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Basic Characteristics of Mutations
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Mutation Site
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H275Y |
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Mutation Site Sentence
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The influenza virus was positive for the H275Y oseltamivir-resistance mutation despite the patient never having received oseltamivir. |
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Mutation Level
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Amino acid level |
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Mutation Type
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Nonsynonymous substitution |
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Gene/Protein/Region
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|
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Standardized Encoding Gene
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|
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Genotype/Subtype
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H1N1 |
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Viral Reference
|
-
|
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Functional Impact and Mechanisms
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Disease
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Influenza A
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Immune
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- |
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Target Gene
|
-
|
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Clinical and Epidemiological Correlations
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Clinical Information
|
- |
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Treatment
|
oseltamivir |
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Location
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- |
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Literature Information
|
|
PMID
|
22696672
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Title
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Persistent oseltamivir-resistant pandemic influenza A/H1N1 infection in an adult with cystic fibrosis
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Author
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Flight WG,Bright-Thomas R,Mutton K,Webb K,Jones A
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Journal
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BMJ case reports
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Journal Info
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2011 Apr 26;2011:bcr0220113874
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Abstract
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The authors report the case of a 25-year-old patient with cystic fibrosis (CF) who developed pandemic influenza A/H1N1 during a visit to the USA in August 2010. The patient has severe CF lung disease and takes maintenance oral corticosteroids. The influenza virus was positive for the H275Y oseltamivir-resistance mutation despite the patient never having received oseltamivir. The patient has remained sputum-positive for over 4 months despite inhaled zanamivir therapy. This is the first reported case of transmission of oseltamivir-resistant H1N1 influenza to a patient with CF. The frequency of prolonged sputum carriage of pandemic influenza and transmission of oseltamivir-resistant strains are unknown on a population level. However, if our observations are replicated in other CF patients, they are potentially of considerable importance to clinical and infection-control practices in this patient group.
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Sequence Data
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-
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