Serologically verified human bocavirus pneumonia in children
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Updated: Jun 18, 2026

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
Massimiliano Don1, Maria Söderlund-Venermo, Francesca Valent
1Pediatric Department, School of Medicine, DPMSC, University of Udine, Udine, Italy. max.don@libero.it
Insights
Human bocavirus (HBoV) is a common cause of pediatric pneumonia, with seropositivity increasing with age. This study found HBoV induced significant antibody responses in children with community-acquired pneumonia.
Area of Science:
- Virology
- Pediatric Infectious Diseases
- Immunology
Background:
- Human bocavirus (HBoV), a novel parvovirus, is frequently detected in children with respiratory and intestinal infections.
- Community-acquired pneumonia (CAP) is a significant cause of childhood illness globally.
- Understanding the etiology of pediatric CAP is crucial for effective diagnosis and treatment.
Purpose of the Study:
- To assess the role of HBoV in pediatric CAP using a new antibody assay.
- To determine the seropositivity rate of HBoV in North-Italian children.
- To investigate the association between HBoV infection and pneumonia severity.
Main Methods:
- A prospective study enrolled 124 children with presumptive pneumonia over 15 months.
- Radiological confirmation was obtained for 101 cases of CAP.
- Antibody assays, including a new enzyme immunoassay for HBoV, were used to identify etiological agents.
Main Results:
- Serological evidence of acute HBoV infection was found in 12% of children with CAP.
- HBoV was the second most frequent viral cause of CAP, identified in 12% of cases.
- Seropositivity to HBoV increased with age, nearing 100% before school age.
Conclusions:
- HBoV elicits significant antibody responses, indicating its pathogenic potential.
- HBoV is a common contributor to pediatric pneumonia, with seroconversion typically occurring in early childhood.
- Further research is warranted to fully elucidate HBoV's role in respiratory infections.
Working Hypothesis:
Human bocavirus (HBoV) is a newly identified parvovirus frequently found in children suffering from acute respiratory and intestinal infections. The aim of the present study was to evaluate, by using a newly developed antibody assay, the role of HBoV in pediatric community-acquired pneumonia (CAP) and the seropositivity rate to HBoV in a prospective study in North-Italian children.
Materials/Patients And Methods:
During a 15-month study period, 124 children were admitted due to presumptive pneumonia, and in 101 of them, pneumonia was radiologically confirmed. The etiology of CAP was studied by antibody assays to 16 microbes, including the newly developed enzyme immunoassay for HBoV.
Results:
Serological evidence of acute HBoV infection was found in 12 (12%) children, being single in 7 and mixed in 5 cases (4 with other viruses and 3 with bacteria). IgM was positive in 11 cases. A diagnostic rise in IgG antibodies between paired sera was observed in six cases. HBoV was the second most common virus next to respiratory syncytial virus (17%). The seropositivity rate to HBoV increased with age, reaching nearly 100% before school age.
Conclusions:
The present results show that HBoV is able to induce significant antibody responses and suggest that HBoV may be a fairly common cause of pneumonia in children. Seroconversion to HBoV in most children takes place in early childhood.
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