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WU polyomavirus infection among children in South China
Wan-Li Zhuang1, Xue-Dong Lu, Guang-Yu Lin
1Department of Pediatrics, Shantou University Medical College, Shantou, Guangdong, China.
Insights
WU polyomavirus (WUPyV) causes respiratory infections in children. This study found WUPyV in 2% of young patients with acute respiratory tract infections in Southern China, sometimes leading to severe symptoms and complications.
Area of Science:
- Pediatric Infectious Diseases
- Virology
- Respiratory Medicine
Background:
- WU polyomavirus (WUPyV) is a known human polyomavirus, but its role in pediatric respiratory infections requires further investigation.
- Understanding the prevalence and clinical spectrum of WUPyV in children is crucial for accurate diagnosis and management of respiratory illnesses.
Purpose of the Study:
- To determine the prevalence of WU polyomavirus (WUPyV) in children with acute respiratory tract infections in Southern China.
- To describe the clinical characteristics and co-infection patterns associated with WUPyV in pediatric patients.
Main Methods:
- Nasopharyngeal aspirate samples were collected from 771 children with acute respiratory tract infections and 82 healthy children.
- WU polyomavirus (WUPyV) detection was performed using polymerase chain reaction (PCR) and DNA sequencing.
- WUPyV-positive specimens were further tested for common respiratory viruses using PCR or real-time (RT)-PCR.
Main Results:
- WU polyomavirus (WUPyV) was detected in 2% (15/771) of children with acute respiratory tract infections; none were found in healthy controls.
- WUPyV-infected children (2-48 months) presented with cough, fever, and wheezing, diagnosed with pneumonia, bronchiolitis, upper respiratory tract infections, or bronchitis.
- Four patients had WUPyV co-infection with respiratory syncytial virus (RSV), and one each with adenovirus or rhinovirus. One patient developed encephalitis.
Conclusions:
- WU polyomavirus (WUPyV) is a causative agent of acute respiratory tract infections in children in Southern China.
- WUPyV infections can present with atypical symptoms and lead to severe complications, including encephalitis, in pediatric populations.
Abstract:
This study aimed at investigating the prevalence and clinical characteristics of children with respiratory infection by WU polyomavirus (WUPyV) in Southern China. Nasopharyngeal aspirate samples were collected from 771 children with acute respiratory tract infection admitted to hospital and 82 samples from healthy subjects for routine examination at the outpatient service at the Second Affiliated Hospital of Shantou University, Medical College from July 2008 to June 2009. WUPyV was detected by the polymerase chain reaction (PCR) and DNA sequencing. All WUPyV-positive specimens were characterized further for nine viruses causing common respiratory infections, including influenza A and B, respiratory syncytial virus (RSV), parainfluenza virus (PIV) 1 and 3, human metapneumovirus, human bocavirus, adenovirus, and rhinovirus by PCR or real time (RT)-PCR. Fifteen out of 771 specimens from patients with acute respiratory tract infection, but none from healthy subjects, were positive for WUPyV and the positivity rate was 2%. Patients with WUPyV infection were between 2 and 48 months of age, and nine of the patients were male while six female. Four out of 15 patients were co-infected with RSV, one with adenovirus or rhinovirus, respectively. Patients with WUPyV infection displayed predominantly cough, moderate fever, and wheezing, and were diagnosed with pneumonia (n = 8), bronchiolitis (n = 4), upper respiratory tract infections (n = 2) and bronchitis (n = 1). One patient developed encephalitis. Therefore, WUPyV infection can cause acute respiratory tract infection with atypical symptoms, including severe complications, in children.
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