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https://www.arca.fiocruz.br/handle/icict/20848
RESPIRATORY VIRAL INFECTIONS AMONG CHILDREN WITH COMMUNITY-ACQUIRED PNEUMONIA AND PLEURAL EFFUSION
Infecçções respiratórias
Derrame pleural
Vírus respiratório
Infecção viral
Lower respiratory tract infection
Peural fluid
Rspiratory viruses
Vial infection
Author
Affilliation
Federal University of Bahia. School of Medicine. Paediatrics Department. Salvador, BA, Brasil
Federal University of Bahia. Professor Hosannah de Oliveira Paediatric Centre. Salvador, BA, Brasil
São Paulo University. Faculty of Public Health. Epidemiology Department. São Paulo, SP, Brasil
Federal University of Bahia. School of Medicine. Image Diagnosis Department. Salvador, BA, Brasil
Federal University of Bahia. School of Medicine. Pathology Department. Salvador, BA, Brazil
National Institute for Health and Welfare. Bacterial Laboratory. Oulu
National Institute for Health and Welfare. Bacterial Laboratory. Oulu / Oulu University Hospital. Clinical Microbiology Laboratory. Oulu
National Institute for Health and Welfare. Bacterial Laboratory. Oulu
University Central Hospital. Virology Laboratory. Laboratory Division. Helsinki, Helsinki
University of Helsinki. Haartman Institute. Helsinki, Helsinki
University of Turku. Virology Department. Turku, Finland
University of Turku. Paediatrics Department. Turku, Finland
Federal University of Bahia. Professor Hosannah de Oliveira Paediatric Centre. Salvador, BA, Brasil
São Paulo University. Faculty of Public Health. Epidemiology Department. São Paulo, SP, Brasil
Federal University of Bahia. School of Medicine. Image Diagnosis Department. Salvador, BA, Brasil
Federal University of Bahia. School of Medicine. Pathology Department. Salvador, BA, Brazil
National Institute for Health and Welfare. Bacterial Laboratory. Oulu
National Institute for Health and Welfare. Bacterial Laboratory. Oulu / Oulu University Hospital. Clinical Microbiology Laboratory. Oulu
National Institute for Health and Welfare. Bacterial Laboratory. Oulu
University Central Hospital. Virology Laboratory. Laboratory Division. Helsinki, Helsinki
University of Helsinki. Haartman Institute. Helsinki, Helsinki
University of Turku. Virology Department. Turku, Finland
University of Turku. Paediatrics Department. Turku, Finland
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.
Keywords in Portuguese
Infecções das vias respiratóriasInfecçções respiratórias
Derrame pleural
Vírus respiratório
Infecção viral
Keywords
Acute respiratory infectionLower respiratory tract infection
Peural fluid
Rspiratory viruses
Vial infection
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