Frequency, Demographic and Clinical Characteristics of Pediatric Lophomoniasis: A Cross-Sectional Study in Northern

Mahdi Mazandarani1,2, Raeen Ahani Azari3, Mohammad Hadi Tajik Jalayeri1

  • 1Clinical Research Development Unit (CRDU), Sayyad Shirazi Hospital, Golestan University of Medical Sciences, Gorgan, Iran.

Pediatric Pulmonology
|July 27, 2026
PubMed

Insights

Lophomoniasis is a common respiratory infection in children with chronic symptoms, often linked to underlying diseases. Early diagnosis via bronchoscopy with bronchoalveolar lavage (BAL) is crucial for this vulnerable group.

Area of Science:

  • Pediatric Pulmonology
  • Infectious Diseases
  • Microbiology

Background:

  • Lophomoniasis is an emerging respiratory infection with poorly defined pediatric characteristics.
  • Understanding its prevalence and features in children is essential for effective management.

Purpose of the Study:

  • To determine the prevalence of lophomoniasis in children admitted to a pediatric respiratory referral center.
  • To describe the clinical, radiological, and bronchoscopic features of pediatric lophomoniasis.

Main Methods:

  • A cross-sectional study involving 121 pediatric patients with persistent respiratory symptoms.
  • Diagnosis of lophomoniasis was confirmed using bronchoalveolar lavage (BAL) samples.

Main Results:

  • Lophomoniasis was diagnosed in 18.1% of pediatric patients.
  • Common symptoms included cough, fever, and sputum; radiographic consolidation and increased bronchial wall thickness were frequent findings.
  • Lophomoniasis showed a significant association with underlying diseases (p=0.001), anemia, and positive CRP levels.

Conclusions:

  • Lophomoniasis is a frequent diagnosis in children with chronic respiratory issues needing bronchoscopy.
  • The strong association with underlying respiratory conditions necessitates systematic screening in high-risk pediatric populations.
  • Bronchoscopy with BAL is a valuable diagnostic method for lophomoniasis, especially with suggestive clinical and radiological signs.
Abstract

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