Résumé
Les infections respiratoires virales sont des affections particulièrement fréquentes et de sévérité variable. Ces dernières années, les progrès des techniques de biologie moléculaire ont permis d'identifier des virus respiratoires présents depuis longtemps chez l'homme mais jusqu'alors inconnus. II s'agit notamment du metapneumovirus humain (HMPV), des < nouveaux > coronavirus humains HCoV-NL63 HCoV-NH et HCoV-HK, du bocavirus humain (HBoV) et des nouveaux polyomavirus humains KI et WU. A côté de ces virus nouvellement identifiés, on a pu observer au cours de ces dernières années l'émergence chez l'homme de nouveaux virus responsables d'infections respiratoires. Ces virus récemment introduits dans l'espèce humaine proviennent d'un réservoir animal. IIs présentent généralement un pouvoir pathogène majeur avec un taux élevé de mortalité. Ces virus sont les henipavirus (virus Hendra et Nipah), les hantavirus du nouveau monde responsables du syndrome pulmonaire à hantavirus, le coronavirus du syndrome respiratoire aigu sévère (SARS-CoV) et le virus de la grippe aviaire H5N1. Ce dernier virus fait planer la menace d'une pandémie meurtriére faisant ressurgir le spectre de la grippe espagnole de 1918–1919, responsable de 20 à 50 millions de morts
Keywords: Infections respiratoires, metapneumovirus, bocavirus, coronavirus, henipavirus, hantavirus, polyomavirus, SRAS, grippe aviaire H5N1
Abstract
Viral respiratory infections are very frequent diseases with variable degrees of severity. During the past few years, new respiratory viruses have been discovered by means of molecular biology techniques. In fact, these so far unidentified viruses have been present in humans for a long time but remained unidentified. These viruses are mainly represented by the human metapneumovirus (HMPV), the coronaviruses HCoV-NL63, HCoV-NH and HCoVHKU1, the human bocavirus (HBoV), and the newly described human polyomaviruses WU and KI. Beside these newly identified viruses, new respiratory viruses have emerged in humans within the last years. These viruses have been introduced from animal reservoirs and they generally present a high degree of pathogenicity with high level of mortality in humans. These emerging respiratory viruses are represented by the henipaviruses (Hendra and Nipah viruses), the New World hantaviruses associated with the Hantavirus Pulmonary Syndrome, the coronavirus responsible for the Severe Acute Respiratory Syndrome (SARS-CoV), and the avian influenza virus H5N1. This latter constitutes a major threat, with the risk of a murderous pandemic offering some parallels with the 1918–1919 Spanish flu which caused 20–50 millions deaths worldwide.
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