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MYXOVIRUSES ASSOCIATED WITH ACUTE LARYNGOTRACHEOBRONCHITIS IN TORONTO, 1962-63
Insights
Parainfluenza-1 virus was the most common cause of croup (tracheitis) in young children in Toronto between 1960 and 1963. Influenza A2 also caused significant outbreaks during this period.
Area of Science:
- Pediatrics
- Virology
- Infectious Diseases
Background:
- Acute laryngotracheobronchitis (croup) is a common respiratory illness in young children.
- Myxoviruses, including parainfluenza and influenza viruses, are known respiratory pathogens.
- Understanding the specific viral agents causing croup is crucial for public health management.
Purpose of the Study:
- To identify the viral etiologies of acute laryngotracheobronchitis in children admitted to The Hospital for Sick Children, Toronto.
- To determine the prevalence and seasonality of myxovirus infections, particularly Parainfluenza-1 and Influenza A2, in relation to croup.
Main Methods:
- Prospective collection of nasopharyngeal secretions from children diagnosed with acute laryngotracheobronchitis.
- Isolation and identification of myxoviruses (Parainfluenza-1, Parainfluenza-3, Influenza A2, Influenza B) using viral culture techniques.
- Correlation of viral isolations with patient demographics and seasonal disease patterns.
Main Results:
- Myxoviruses were isolated from 40.5% of children with croup between November 1962 and March 1963.
- Parainfluenza-1 virus was the dominant serotype, identified in 30.0% of all tracheitis patients studied between November 1960 and March 1963.
- Influenza A2 caused an epidemic in March 1963, and was isolated from tracheitis patients during influenza epidemics.
Conclusions:
- Parainfluenza-1 virus is a significant and persistent cause of croup in young children.
- Influenza A2 and other influenza strains can cause croup during seasonal epidemics.
- Ongoing surveillance of respiratory viruses is essential for understanding and managing pediatric respiratory infections.
Abstract:
Between November 1962 and March 1963, myxoviruses were isolated from 95 of 224 children (40.5%), most of whom were aged less than three years, who were admitted to The Hospital for Sick Children, Toronto, with acute laryngotracheobronchitis (tracheitis or croup). Viral isolates included 87 strains of Parainfluenza-1, five of Parainfluenza-3, and three of Influenza A2. An epidemic of Influenza A2 afflicted Toronto during March 1963, at which time this virus was isolated from tracheitis patients.Myxoviruses were isolated from nasopharyngeal secretions of 285 of 794 tracheitis patients between November 1960 and March 1963. Parainfluenza-1 virus was the dominant serotype, being found in 241 (30.0%) of subjects. Three peaks of Parainfluenza-1 virus isolations were observed in December 1960, March 1962 and November 1962, and this serotype has been isolated during all months except June and July. Although most of the 28 Parainfluenza-3 virus infections occurred between November and February, this strain has also been isolated during summer. Strains of Influenza A2 and Influenza B viruses have been isolated from tracheitis patients during epidemics of influenza in Toronto due to these agents.
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