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Published on: September 22, 2023
Prevalence and clinical aspects of human bocavirus infection in children
L Karalar1, J Lindner, S Schimanski
1Institute for Medical Microbiology and Hygiene, University of Regensburg, Regensburg, Germany.
Insights
Human bocavirus (HBoV) is linked to respiratory and gastric illnesses in children. This study found HBoV DNA in children with respiratory issues and gastroenteritis, with high seroprevalence in young populations.
Area of Science:
- Virology
- Pediatrics
- Infectious Diseases
Background:
- Human bocavirus (HBoV), a Parvoviridae family member, has been implicated in pediatric diseases.
- Previous research suggested a potential association between HBoV and respiratory and gastric conditions in infants and young children.
Purpose of the Study:
- To investigate the clinical association of acute HBoV infection with respiratory and gastrointestinal illnesses in hospitalized children.
- To determine the seroprevalence of HBoV-specific antibodies in a pediatric cohort.
Main Methods:
- Retrospective analysis of 357 pediatric patient sera using quantitative PCR for HBoV DNA detection.
- ELISA was employed to detect HBoV-specific IgM and IgG antibodies.
- Patients were grouped based on infectious and non-infectious diseases, including respiratory tract infections, pneumonia, and gastroenteritis.
Main Results:
- HBoV DNA was detected in 6.7% of sera from children with infectious diseases and 5% from those with non-infectious illnesses.
- HBoV DNA was most prevalent in patients with respiratory disease (9.6%), particularly lower respiratory tract illness (14.6%) and pneumonia (10.0%).
- Acute HBoV infections were observed in 7.5% of patients with gastroenteritis, and HBoV-specific IgM and IgG antibodies were found in 60.9% and 47.8% of DNA-positive children, respectively.
Conclusions:
- The study provides comprehensive data supporting the clinical association of acute HBoV infection with respiratory illness in children.
- High seroprevalence rates indicate widespread HBoV exposure in the pediatric population.
- HBoV should be considered in the differential diagnosis of respiratory and gastrointestinal diseases in children.
Abstract:
Human bocavirus (HBoV) was recently described as a new member of the Parvoviridae. In order to investigate the suggested association of HBoV with respiratory and gastric disease in infants and young children, sera of 357 paediatric patients hospitalized with infectious and non-infectious diseases were retrospectively analyzed for the presence of HBoV DNA and virus-specific antibodies using quantitative PCR and ELISA, respectively. HBoV seroprevalence was determined to range from 25% in infants younger than 1 year of age to 93% in children aged more than 3 years. Viral loads between 1 x 10(2) and 1.2 x 10(6) geq/mL were observed in 6.7% (20/297) of sera obtained preferentially from young children suffering from infectious diseases. HBoV genomes were furthermore detected in 5% (3/60) of sera collected from individuals with non-infectious illnesses. HBoV DNA was present most frequently in patients with respiratory disease (9.6%). Whereas only 5.2% of patients with upper respiratory tract disease were viraemic, HBoV DNA was found in 14.6% and 10.0% of patients with lower respiratory tract illness and pneumonia, respectively. Acute HBoV infections were also observed in 7.5% of patients with gastroenteritis and in one child with inflammatory bowel disease. None of 77 patients hospitalized for various other infectious diseases (e.g. rash, urinary tract infection, meningitis) displayed viraemia. In 60.9% and 47.8% of DNA-positive children, HBoV-specific IgM and IgG was observed, respectively. The present prospective study provides comprehensive data on the clinical association of acute HBoV infection with respiratory illness and on the seroprevalence of virus-specific antibodies in children.
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