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Infection of Primary Nasal Epithelial Cells Grown at an Air-Liquid Interface to Characterize Human Coronavirus-Host Interactions
Published on: September 22, 2023
[Clinical characteristics of human bocavirus infection in 90 children]
Hua-Jie Yan1, Jun Sheng, Wei Dong
1Department of Pediatrics, Nanxiang Hospital of Jiading District of Shanghai, Shanghai 201802, China.
Insights
Human bocavirus (HBoV) is frequently detected in children with respiratory infections, particularly those with wheezing. HBoV, alongside other viruses like RSV, contributes to wheezing in pediatric respiratory illness.
Area of Science:
- Virology
- Pediatric Infectious Diseases
Context:
- Lower respiratory tract infections (LRTI) are common in children.
- Viral etiologies of pediatric LRTI are diverse, including human bocavirus (HBoV).
- Understanding the clinical spectrum of HBoV is crucial for diagnosis and management.
Purpose:
- To investigate the clinical characteristics of human bocavirus (HBoV) infection in children.
- To determine the prevalence of HBoV in pediatric lower respiratory tract infections.
- To compare HBoV with other common respiratory viruses.
Summary:
- Human bocavirus (HBoV) was detected in 10.7% of 843 children with lower respiratory tract infections.
- HBoV infection was significantly associated with wheezing (17.0% vs. 9.2%, P<0.01).
- Common symptoms included coughing, wheezing, and fever; co-infections with other viruses were frequent (50%).
Impact:
- HBoV is identified as a significant cause of wheezing in children, comparable to RSV.
- The findings highlight the importance of considering HBoV in the differential diagnosis of pediatric respiratory infections.
- Co-infections are common, emphasizing the need for comprehensive viral detection.
Objective:
To study the clinical characteristics of human bocavirus (HBoV) infection in children.
Methods:
Nasal and throat swab samples were collected in 843 children with lower respiratory tract infection. The multiple RT-PCR method was used to detect HBoV and six other common respiratory tract viruses. The clinical characteristics of HboV positive cases were investigated.
Results:
Among 843 cases, 90 were HboV positive (10.7%), 131 were respiratory syncytial virus (RSV) positive (15.5%), 117 were influenza virus positive (13.9%), 84 were parainfluenza virus positive (10.0%), 55 were rhinovirus positive (6.5%), 48 were coronavirus positive (5.7%), and 33 were human metapneumovirus positive (3.7%). Of the 90 HBoV infected patients, 45 (50%) showed a co-infection with other respiratory tract viruses. Among them, 33 were infected with one other type of virus (37%), 11 (12%) were infected with two other types of virus, and 1 case (1%) was infected with other three viruses. The HBoV positive rate in children with wheezing was significantly higher than those without wheezing (17.0% vs 9.2%; P<0.01). The common clinical manifestations of HBoV-infected patients included frequent coughing, wheezing and fever. There were no significant differences in the frequency of wheezing between HBoV and RSV infected patients.
Conclusions:
HBoV positive rate detected from children with wheezing is higher than from children without wheezing, suggesting that apart from RSV, HBoV is another virus causing wheezing in children with respiratory tract infection. Co-infections of HBoV with other respiratory track viruses can be present in some patients.
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