Recovery of drug-resistant influenza virus from immunocompromised patients: a case series

J Infect Dis. 2006 Mar 15;193(6):760-4. doi: 10.1086/500465. Epub 2006 Feb 13.

Abstract

Influenza virus with resistance to antiviral drugs emerges with increased frequency in immunocompromised patients and can limit the benefit of M2 and neuraminidase (NA) inhibitors. We document 3 cases of influenza in severely immunocompromised patients from whom virus variants with molecular markers of resistance to anti-influenza drugs were recovered. Virus variants recovered from 2 patients had mutations in the M2, NA (with a previously recognized Glu119Val NA substitution), and hemagglutinin genes. We describe a novel Asp198Asn NA mutation in an influenza B virus and its decreased susceptibility to both oseltamivir and zanamivir.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Antiviral Agents / pharmacology
  • Cell Line
  • Drug Resistance, Viral / genetics*
  • Enzyme Inhibitors / pharmacology*
  • Humans
  • Immunocompromised Host
  • Influenza A virus / drug effects*
  • Influenza A virus / enzymology
  • Influenza A virus / genetics
  • Influenza B virus / drug effects*
  • Influenza B virus / genetics
  • Mutation
  • Neuraminidase / antagonists & inhibitors
  • Neuraminidase / genetics*

Substances

  • Antiviral Agents
  • Enzyme Inhibitors
  • Neuraminidase