tetano
Editor, Senior Moderator
Scand J Infect Dis. 2013 Jan 3. [Epub ahead of print]
Respiratory viral infections among children with community-acquired pneumonia and pleural effusion.
Nascimento-Carvalho CM, Oliveira JR, Cardoso MR, Ara?jo-Neto C, Barral A, Saukkoriipi A, Paldanius M, Leinonen M, Lappalainen M, S?derlund-Venermo M, Vainionp?? R, Ruuskanen O.
Source
From the Paediatrics Department, Federal University of Bahia School of Medicine , Salvador.
Abstract
Pleural effusion (PE), a complication of community-acquired pneumonia (CAP), is usually attributed to a bacterial infection. Nonetheless, viral infections have not been investigated routinely. We searched for bacterial and viral infections among 277 children hospitalized with CAP. Among these children 206 (74%) had radiographic confirmation, of whom 25 (12%) had PE. The aetiology was established in 18 (72%) PE cases: bacterial (n = 5; 28%), viral (n = 9; 50%), and viral-bacterial (n = 4; 22%) infections were found. Infection by rhinovirus (n = 3), enterovirus, Streptococcus pneumoniae (n = 2 each), Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, influenza A virus, and respiratory syncytial virus (RSV) (n = 1 each) were detected as probable sole infections. Parainfluenza virus 1/3 + influenza A virus and RSV + influenza A virus (n = 1 each) were identified as mixed viral-viral infections. Probable viral non-bacterial infection was identified in a third of the cases with CAP and PE. It is advisable to investigate viral as well as bacterial infections among children with CAP and PE.
PMID:
23286738
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23286738
Respiratory viral infections among children with community-acquired pneumonia and pleural effusion.
Nascimento-Carvalho CM, Oliveira JR, Cardoso MR, Ara?jo-Neto C, Barral A, Saukkoriipi A, Paldanius M, Leinonen M, Lappalainen M, S?derlund-Venermo M, Vainionp?? R, Ruuskanen O.
Source
From the Paediatrics Department, Federal University of Bahia School of Medicine , Salvador.
Abstract
Pleural effusion (PE), a complication of community-acquired pneumonia (CAP), is usually attributed to a bacterial infection. Nonetheless, viral infections have not been investigated routinely. We searched for bacterial and viral infections among 277 children hospitalized with CAP. Among these children 206 (74%) had radiographic confirmation, of whom 25 (12%) had PE. The aetiology was established in 18 (72%) PE cases: bacterial (n = 5; 28%), viral (n = 9; 50%), and viral-bacterial (n = 4; 22%) infections were found. Infection by rhinovirus (n = 3), enterovirus, Streptococcus pneumoniae (n = 2 each), Haemophilus influenzae, Moraxella catarrhalis, Mycoplasma pneumoniae, influenza A virus, and respiratory syncytial virus (RSV) (n = 1 each) were detected as probable sole infections. Parainfluenza virus 1/3 + influenza A virus and RSV + influenza A virus (n = 1 each) were identified as mixed viral-viral infections. Probable viral non-bacterial infection was identified in a third of the cases with CAP and PE. It is advisable to investigate viral as well as bacterial infections among children with CAP and PE.
PMID:
23286738
[PubMed - as supplied by publisher]
http://www.ncbi.nlm.nih.gov/pubmed/23286738