2009
DOI: 10.1097/inf.0b013e318182c90a
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Novel Species of Human Rhinoviruses in Acute Otitis Media

Abstract: We have studied human rhinovirus (HRV) recovered from nasopharyngeal aspirates and middle ear fluids collected during acute otitis media with RT-PCR sequencing followed by phylogenetic analysis. In addition to a great diversity of traditional HRV types we found genetic relatives of the novel HRV species, suggested HRV-C, in both sample types. Our results indicate the presence of HRV-C in the middle ear for the first time.

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Cited by 33 publications
(41 citation statements)
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“…Interestingly, we also identified a potential distinct cluster of strains of HRV-C during phylogenetic analysis in the present study. In fact, we found that a similar separate cluster of strains was also present in our and several other studies of HRV-C strains, although bootstrap values were not shown in some studies [20,22,25,27,28]. When all available VP4 sequences of HRV-C isolates were included in analysis, these strains were clustered with high bootstrap values, suggesting a possible distinct subgroup within HRV-C (analysis was performed using available sequences published up to 15 March 2009; data not shown).…”
Section: Discussionsupporting
confidence: 53%
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“…Interestingly, we also identified a potential distinct cluster of strains of HRV-C during phylogenetic analysis in the present study. In fact, we found that a similar separate cluster of strains was also present in our and several other studies of HRV-C strains, although bootstrap values were not shown in some studies [20,22,25,27,28]. When all available VP4 sequences of HRV-C isolates were included in analysis, these strains were clustered with high bootstrap values, suggesting a possible distinct subgroup within HRV-C (analysis was performed using available sequences published up to 15 March 2009; data not shown).…”
Section: Discussionsupporting
confidence: 53%
“…In line with our results reported elsewhere [22], children with HRV-C infection in the present study commonly present with URTI, febrile wheeze, and asthmatic exacerbations. One child also presented with acute otitis media, which concurred with the detection of HRV-C in middle ear fluid samples from patients with acute otitis media in another report [25]. On the other hand, relatively little is known about the significance of HRV-C infection in the adult population.…”
Section: Discussionmentioning
confidence: 78%
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“…These and subsequent investigations have shown the proposed new species HRV-C to be remarkably prevalent, widely distributed geographically, and frequently associated with severe respiratory disease, both following primary infections, particularly in young children (24,25,29,32,59), and as an exacerbating factor in asthma and other chronic obstructive airway diseases (20,25,29,36). On the other hand, HRV-C has also been abundant in specimens collected from both children and adults with milder cases of respiratory disease (47,48).…”
mentioning
confidence: 99%