High human bocavirus viral load is associated with disease severity in children under five years of age.

Human bocavirus (HBoV) is a parvovirus and detected worldwide in lower respiratory tract infections (LRTIs), but its pathogenic role in respiratory illness is still debatable due to high incidence of co-infection with other respiratory viruses. To determine the prevalence of HBoV infection in patien...

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Autores principales: Baihui Zhao, Xuelian Yu, Chuanxian Wang, Zheng Teng, Chun Wang, Jiaren Shen, Ye Gao, Zhaokui Zhu, Jiayu Wang, Zhengan Yuan, Fan Wu, Xi Zhang, Reena Ghildyal
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Publicado: Public Library of Science (PLoS) 2013
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spelling oai:doaj.org-article:822180592a1241cbb5a0ebb1432854de2021-11-18T07:47:31ZHigh human bocavirus viral load is associated with disease severity in children under five years of age.1932-620310.1371/journal.pone.0062318https://doaj.org/article/822180592a1241cbb5a0ebb1432854de2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23638038/?tool=EBIhttps://doaj.org/toc/1932-6203Human bocavirus (HBoV) is a parvovirus and detected worldwide in lower respiratory tract infections (LRTIs), but its pathogenic role in respiratory illness is still debatable due to high incidence of co-infection with other respiratory viruses. To determine the prevalence of HBoV infection in patients with LRTI in Shanghai and its correlation with disease severity, we performed a 3-year prospective study of HBoV in healthy controls, outpatients and inpatients under five years of age with X-ray diagnosed LRTIs. Nasopharyngeal aspirates were tested by PCR for common respiratory viruses and by real time PCR for HBoV subtypes 1-4. Nasopharyngeal swabs from healthy controls and serum samples and stools from inpatients were also tested for HBoV1-4 by real time PCR. Viral loads were determined by quantitative real time PCR in all HBoV positive samples. HBoV1 was detected in 7.0% of inpatients, with annual rates of 5.1%, 8.0% and 4.8% in 2010, 2011 and 2012, respectively. Respiratory syncytial virus (RSV) subtype A was the most frequent co-infection detected; HBoV1 and RSVA appeared to co-circulate with similar seasonal variations. High HBoV viral loads (>10(6) copies/ml) were significantly more frequent in inpatients and outpatients than in healthy controls. There was a direct correlation of high viral load with increasing disease severity in patients co-infected with HBoV1 and at least one other respiratory virus. In summary, our data suggest that HBoV1 can cause LRTIs, but symptomatic HBoV infection is only observed in the context of high viral load.Baihui ZhaoXuelian YuChuanxian WangZheng TengChun WangJiaren ShenYe GaoZhaokui ZhuJiayu WangZhengan YuanFan WuXi ZhangReena GhildyalPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 4, p e62318 (2013)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Baihui Zhao
Xuelian Yu
Chuanxian Wang
Zheng Teng
Chun Wang
Jiaren Shen
Ye Gao
Zhaokui Zhu
Jiayu Wang
Zhengan Yuan
Fan Wu
Xi Zhang
Reena Ghildyal
High human bocavirus viral load is associated with disease severity in children under five years of age.
description Human bocavirus (HBoV) is a parvovirus and detected worldwide in lower respiratory tract infections (LRTIs), but its pathogenic role in respiratory illness is still debatable due to high incidence of co-infection with other respiratory viruses. To determine the prevalence of HBoV infection in patients with LRTI in Shanghai and its correlation with disease severity, we performed a 3-year prospective study of HBoV in healthy controls, outpatients and inpatients under five years of age with X-ray diagnosed LRTIs. Nasopharyngeal aspirates were tested by PCR for common respiratory viruses and by real time PCR for HBoV subtypes 1-4. Nasopharyngeal swabs from healthy controls and serum samples and stools from inpatients were also tested for HBoV1-4 by real time PCR. Viral loads were determined by quantitative real time PCR in all HBoV positive samples. HBoV1 was detected in 7.0% of inpatients, with annual rates of 5.1%, 8.0% and 4.8% in 2010, 2011 and 2012, respectively. Respiratory syncytial virus (RSV) subtype A was the most frequent co-infection detected; HBoV1 and RSVA appeared to co-circulate with similar seasonal variations. High HBoV viral loads (>10(6) copies/ml) were significantly more frequent in inpatients and outpatients than in healthy controls. There was a direct correlation of high viral load with increasing disease severity in patients co-infected with HBoV1 and at least one other respiratory virus. In summary, our data suggest that HBoV1 can cause LRTIs, but symptomatic HBoV infection is only observed in the context of high viral load.
format article
author Baihui Zhao
Xuelian Yu
Chuanxian Wang
Zheng Teng
Chun Wang
Jiaren Shen
Ye Gao
Zhaokui Zhu
Jiayu Wang
Zhengan Yuan
Fan Wu
Xi Zhang
Reena Ghildyal
author_facet Baihui Zhao
Xuelian Yu
Chuanxian Wang
Zheng Teng
Chun Wang
Jiaren Shen
Ye Gao
Zhaokui Zhu
Jiayu Wang
Zhengan Yuan
Fan Wu
Xi Zhang
Reena Ghildyal
author_sort Baihui Zhao
title High human bocavirus viral load is associated with disease severity in children under five years of age.
title_short High human bocavirus viral load is associated with disease severity in children under five years of age.
title_full High human bocavirus viral load is associated with disease severity in children under five years of age.
title_fullStr High human bocavirus viral load is associated with disease severity in children under five years of age.
title_full_unstemmed High human bocavirus viral load is associated with disease severity in children under five years of age.
title_sort high human bocavirus viral load is associated with disease severity in children under five years of age.
publisher Public Library of Science (PLoS)
publishDate 2013
url https://doaj.org/article/822180592a1241cbb5a0ebb1432854de
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