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Published on: April 4, 2019
A Re-emerging Respiratory Virus: Human Metapneumovirus (hMPV)
Baijayantimala Mishra1, Diksha Mohapatra1, Manisha Tripathy1
1Microbiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Abstract:
Human metapneumovirus (hMPV) is identified as a pathogenic agent responsible for respiratory tract infections in paediatric, adult and elderly populations. It is a spherical, enveloped virus with a diameter of 209nm, consisting of a single-stranded, non-segmented, and negative-sense RNA genome of around 13.3 kb in length. hMPV infection is prevalent all around the globe, with peak positivity rates detected mostly during later winter and spring seasons. Mostly transmitted through droplet or aerosol contamination, this viral infection may manifest clinical characteristics indicative of both upper and lower respiratory tract infections like fever, cough, rhinorrhea, pneumonia, bronchiolitis, and croup. The recommended laboratory diagnostic approach is reverse transcription polymerase chain reaction, given the challenges associated with culturing the virus. This review article focuses on the structure, replication, genotype, epidemiology, seasonality, transmission methods, clinical manifestations in humans, treatment methodology, and outbreaks of hMPV that have been reported worldwide.
Insights
Human metapneumovirus (hMPV) causes respiratory infections globally in all age groups. This review details hMPV
Area of Science:
- Virology
- Infectious Diseases
- Public Health
Background:
- Human metapneumovirus (hMPV) is a significant respiratory pathogen affecting diverse populations worldwide.
- hMPV is an enveloped virus with a single-stranded, negative-sense RNA genome, contributing to its infectivity.
- Global prevalence peaks during late winter and spring, with transmission via droplet and aerosol routes.
Purpose of the Study:
- To provide a comprehensive overview of human metapneumovirus (hMPV).
- To consolidate current knowledge on hMPV's structure, genetics, epidemiology, and clinical impact.
- To review diagnostic, treatment, and outbreak data for hMPV.
Main Methods:
- This study is a review article synthesizing existing research on hMPV.
- Information was gathered from worldwide reports on hMPV structure, replication, and genotypes.
- Epidemiological data, transmission dynamics, clinical presentations, and treatment strategies were analyzed.
Main Results:
- hMPV presents with symptoms ranging from upper to lower respiratory tract infections, including fever, cough, pneumonia, and croup.
- Reverse transcription polymerase chain reaction (RT-PCR) is the preferred diagnostic method due to difficulties in viral culture.
- The virus exhibits distinct genotypes and seasonal patterns, influencing its epidemiological spread.
Conclusions:
- hMPV is a globally significant respiratory virus with varied clinical manifestations.
- Effective diagnosis relies on molecular methods like RT-PCR.
- Understanding hMPV's characteristics is crucial for managing respiratory infections and potential outbreaks.
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