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An In vitro Model to Study Immune Responses of Human Peripheral Blood Mononuclear Cells to Human Respiratory Syncytial Virus Infection
Published on: December 10, 2013
Human bocavirus infection in children with respiratory tract disease
Nathalie Brieu1, Gaël Guyon, Michel Rodière
1Department of Virology, Montpellier University Hospital, Montpellier Cedex, France.
Insights
Human bocavirus (HBoV) is linked to respiratory tract disease (RTD) in children, with higher detection rates in ill children than controls. HBoV infections presented similar symptoms to RSV and HMPV but were less severe than RSV.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Human bocavirus (HBoV) is a Parvoviridae family member frequently found in children's respiratory tracts.
- Limited data exists linking HBoV to respiratory tract disease (RTD).
Purpose of the Study:
- Evaluate HBoV incidence in children with RTD.
- Analyze clinical features of HBoV infection.
- Compare HBoV, RSV, and HMPV infections clinically.
Main Methods:
- Prospective 1-year study.
- Included children under 5 hospitalized with RTD and asymptomatic controls.
Main Results:
- HBoV detected in 10.8% of children with RTD, none in controls (P=0.01).
- Most infections occurred November-March; 40% had coinfections.
- HBoV viral load higher in monoinfections; clinical features similar to RSV/HMPV but less severe than RSV.
Conclusions:
- HBoV prevalence in RTD patients supports its role in disease.
- Frequent coinfections may relate to HBoV persistence.
- Further research needed on HBoV viral load as a pathogenicity marker.
Background:
Human bocavirus (HBoV) is a ubiquitous, newly described member of the Parvoviridae family frequently detected in the respiratory tract of children, but only few reports provide data proving the link between HBoV and respiratory tract disease (RTD).
Objectives:
To evaluate the incidence of HBoV infection in children with RTD; to analyze the clinical features of HBoV infection; and to clinically compare HBoV, respiratory syncytial virus (RSV), and human metapneumovirus (HMPV) infections.
Study Design:
A prospective 1-year study was conducted in children <5 years of age hospitalized with RTD and in asymptomatic control children.
Results:
Human bocavirus was detected in 55 (10.8%) of the 507 children tested and in none of the 68 asymptomatic control children (P = 0.01). About 80% of these infections occurred between November and March. Coinfection with another virus was observed in 22 (40%) of the HBoV-positive children. HBoV viral load was significantly higher in samples from children with HBoV monoinfection than in those with coinfection. Subsequent detection of HBoV more than 2 months after the initial detection could be documented in 3 children. Clinical features associated with HBoV infection were similar to those observed with either RSV or HMPV infections, but HBoV infections were less severe than RSV infections.
Conclusions:
The difference observed in HBoV prevalence between children with RTD and controls provides support for a role of this virus in RTD. The frequent associations of HBoV with other respiratory viruses might be explained by the persistence of HBoV in the respiratory tract. The significance of HBoV viral load in nasopharyngeal secretions as a marker of pathogenicity merits further investigation.
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