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Published on: January 21, 2018
Rhinovirus C Is Associated With Severe Wheezing and Febrile Respiratory Illness in Young Children
Riku Erkkola1, Riitta Turunen2, Kati Räisänen3
1From the Department of Paediatrics and Adolescent Medicine, Turku University Hospital and University of Turku, Turku, Finland.
Insights
Rhinovirus C is the most common cause of severe respiratory illness in children, including wheezing and fever. Atopic eczema history also correlates with increased wheezing severity in these infections.
Area of Science:
- Pediatric infectious diseases
- Virology
- Respiratory medicine
Background:
- Rhinoviruses are the leading cause of respiratory tract infections in children.
- Rhinoviruses are categorized into three species: A, B, and C.
- Understanding the specific impact of each rhinovirus species on illness severity is crucial.
Purpose of the Study:
- To investigate the associations between different rhinovirus species and the severity of respiratory illnesses in young children.
- To determine if specific rhinovirus species are linked to more severe clinical outcomes.
Main Methods:
- A retrospective observational cohort study was conducted.
- Data included 134 children aged 3-23 months with confirmed rhinovirus infections.
- Children were participants in concurrent prospective studies on bronchiolitis and acute otitis media.
Main Results:
- Rhinovirus C was the most prevalent species identified in the study cohort.
- Rhinovirus C infection was significantly associated with severe wheezing and febrile illness.
- A history of atopic eczema was also found to be associated with wheezing.
Conclusions:
- The findings reinforce the understanding of Rhinovirus C as a highly pathogenic rhinovirus species.
- The study supports existing research linking atopic characteristics to increased severity of Rhinovirus C-induced respiratory illness.
Background:
Rhinovirus is the most common virus causing respiratory tract illnesses in children. Rhinoviruses are classified into species A, B and C. We examined the associations between different rhinovirus species and respiratory illness severity.
Methods:
This is a retrospective observational cohort study on confirmed rhinovirus infections in 134 children 3-23 months of age, who were enrolled in 2 prospective studies on bronchiolitis and acute otitis media, respectively, conducted simultaneously in Turku University Hospital, Turku, Finland, between September 2007 and December 2008.
Results:
Rhinovirus C is the most prevalent species in our study, and it was associated with severe wheezing and febrile illness. We also noted that history of atopic eczema was associated with wheezing.
Conclusions:
Our understanding of rhinovirus C as the most pathogenic rhinovirus species was fortified. Existing research supports the idea that atopic characteristics are associated with the severity of the rhinovirus C-induced illness.
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