Document Detail


Involvement of adenovirus in clinical mononucleosis-like syndromes in young children.
MedLine Citation:
PMID:  15891915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although Epstein-Barr virus (EBV) commonly causes infectious mononucleosis (IM) or IM-like syndromes, other agents can be implicated. In this study, viral and parasitic screening was performed to determine the etiological agent of pediatric IM-like syndromes in 38 children. Adenovirus was the agent most frequently detected (47.3%), followed by EBV (31.5%) and cytomegalovirus (2.6%). Although the statistically significant difference between viral detection rates observed in patients who fulfilled clinical and hematological criteria and detection rates in those who presented clinical symptoms only (91.6% vs. 64.3%) indicates that hematological abnormalities are common in viral IM-like syndromes, the existence of syndromes of viral etiology without hematological criteria cannot be discarded. A further analysis showed an absence of lymphocytosis in adenovirus infections as well as a low number (14.3%) of EBV infections associated with increased neutrophils. These data suggest the usefulness of appropriate virological techniques for the detection of adenovirus in pediatric IM-like syndromes.
Authors:
S Melón; S Méndez; B Iglesias; J A Boga; M Rodríguez; J L Fanjul; F J Méndez; M de Oña
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology     Volume:  24     ISSN:  0934-9723     ISO Abbreviation:  Eur. J. Clin. Microbiol. Infect. Dis.     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-06-02     Completed Date:  2005-08-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8804297     Medline TA:  Eur J Clin Microbiol Infect Dis     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  314-8     Citation Subset:  IM    
Affiliation:
Servicio de Microbiología I, Hospital Universitario Central de Asturias, Celestino Villamil s/n, 33006 Oviedo, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adenovirus Infections, Human / physiopathology*,  virology*
Child
Child, Preschool
Female
Humans
Infant
Infectious Mononucleosis / virology*
Male

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