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Human Metapneumovirus (HMPV) - All You Need To Know

20 Jan, 2025

This article is medically reviewed by Dr. Maitri Gandhi, Consultant - Radiation Oncology, HCG Aastha Cancer Centre, Ahmedabad.

Table of Content

What is Human Metapneumovirus (HMPV) and How Does It Affect People?

Human metapneumovirus (HMPV) is a respiratory virus that usually infects the upper and lower respiratory tracts. Isolated for the first time in 2001, it is one of the members of the Paramyxoviridae family (Pneumovirinae subfamily). These viruses are generally closely related to a respiratory syncytial virus (RSV). The virus spreads through respiratory droplets, direct contact with infected individuals, or contaminated surfaces.

HMPV symptoms could vary from mild colds to more severe upper and lower respiratory illnesses in susceptible individuals.

Is Human Metapneumovirus the Same as a Common Cold?

HMPV, though capable of producing cold-like symptoms such as cough, coryza (inflammation of the upper respiratory tract), and low-grade fever, is not to be confused with the common cold.

HMPV infections may lead to severe respiratory illnesses, ranging from bronchiolitis and pneumonia to asthma. Unlike those cold symptoms, which are often due to rhinoviruses, HMPV causes much greater complications.

How Common is Human Metapneumovirus in Humans?

Human metapneumovirus is a common respiratory virus found in humans.

Research indicates that nearly all people will be exposed to HMPV by age five. Most annual outbreaks of this virus occur during late winter and spring.

Rates of hospitalization are significant in young children and the elderly, as well as in those who are immunocompromised.

How Does the HMPV Virus Compare to RSV?

HMPV and RSV viruses are closely related viruses that share similar symptoms and methods of transmission.

Both of these can cause serious respiratory diseases, especially in younger children and the elderly. HMPV-infected people tend to be found among a wider age range and in a later period of the respiratory virus season.

Symptoms of Human Metapneumovirus (HMPV)

The symptoms of human metapneumovirus can vary widely between mild and severe, depending on different factors like age, existing health status, and immunity. Here are some examples of ordinary signs of the HMPV virus:

  • Runny nose
  • Cough
  • Sore throat
  • Fever
  • Shortness of breath
  • Wheezing
  • Fatigue

In some severe cases, bronchiolitis or pneumonia may develop, requiring hospitalization.

Causes of Human Metapneumovirus (HMPV)

Direct transmission is how a human metapneumovirus virus causes infections. When an infected person coughs, sneezes or comes into contact with contaminated surfaces, aerosol droplets are released into the environment. The HMPV virus invades the epithelial cells of the respiratory tract and causes inflammation and respiratory symptoms.

Risk Factors for Serious Human Metapneumovirus Illness

Some populations are disproportionately affected by severe cases of human metapneumovirus (HMPV) infection. These include:

  • Infants and young children: Their immature immune systems predispose them.
  • Older people: They are at a higher risk of infection due to the declining immune power that generally comes with age.
  • Immunocompromised individuals: Cancer, organ transplantation, or HIV are conditions where defenses against infection are compromised.
  • People with chronic lung diseases: Asthma or chronic obstructive pulmonary disease (COPD), may exacerbate the signs and symptoms of HMPV.

Complications Associated with Human Metapneumovirus

Most cases of HMPV infection typically resolve without complications; however, severe forms may lead to any of the following conditions:

  • Pneumonia: This is the condition whereby inflammation occurs within the lungs, demanding immediate medical attention.
  • Bronchiolitis: Small airways in the lungs become inflamed and congested.
  • Asthma or COPD exacerbation: An aggravation of either of these pre-existing conditions may occur.

Diagnosis and Testing for Human Metapneumovirus

A diagnosis of HMPV is based on clinical symptoms and exposure history. Tests that could be performed are:

  • PCR (Polymerase Chain Reaction) testing: A test that is highly sensitive in the detection of viral RNA from the respiratory samples.
  • Antigen detection tests: These tests help in rapid identification of the infection.
  • Culture tests: These tests involve growing the human metapneumovirus virus from the test sample collected in laboratory conditions to confirm the presence of the virus.

Differentiating HMPV from other respiratory viruses like RSV or influenza is critical for accurate management.

Metapneumovirus (HMPV) Treatment

At present, there is no established antiviral drug for the human metapneumovirus treatment. The management of the patient usually involves symptom alleviation and supportive therapy to aid recovery.

  • Hydration: Adequate fluid intake should be encouraged to avert possible dehydration from any associated febrile state.
  • Antipyretics and Analgesics: Over-the-counter drugs such as acetaminophen or ibuprofen can help manage the fever and pain caused by the infection.
  • Oxygen Therapy: Hospitalization will be necessary for such a serious condition.
  • Bronchodilators: To help individuals with wheezing or asthmatic symptoms breathe more easily.

Prevention of Human Metapneumovirus

Preventative methods can considerably reduce an individual's risk of acquiring human metapneumovirus infection. These include:

  • Hand hygiene: Regular washing with soap and water.
  • Avoiding close contact: Maintain a safe distance from sick individuals.
  • Disinfecting surfaces: Regular cleaning of frequently touched objects and areas.
  • Immunization prospects: Research is ongoing for vaccines targeting human metapneumovirus.

