Evidence map›Paper›PMID 41803326›Full record

ArticleScientific reports2026

Emergence of a novel reassorted high pathogenicity avian influenza A(H5N2) virus associated with severe pneumonia in a young adult.

Joel Armando Vázquez-Pérez, Eduardo Becerril-Vargas, José Ernesto Ramírez-González, Mario Solís-Hernández, Charles Todd Davis, Pamela Garciadiego-Fossas, Marco Villanueva-Reza, Hansel Hugo Chávez-Morales, Enrique Mendoza-Ramírez, Christian Diego Olivares-Flores and 22 more

Erratum issuedAbstract readCase Reports
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors.

Joel Armando Vázquez-PérezIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Eduardo Becerril-VargasIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
José Ernesto Ramírez-GonzálezDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Mario Solís-HernándezServicio Nacional de Sanidad, Inocuidad y Calidad Agroalimentaria (SENASICA), Comision México-Estados Unidos para la Prevención de la Fiebre Aftosa y otras Enfermedades Exoticas de los Animales (CPA), 05110, Mexico City, Mexico.
Charles Todd DavisNational Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention, Atlanta, GA, USA.
Pamela Garciadiego-FossasIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Marco Villanueva-RezaIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Hansel Hugo Chávez-MoralesIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Enrique Mendoza-RamírezIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Christian Diego Olivares-FloresIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
América Citlali Vera-JiménezIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Uriel Rumbo-NavaIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Cristóbal Guadarrama-PérezIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Elio Germán Recinos-CarreraIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Joaquín ZúñigaIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico.
Irma López-MartínezDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Lucía Hernández-RivasDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Gisela Barrera-BadilloDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Nohemí Colin-SotoDireccion General de Epidemiologia, Secretaria de Salud, 01480, Mexico City, Mexico.
Laura Flores-CisnerosDireccion General de Epidemiologia, Secretaria de Salud, 01480, Mexico City, Mexico.
Guillermo Carbajal-SandovalDireccion General de Epidemiologia, Secretaria de Salud, 01480, Mexico City, Mexico.
Diana Vidal-AguirreDireccion General de Epidemiologia, Secretaria de Salud, 01480, Mexico City, Mexico.
Dayanira Sarith Arellano-SuarezDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Rodrigo Aparicio-AntonioDireccion General de Epidemiologia, Secretaria de Salud, Instituto de Diagnostico y Referencia Epidemiologicos, 01480, Mexico City, Mexico.
Ramiro López-ElizaldeSubsecretaria de Politicas de Salud y Bienestar Poblacional, 06100, Mexico City, Mexico.
Carlos Javier Alcazar-RamiroServicio Nacional de Sanidad, Inocuidad y Calidad Agroalimentaria (SENASICA), Comision México-Estados Unidos para la Prevención de la Fiebre Aftosa y otras Enfermedades Exoticas de los Animales (CPA), 05110, Mexico City, Mexico.
Armando García-LópezServicio Nacional de Sanidad, Inocuidad y Calidad Agroalimentaria (SENASICA), Comision México-Estados Unidos para la Prevención de la Fiebre Aftosa y otras Enfermedades Exoticas de los Animales (CPA), 05110, Mexico City, Mexico.
Han DiNational Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention, Atlanta, GA, USA.
Marie KirbyNational Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention, Atlanta, GA, USA.
Yunho JangNational Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention, Atlanta, GA, USA.
Miguel Angel Lezana-FernándezDireccion General de Epidemiologia, Secretaria de Salud, 01480, Mexico City, Mexico.
Carmen Margarita Hernández-CárdenasIsmael Cosío Villegas Secretaría de Salud, Instituto Nacional de Enfermedades Respiratorias, 14080, Mexico City, Mexico. hcarmencardenas2021@gmail.com.ORCID http://orcid.org/0000-0002-0311-2978

Funding

FONDATION POUR L'EPIDEMIOLOGIE DE LA GRIPPE, (Fondation de France) EF-2024-49384This work was financially supported by Secretaría de Ciencia, Humanidades, Tecnología e Innovación (SECIHTI) CBF-2025-I-3693
6 · The paper itself

Abstract

Infection of backyard and poultry with low pathogenicity avian influenza LPAI A(H5N2) viruses has occurred in Mexico since 1994, and the first human infection caused by this influenza virus was detected in 2024. Since its emergence in the Americas, frequent reassortments between high pathogenicity avian influenza HPAI A(H5N1) and LPAI viruses has occurred. In September 2025, the Instituto Nacional de Enfermedades Respiratorias of Mexico City identified an unsubtypeable influenza A virus infection in a young adult patient later determined to be a reassortant HPAI (H5N2) virus with a clade 2.3.4.4b HA. We analyzed clinical and epidemiologic data from this patient. Respiratory samples were tested for influenza RT-qPCR assays. Genomic sequence and phylogenetics analyses were performed to provisionally assign a new genotype to the novel HPAI A(H5N2) reassortant virus. The patient presented with fever and tachypnea, later developed hemoptysis and thoracic pain, with oxygen saturation decreasing to 70%. CT scan showed bilateral ground-glass opacities consistent with diffuse alveolar hemorrhage and zones consistent with consolidation. Clinical improvement was observed and the patient was discharged. Through viral complete genome analysis, we identified an HPAI A(H5N2) virus with genes from both clade 2.3.4.4b A(H5N1) viruses similar to those detected in North America during 2022-2023 and genes from the LPAI A(H5N2) viruses detected in Mexico during 2024. This is the first ever laboratory-confirmed human infection caused by an HPAI A(H5N2) virus infection, suggesting a new genotype provisionally classified as B3.14. The relationship of the virus with the severity of illness remains unknown.

Indexed as

Influenza A Virus, H5N2 SubtypeInfluenza, HumanReassortant VirusesAnimalsFemaleGenome, ViralHumansInfluenza in BirdsMexicoPhylogenyYoung Adult

Identifiers

PMID41803326
PMCPMC12982783

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.