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Basic Characteristics of Mutations
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Mutation Site
|
R292K |
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Mutation Site Sentence
|
Virological analyses revealed that he was infected with the NA inhibitor-resistant A (H3N2) virus possessing an R292K substitution in the NA protein. |
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Mutation Level
|
Amino acid level |
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Mutation Type
|
Nonsynonymous substitution |
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Gene/Protein/Region
|
NA |
|
Standardized Encoding Gene
|
NA
|
|
Genotype/Subtype
|
H3N2 |
|
Viral Reference
|
-
|
|
Functional Impact and Mechanisms
|
|
Disease
|
Influenza A
|
|
Immune
|
- |
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Target Gene
|
-
|
|
Clinical and Epidemiological Correlations
|
|
Clinical Information
|
Y |
|
Treatment
|
oseltamivir;peramivir |
|
Location
|
Japan |
|
Literature Information
|
|
PMID
|
27374689
|
|
Title
|
Persistent Infection of Drug-resistant Influenza A Virus during Chemotherapy for Malignant Lymphoma
|
|
Author
|
Kawakami T,Hirabayashi Y,Kawakami F,Isobe R,Kaneko N,Mimura Y,Ito T,Furuta K,Shimazaki M,Nakazawa H,Kitano K
|
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Journal
|
Internal medicine (Tokyo, Japan)
|
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Journal Info
|
2016;55(13):1807-10
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Abstract
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We herein report the case of an 80-year-old man with malignant lymphoma who became persistently infected with influenza A virus. Although he was repeatedly treated with NA inhibitors, such as oseltamivir or peramivir, nasal cavity swab tests for influenza A antigen continued to be positive for more than 2 months. Virological analyses revealed that he was infected with the NA inhibitor-resistant A (H3N2) virus possessing an R292K substitution in the NA protein. These findings suggest that a drug-resistant influenza virus strain might selectively survive antiviral therapy in elderly patients with refractory malignant lymphoma undergoing multiple chemotherapies.
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Sequence Data
|
-
|