Title Prevalence and clinical characterization of a newly identified human rhinovirus C species in children with acute respiratory tract infections.
Author Jin, Yu; Yuan, Xin-Hui; Xie, Zhi-Ping; Gao, Han-Chun; Song, Jing-Rong; Zhang, Rong-Fang; Xu, Zi-Qian; Zheng, Li-Shu; Hou, Yun-De; Duan, Zhao-Jun
Journal J Clin Microbiol Publication Year/Month 2009-Sep
PMID 19625482 PMCID PMC2738104
Affiliation 1.Department of Pediatrics, The First Hospital of Lanzhou University, Lanzhou 730000, China.

Human rhinovirus C (HRV-C) is a newly identified genotype of HRV found in patients with respiratory tract infections (RTIs); however, its epidemiological profile and clinical characteristics are not well understood. In this study, Chinese children with RTIs were screened for HRV-C and their epidemiological and clinical characteristics were analyzed. From December 2006 to November 2007, 406 nasopharyngeal aspirates from children younger than 14 years of age with RTIs were screened for HRV and other common respiratory viruses by PCR or reverse transcription-PCR. Two-hundred twenty-four (55.2%) of the specimens were infected with at least one virus, including 53 patients with HRV (13%). HRV-A, HRV-B, and HRV-C were detected in 22, 12, and 19 specimens, respectively. HRV-C was detected mainly from December 2006 to April 2007 and from October to November 2007, with peaks in December and April (10/19). Acute upper respiratory infection and bronchopneumonia were observed in 53 and 37% of the cases, respectively. The most common symptoms were cough (82%), runny nose (53%), and fever (37%). Wheezing and bronchiolitis were less common in patients infected with HRV-C than in those infected with respiratory syncytial virus (RSV). Partial sequencing of the genes coding for VP4 and VP2 revealed that the HRV-C strains were 56 to 62% identical at the amino acid level to HRV-B and HRV-A reference strains and 80 to 99% identical to HRV-C reference strains. In conclusion, HRV-C is an important cause of RTIs in children, and highly diversified strains of HRV-C are prevalent in China. HRV-C may produce different epidemiological features, and patients infected with HRV-C may exhibit different clinical features from patients infected with RSV or HRV-A/B.

StrainID RV Species Serotype Length(nt) Country Year Strain Name
UNS01101 Unclassified None 420 China 2006 hRVLz8
UNS01102 Unclassified None 420 China 2007 hRVLz13
UNS01103 Unclassified None 420 China 2006 hRVLz84
UNS01104 Unclassified None 420 China 2006 hRVLz86
UNS01105 Unclassified None 420 China 2006 hRVLz89
UNS01106 Unclassified None 420 China 2006 hRVLz118
UNS01107 Unclassified None 420 China 2006 hRVLz122
UNS01108 Unclassified None 420 China 2007 hRVLz123
UNS01109 Unclassified None 420 China 2007 hRVLz124
UNS01110 Unclassified None 420 China 2007 hRVLz127
UNS01111 Unclassified None 420 China 2007 hRVLz135
UNS01112 Unclassified None 420 China 2007 hRVLz144
UNS01113 Unclassified None 420 China 2007 hRVLz148
UNS01114 Unclassified None 420 China 2007 hRVLz163
UNS01115 Unclassified None 420 China 2007 hRVLz167
UNS01116 Unclassified None 420 China 2007 hRVLz171
UNS01117 Unclassified None 420 China 2007 hRVLz178
UNS01118 Unclassified None 420 China 2007 hRVLz184
UNS01119 Unclassified None 420 China 2007 hRVLz185
UNS01120 Unclassified None 420 China 2007 hRVLz187
UNS01121 Unclassified None 420 China 2007 hRVLz214
UNS01122 Unclassified None 420 China 2007 hRVLz218
UNS01123 Unclassified None 420 China 2007 hRVLz220
UNS01124 Unclassified None 420 China 2007 hRVLz238
UNS01125 Unclassified None 420 China 2007 hRVLz239
UNS01126 Unclassified None 420 China 2007 hRVLz265
UNS01127 Unclassified None 420 China 2007 hRVLz267
UNS01128 Unclassified None 420 China 2007 hRVLz269
UNS01129 Unclassified None 420 China 2007 hRVLz281
UNS01130 Unclassified None 420 China 2007 hRVLz287
UNS01131 Unclassified None 420 China 2007 hRVLz293
UNS01132 Unclassified None 420 China 2007 hRVLz294
UNS01133 Unclassified None 420 China 2007 hRVLz298
UNS01134 Unclassified None 420 China 2007 hRVLz299
UNS01135 Unclassified None 420 China 2007 hRVLz309
UNS01136 Unclassified None 420 China 2007 hRVLz315
UNS01137 Unclassified None 420 China 2007 hRVLz317
UNS01138 Unclassified None 420 China 2007 hRVLz330
UNS01139 Unclassified None 420 China 2007 hRVLz331
UNS01140 Unclassified None 420 China 2007 hRVLz332
UNS01141 Unclassified None 420 China 2007 hRVLz333
UNS01142 Unclassified None 420 China 2007 hRVLz335
UNS01143 Unclassified None 420 China 2007 hRVLz337
UNS01144 Unclassified None 420 China 2007 hRVLz343
UNS01145 Unclassified None 420 China 2007 hRVLz344
UNS01146 Unclassified None 420 China 2007 hRVLz349
UNS01147 Unclassified None 420 China 2007 hRVLz355
UNS01148 Unclassified None 420 China 2007 hRVLz357
UNS01149 Unclassified None 420 China 2007 hRVLz378
UNS01150 Unclassified None 420 China 2007 hRVLz383
UNS01151 Unclassified None 420 China 2007 hRVLz390
UNS01152 Unclassified None 420 China 2007 hRVLz392
UNS01153 Unclassified None 420 China 2007 hRVLz406
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