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influenza A H3N2 virus
Epidemiology:
- children under 10 most common victims
- 1/3 of adolescents & adults have some cross-reactive antibody to the virus
- 160 patients infected in the Midwest (Ohio, Indiana) in 2012 [4]
- years with high H3N2 activity tend to see higher flu morbidity & mortality [5]
Pathology:
- particularly virulent [CDC FluView]
Genetics:
- carries genes from avian, swine & human viruses
Laboratory:
- rRT-PCR Swine Flu Panel
- influenza virus A serology
- influenza virus A H3 Ab in serum
- influenza virus A N2 Ab in serum
- influenza virus A H3 antigen
- influenza virus A H3 RNA
- influenza virus identified by culture
Related
swine flu
General
influenza A virus
Properties
KINGDOM: virus
GENOME-TYPE: RNA
SINGLE-STRANDED
NEGATIVE-STRAND
GENOME-SIZE: 14 kB
ENVELOPE: PRESENT
CAPSID-SYMMETRY: HELICAL
References
- Centers for Disease Control and Prevention (CDC)
Antibodies Cross-Reactive to Influenza A (H3N2) Variant Virus
and Impact of 2010-11 Seasonal Influenza Vaccine on Cross-
Reactive Antibodies - United States
MMWR April 13, 2012 / 61(14);237-241
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6114a1.htm
- Centers for Disease Control and Prevention (CDC)
Update: Influenza A (H3N2)v Transmission and Guidelines -
Five States, 2011
MMWR January 6, 2012 / 60(51);1741-1744
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6051a4.htm
- Centers for Disease Control and Prevention (CDC)
Press Briefing Transcript
CDC Telebriefing: Influenza A (H3N2) Variant Virus
Friday, August 3, 2012
http://www.cdc.gov/media/releases/2012/t0803_h3n2_variant_virus.html
- Associated Press, Aug 9, 2012
CDC: 158 cases of new swine flu strain from pigs
http://news.yahoo.com/cdc-158-cases-swine-flu-strain-pigs-174243040.html
- Young K, Sofair A, Chavey WE
2014-15 Flu Vaccine Not a Perfect Match to Circulating Viruses
Physician's First Watch, Dec 5, 2014
David G. Fairchild, MD, MPH, Editor-in-Chief
Massachusetts Medical Society
http://www.jwatch.org
- Shenoy ES, Lai PS, Shepard JA, Kradin RL
Case 39-2015 - A 22-Year-Old Man with Hypoxemia and Shock.
N Engl J Med 2015; 373:2456-2466. December 17, 2015
PMID: 26672848
http://www.nejm.org/doi/full/10.1056/NEJMcpc1507212
- Centers for Disease Control and Prevention (CDC)
Seasonal Influenza (Flu): FluView
http://www.cdc.gov/flu/weekly/