Missed diagnosis of influenza B virus due to nucleoprotein sequence mutations, Singapore, April 2011

Euro Surveill. 2011 Aug 18;16(33):19943.

Abstract

A new influenza B variant was discovered in Singapore in April 2011 during diagnostic testing of a 3-year-old boy with respiratory symptoms. Influenza B virus was isolated from culture and confirmed by standard immunofluorescence testing, but was not detected by the routine, in-house influenza screening reverse-transcription polymerase chain reaction assay that targets the nucleoprotein (NP) gene. Subsequent sequencing investigations demonstrated that several other published assays targeting NP could also fail to detect this novel variant.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Child, Preschool
  • Diagnostic Errors
  • Fluorescent Antibody Technique
  • Humans
  • Influenza B virus / genetics*
  • Influenza B virus / isolation & purification*
  • Influenza, Human / diagnosis*
  • Influenza, Human / virology
  • Male
  • Middle Aged
  • Mutation
  • Nucleoproteins / genetics*
  • RNA, Viral / genetics
  • Sensitivity and Specificity
  • Sequence Analysis, DNA
  • Singapore

Substances

  • Nucleoproteins
  • RNA, Viral