Volume 8, Number 9—September 2002
Human Metapneumovirus as a Cause of Community-Acquired Respiratory Illness1
|Case/sex||Age (yr)||Past medical history||Influenza vaccine||Clinical signs and symptoms (days symptoms persist/total days ill)|
|F||46||None||No||(7/7) febrile respiratory symptoms, sore throat, malaise, and lethargy. Chest clear|
|F||20||None||No||(2/7) sore throat, unproductive cough, sternal pain, wheeze. Signs: 37.4°C; chest clear|
|M||1||None||No||(4/7) coughing, vomiting. OE: 37.2°C, chest and abdomen normal|
|F||75||Mild hypertension||Yes||(4/7) febrile respiratory illness, cough. Signs: 37.4°C, bilateral basal crackles|
|F||57||COPDb||Yes||(5/7) coryza, sore throat, thick green sputum. Signs: poor air entry and bilateral crackles|
|M||65||Mild hypertension||No||(3/7) cough, upper respiratory symptoms. Chest clear|
|F||73||None||Yes||(6/7) cough, green sputum, and dyspnea|
|M||74||COPDb IHDb||Yes||(5/7) cough, malaise, sputum, breathlessness|
|M||46||None||No||(6/7) days sore throat, sputum, wheeze, breathlessness Signs: PEFRb 260 mL/min, wheeze|
aAll made a full recovery.
bCOPD, chronic obstructive pulmonary disease; IHD, ischemic heart disease; OE, on examination; PEFR, peak expiratory flow rate.
1 MZ and JS designed the study; DF and MZ organized the sampling. JS performed the polymerase chain reaction analysis and designed the sequencing strategy. IS collected clinical data. All authors contributed to the writing of the manuscript.