Prognosis of Human Metapneumovirus

The majority of HMPV infections are mild and resolve in about 7-10 days. Severe cases, however, may last longer and demand hospitalization or prompt care. Early diagnosis and effective management can improve outcomes and reduce complications.

How Long Will It Take to Recover from Human Metapneumovirus?

Recovery time depends on the severity of the infection and also on the general health of the individual. Generally, mild cases clear themselves within about a week, and more serious cases would take weeks to recover, especially if hospitalization is required.

How to Care for Yourself When You Have Human Metapneumovirus?

If you have acquired a diagnosis of HMPV, these are some of the steps for self-care that you should consider:

  • Rest: Allow yourself to recuperate completely.
  • Stay hydrated: Drink a lot of fluids like water, herbal teas, or clear broths.
  • Monitor symptoms: Have yourself examined at a hospital if any symptom gets worse.

When to Seek Medical Advice for Human Metapneumovirus?

Seek medical assistance immediately, if at all necessary.

  • Struggling to breathe
  • Continuous high temperature
  • Severe wheezing and/or chest pain

People at risk should not delay consultation with a health care provider if they develop any symptom suggestive of HMPV infection.

Conclusion

Human metapneumovirus (HMPV) is a significant respiratory pathogen that can cause severe illness, particularly in vulnerable populations. Learning the HMPV symptoms, human metapneumovirus causes, and prevention measures might lower its impact. In most cases, these infections present themselves with mild symptoms.

Early detection and proper management are essential for handling serious infections. With a good hygiene routine and timely medical advice, you will have the best recovery.

Frequently Asked Questions

Human metapneumovirus (HMPV) is a respiratory tract infection that has symptoms varying from mild cold-like symptoms to acute respiratory distress syndromes in the at-risk groups.

Antibiotics do nothing for HMPV since it does not stem from bacteria but instead a virus. The treatment in this case involves addressing the symptoms of the infection, along with supportive care.

HMPV symptoms are often characterized by a cough, runny nose, fever, an irritated throat, and wheezing. In more critical situations, patients may experience interrupted breathing.

There is as yet no specific HMPV virus treatment. Management approaches include symptom relief, fluid intake, and, in more severe cases, oxygen therapy.

Prevention techniques for HMPV infection include practicing good hand hygiene, avoiding close contact with sick individuals, wearing masks, and disinfecting surfaces.

The symptoms of HMPV, flu, and COVID-19 are similar from a respiratory perspective, yet they are due to different viral infections. They are differentiated using the diagnostic tests.

Infection with HMPV usually lasts for 7-10 days; however, in more severe cases, it may last for weeks, especially in high-risk populations.

Indeed, those who suffer from asthma or other conditions related to chronic respiratory symptoms are likely to experience a higher risk of developing severe HMPV infection.

Yes, HMPV is transmitted through respiratory droplets emitted during coughing, sneezing, or talking by infected individuals, as well as through contact with contaminated surfaces.

Transmission of HMPV occurs through respiratory droplets, direct contact with infected individuals, or surfaces that are touched and contaminated by the virus.

Promoting frequent hand washing, use of disinfectants, wearing masks, and avoiding crowding can lessen the HMPV infection risk.

Currently, there is no vaccine for HMPV, though it is still an active area of research to develop effective immunization options.

Not at all; while symptoms resemble a cold, they might produce severe respiratory problems in high-risk age categories from this virus.

Indeed, HMPV is highly transmissible, as it spreads primarily by airborne respiratory droplets and from contaminated surfaces.

For instance, the infection caused by human metapneumovirus in adults is often mild. Complications could be serious for infants, older adults, and individuals with an impaired immune system.

The immune system deteriorates with advancing age. Consequently, older adults may be more susceptible to severe HMPV infection and its complications, including pneumonia.

Pneumonia caused by HMPV is possible in elderly individuals infected with this virus. The patient's overall health condition may also play a role in the development of HMPV infection.

Pregnant women can catch HMPV. It is a mild illness, but the potential for serious infection exists, and medical advice should be given.

Most individuals recover completely, but in some cases of severe HMPV infections, respiratory problems persist for relatively long periods.

Mainly prevalent in cold times of the year, HMPV has seasonal outbreaks during late winter and spring when these environmental conditions are right.

Individuals suffering from acute infection of HMPV need to be isolated from others to prevent transmission of the virus in overcrowded or other high-risk situations.

References

About the Author

Author Bio : Dr. Maitri Gandhi
Consultant - Radiation Oncology
MBBS, MD

Dr. Maitri Gandhi is an experienced oncologist specializing in radiation therapy. She has undergone efficient training for three years at the Gujarat Cancer & Research Institute and is well-versed in multiple radiotherapy techniques. She is highly knowledgeable about the latest developments in the field of oncology and is an expert in patient care, interpersonal communication, problem-solving, and clinical teaching. In addition to her professional commitments, she is actively involved in cancer awareness campaigns and has participated in numerous national conferences.

To book an appointment with Dr. Maitri Gandhi, please click here.

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