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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
Hospitalized pediatric parainfluenza virus infections in a medical center
Yu-Jun Hsieh1, Hsin Chin, Nan-Chang Chiu
1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
Insights
Parainfluenza virus (PIV) infections in children present similarly across serotypes, making diagnosis challenging. However, distinct seasonal patterns for PIV serotypes 1, 2, and 3 can aid in identification.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Respiratory Medicine
Background:
- Parainfluenza viruses (PIVs) are frequent causes of pediatric respiratory tract infections.
- Hospitalized children often experience PIV-related illnesses, necessitating a better understanding of their clinical manifestations.
Purpose of the Study:
- To investigate the clinical presentation of PIV infections in hospitalized children.
- To identify clinical indicators that differentiate between PIV serotypes.
Main Methods:
- Retrospective analysis of 206 children hospitalized with PIV infections (January 2005-December 2007).
- Comparison of symptoms, signs, laboratory findings, and seasonal variations among PIV serotypes 1, 2, and 3.
Main Results:
- Fever, cough, rhinorrhea, and hoarseness were common symptoms.
- No significant differences in white blood cell counts or C-reactive protein levels were observed between serotypes.
- PIV serotype 1 showed year-round prevalence, serotype 2 peaked in late summer/autumn, and serotype 3 was more prevalent in spring/early summer.
Conclusions:
- Clinical presentations of PIV infections (upper respiratory tract infection to bronchopneumonia) are similar across serotypes in hospitalized children.
- Distinct seasonal distributions of PIV serotypes offer a potential diagnostic clue.
Background/Purpose:
Parainfluenza viruses (PIVs) are common pathogens in respiratory tract infections. The aims of this study were to determine the clinical presentation of PIV infections in hospitalized children and to identify particular clinical indications that may effectively distinguish between different PIV serotypes.
Methods:
A retrospective review of data from children hospitalized with PIV infections at the Mackay Memory Hospital in Taipei between January 2005 and December 2007 was undertaken. Symptoms, signs, laboratory findings and seasonal variations between different types of PIV (serotypes 1, 2 and 3) were compared.
Results:
A total of 206 patients [119 (57.8%) boys and 87 (42.2%) girls] were enrolled in the study. Seventy-four (35.9%) patients were infected with PIV serotype 1, 25 (12.1%) with serotype 2 and 107 (51.9%) with serotype 3. The most common clinical presentations were fever (81.1%), cough (66.0%), rhinorrhea (44.2%) and hoarseness (22.3%); 4.9% of the infected children also had skin rashes. No significant differences were found in average white blood cell counts and C-reactive protein levels between the three serotypes. PIV serotype 1 infections were discernible throughout the year; serotype 2 tended to cluster in the late summer and autumn of 2005 and 2007; and serotype 3 was more common in the spring and early summer.
Conclusion:
The clinical presentation of PIV infection in hospitalized children ranges from upper respiratory tract infection to croup, bronchiolitis and viral bronchopneumonia, with the different types of PIV infections giving rise to similar symptoms. The seasonal distribution of the different serotypes is, nevertheless, quite distinct.
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