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Emergence of G186D Mutation in the Presence of R292K Mutation in an Immunocompromised Child Infected with Influenza A/H3N2 Virus, Treated with Oseltamivir
Author(s) -
Hong Kai Lee,
Julian W. Tang,
Tze Ping Loh,
Debra Han-Lin Kong,
Yew-Weng Lau,
HuiKim Yap,
Evelyn Siew-Chuan Koay
Publication year - 2014
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.00538-14
Subject(s) - oseltamivir , virology , mutation , virus , biology , influenza a virus , orthomyxoviridae , medicine , genetics , covid-19 , gene , disease , pathology , infectious disease (medical specialty)
An immunocompromised child with influenza A/H3N2 virus infection, treated with oseltamivir from day 1, had nasal swabs taken on days 1, 4, 7, and 10 of the illness. Pyrosequencing showed increasing proportions of viruses with R292K (neuraminidase gene) and G186D (hemagglutinin gene) mutations, resulting in a viral load rebound by day 10.

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