4.3 Article

Clinical characterization of human bocavirus 1 infection in infants hospitalized in an intensive care unit for severe acute respiratory tract disease

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.diagmicrobio.2023.116050

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Human bocavirus 1; Respiratory syncytial virus; Pediatric Acute Respiratory Distress Syndrome; Severe acute respiratory infection; Differential diagnosis

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Acute respiratory infections, mainly caused by viruses, are the leading cause of morbimortality in children. This study focused on the clinical characteristics and evolution of infants with severe acute respiratory infections caused by Human Bocavirus 1 (HBoV1) mono-infection. The study compared these cases with respiratory syncytial virus (RSV) cases.
Acute respiratory infections represent the leading cause of morbimortality in children and viruses are the main etiological agents. Here we describe the clinical characteristics and evolution of infants admitted to intensive care unit with severe acute respiratory infection (SARI) due to Human Bocavirus 1 mono-infection in patients without previous comorbidity. We also compared them with respiratory syncytial virus (RSV) cases. Of 141 cases included (age 5.43 4.54 months, 52% male), 80% had at least 1 virus detected. RSV was the most frequent in the series (71.6%) followed by HBoV1 (28%). Five cases of HBoV1 mono-detection were identified. Pediatric acute respiratory distress syndrome was present in both groups, HBoV1 and RSV. The clinical presentation and evolution of HBoV1 single infection was similar to RSV. HBoV1 should be included among the agents investigated in cases of SARI in infants. & COPY; 2023 Elsevier Inc. All rights reserved.

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