How to distinguish between type A and type B influenza

Apr 11, 2023 Source: Cainiu Health
Disease description:

Hello, doctor. I'd like to ask how to tell the difference between type A and type B influenza?

Doctor's answer (1)
Dr. Jiang Weimin
Both type A and type B influenza are relatively severe forms of influenza. Differentiating between type A and type B influenza can be done by examining two aspects: first, differences in the source of infection and incubation period; second, significant differences in clinical symptoms. First, the infectious agent for type A influenza is rhinovirus, with a short incubation period typically lasting 7–14 days, whereas type B influenza is caused by the influenza virus and has a longer incubation period, generally lasting one to two weeks. Second, type A influenza commonly presents with fever, nasal congestion, cough, and tonsillar swelling, while type B influenza often manifests with fever, chills, chest pain, fatigue, headache, and joint pain as distinctive symptoms. Furthermore, the type A influenza virus is highly unstable when cultured outside the body, whereas the type B influenza virus remains very stable in external culture and is prone to mutations, leading to viral variants and hybrid strains that may cause more frequent and severe influenza outbreaks. In summary, distinguishing between type A and type B influenza requires evaluation based on the source of infection, incubation period, and characteristic symptoms of the illness. With advances in antiviral medications, rapid virological diagnostic tests can now help determine whether it is type A or type B influenza even before a definitive clinical diagnosis is made.