2019
DOI: 10.1097/inf.0000000000002354
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Severe Human Bocavirus 1 Respiratory Tract Infection in an Immunodeficient Child With Fatal Outcome

Abstract: We report a case of lower respiratory tract infection with human bocavirus 1 (HBoV1) in an immunodeficient 6-month-old boy leading to respiratory failure with fatal outcome. PCR of serum/tracheal secretions revealed exceptionally high HBoV1-DNA levels and immunoassays showed seroconversion indicating an acute primary HBoV1 infection. All assays for other pathogens were negative, strongly suggesting that HBoV1 was the causative agent in this case.

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Cited by 7 publications
(5 citation statements)
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“…However, although most HBoV infections mostly have a benign course, the infected children (also the mono-infected cases) could have a severe disease course at a not-marginal rate, requiring PICU admission and invasive ventilation [ 20 , 21 , 81 ]. Of note, several children with a fatal outcome have also been described as having a single infection [ 71 , 75 , 76 , 77 ]. These findings support the hypothesis that HBoV may be a causative agent of severe RTIs and pneumonia and not a simple passenger.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…However, although most HBoV infections mostly have a benign course, the infected children (also the mono-infected cases) could have a severe disease course at a not-marginal rate, requiring PICU admission and invasive ventilation [ 20 , 21 , 81 ]. Of note, several children with a fatal outcome have also been described as having a single infection [ 71 , 75 , 76 , 77 ]. These findings support the hypothesis that HBoV may be a causative agent of severe RTIs and pneumonia and not a simple passenger.…”
Section: Discussionmentioning
confidence: 99%
“…Liao et al reviewed 12 children with HBoV1-related severe respiratory infection admitted to the ICU, including a case described by himself [ 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 ]. The diagnoses were respiratory failure (five cases), ARDS (five cases), bronchiolitis, atelectasis, and status asthma, suggesting that severe HBoV infection often leads to respiratory failure and ARDS [ 72 , 77 ].…”
Section: Clinical Featuresmentioning
confidence: 99%
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“…Furthermore, diarrhea and acute otitis media are often reported in association with HBoV1 infection (1,5,6). HBoV1 has with reliable diagnostic means been shown to also cause severe and life-threatening RTIs in children, necessitating intensive care with mechanical ventilation (104)(105)(106)(107)(108)(109)(110)(111). Distinctive signs of pneumonia, with interstitial infiltrates in chest X-rays, hyperinflation, and atelectasis, as well as hypoxia and tachypnea, are seen in HBoV1-caused lower RTI (5,112).…”
Section: Diseases In Human Bocavirus Acute Infectionmentioning
confidence: 99%
“…HBoV1 infection causes acute respiratory tract infection (ARTI) in young children (Christensen et al., 2019; Qiu, Söderlund‐Venermo, & Young, 2017), with symptoms manifested as mild (similar to the common cold) or as severe pneumonia and bronchiolitis (Allander et al., 2007; Arnold, Singh, Spector, & Sawyer, 2006; Blessing, Neske, Herre, Kreth, & Weissbrich, 2009; Calvo et al., 2008; Choi et al., 2006; Del Rosal et al., 2015; do Amaral de, Amantea, Pilger, & Cantarelli, 2013; Don et al., 2011; Don et al., 2010; Fry et al., 2007; Kesebir et al., 2006; Longtin et al., 2008; Lu et al., 2006; Manning et al., 2006; Moriyama et al., 2010; Nascimento‐Carvalho et al., 2012; Neske et al., 2007; Pozo et al., 2007; Rezes et al., 2009; Ruohola et al., 2009; Schildgen, 2010; Schildgen et al., 2008; Schlaberg et al., 2017; Terrosi, Fabbiani, Cellesi, & Cusi, 2007; Ursic et al., 2012; Ursic et al., 2011; Wang et al., 2010; Xu et al., 2017). Sometimes, HBoV1 infection can be life threatening (Edner et al., 2011; Jula et al., 2013; Korner et al., 2011; Tabatabai et al., 2019; Ursic et al., 2011; Ursic, Krivec, Kalan, & Petrovec, 2015). It has been reported that mono‐detection of HBoV1 infection is significantly associated with community‐acquired pneumonia (Schlaberg et al., 2017).…”
Section: Introductionmentioning
confidence: 99%