
T M Paiva1, G Theotonio, R S Paulino
1Núcleo de Doenças Respiratórias, Instituto Adolfo Lutz, São Paulo, SP, Brazil. tterezinha@uol.com.br
Background:
Neurological involvement during influenza infection has been described during epidemics and is often consistent with serious sequelae or death.
Objective:
To investigate the etiologic agent involved in myelopathy post influenza-like syndrome.
Study Design:
This investigation focuses on virus isolation from the cerebrospinal fluid (CSF) collected from a 19-year-old male student presenting with clinical diagnosis of myelopathy post influenza-like syndrome. To achieve this goal, different cell cultures and molecular methodologies were carried out.
Results:
Influenza virus A(H3N2) strain was isolated in MDCK cell culture; virus particles were observed under electron microscopy. Phylogenetics analyses showed that the Brazilian influenza A(H3N2) strains were closely related to the A/Perth/16/2009-like.
Conclusion:
This study demonstrates that influenza virus A(H3N2) strain was the cause of illness of the students. According to the Brazilian influenza virus sentinel surveillance data A/Perth/16/2009-LIKE (H3N2) strain has predominated during the 2010 influenza virus season in Brasília-DF.
Insights
Influenza A(H3N2) virus caused myelopathy in a student after an influenza-like illness. This finding highlights the potential for neurological complications from influenza infections.
Area of Science:
- Neurology
- Virology
- Epidemiology
Background:
- Neurological complications, including severe outcomes and death, are known risks associated with influenza infections during epidemics.
- Investigating the specific viral cause of myelopathy following influenza-like illness is crucial for understanding disease pathogenesis.
Observation:
- A 19-year-old male student presented with myelopathy after experiencing influenza-like symptoms.
- Cerebrospinal fluid (CSF) was collected for etiological investigation.
Findings:
- Influenza A(H3N2) virus was successfully isolated from the CSF using cell culture techniques.
- Electron microscopy confirmed the presence of virus particles, and phylogenetic analysis linked the strain to A/Perth/16/2009-like viruses.
Implications:
- This study confirms Influenza A(H3N2) as the causative agent of myelopathy in this case.
- The findings underscore the importance of considering influenza virus in cases of neurological illness post-influenza-like syndrome.
- The predominance of A/Perth/16/2009-like (H3N2) strains in Brazil during the 2010 season is noted.
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