Evidence map›Paper›PMID 42197394›Full record

ArticleMicroorganisms2026

Intra-Omicron Reinfection with JN.1.16 and NB.1.8.1 in a Preterm Infant: First NB.1.8.1 Detection in Tunisia-A Case Report.

Zaineb Hamzaoui, Sana Ferjani, Ameni Sallemi, Salma Abid, Amal Miraoui, Ichrak Landolsi, Latifa Charaa, Khaled Menif, Lamia Kanzari, Ilhem Boutiba-Ben Boubaker

Abstract readCase Reports
In one paragraph

Article in Microorganisms, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Zaineb HamzaouiResearch Laboratory "Antimicrobial Resistance" LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia.ORCID 0000-0001-8348-0000
Sana FerjaniResearch Laboratory "Antimicrobial Resistance" LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia.ORCID 0000-0001-6441-1077
Ameni SallemiLaboratory of Clinical Pharmacology, National Centre Chalbibelkahia of Pharmacovigilance, Tunis 1007, Tunisia.
Salma AbidResearch Laboratory "Antimicrobial Resistance" LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia.ORCID 0009-0007-9175-6610
Amal MiraouiPediatric Intensive Care Unit, Béchir Hamza Children's Hospital, Tunis 1006, Tunisia.ORCID 0000-0002-6377-7330
Ichrak LandolsiCharles Nicolle Hospital, Laboratory of Microbiology, National Influenza Centre, National Reference Laboratory for Influenza and Other Respiratory Viruses, Tunis 1006, Tunisia.ORCID 0009-0005-2087-0147
Latifa CharaaCharles Nicolle Hospital, Laboratory of Microbiology, National Influenza Centre, National Reference Laboratory for Influenza and Other Respiratory Viruses, Tunis 1006, Tunisia.ORCID 0009-0003-2134-4734
Khaled MenifPediatric Intensive Care Unit, Béchir Hamza Children's Hospital, Tunis 1006, Tunisia.
Lamia KanzariResearch Laboratory "Antimicrobial Resistance" LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia.ORCID 0000-0001-9594-3391
Ilhem Boutiba-Ben BoubakerResearch Laboratory "Antimicrobial Resistance" LR99ES09, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis 1007, Tunisia.ORCID 0000-0002-6590-2406

Funding

Faculté de médecine de Tunis NA
6 · The paper itself

Abstract

Highly mutated Omicron sub-lineages JN.1 and NB.1.8.1 harbor extensive spike changes, but their impact in preterm infants is poorly documented. We report a preterm male infant with three hospitalizations in seven weeks: severe SARS-CoV-2 ARDS at 40 days of life (DOL 40) requiring ventilation caused by JN.1.16, HCoV-OC43 infection at DOL 65, and a mild SARS-CoV-2 reinfection at DOL 87 due to NB.1.8.1, the first detection of this variant in Tunisia. Spike analysis showed a shared JN.1 backbone but distinct N-terminal and receptor-binding domain changes, supporting intra-Omicron reinfection driven by antigenic divergence and immature immunity and underscoring the value of pediatric genomic surveillance, including phylogenetic placement of case genomes within local Omicron diversity.

Indexed as

ACE2-binding affinityJN.1.16NB.1.8.1Omicronpreterm infantreinfectionSARS-CoV-2whole-genome sequencing

Identifiers

PMID42197394
PMCPMC13209800

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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.