Document Detail


Multiplex MassTag-PCR for respiratory pathogens in pediatric nasopharyngeal washes negative by conventional diagnostic testing shows a high prevalence of viruses belonging to a newly recognized rhinovirus clade.
MedLine Citation:
PMID:  18674964     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Respiratory infections are the most common infectious diseases in humans worldwide and are a leading cause of death in children less than 5 years of age. OBJECTIVES: Identify candidate pathogens in pediatric patients with unexplained respiratory disease. STUDY DESIGN: Forty-four nasopharyngeal washes collected during the 2004-2005 winter season from pediatric patients with respiratory illnesses that tested negative for 7 common respiratory pathogens by culture and direct immunofluorescence assays were analyzed by MassTag-PCR. To distinguish human enteroviruses (HEV) and rhinoviruses (HRV), samples positive for picornaviruses were further characterized by sequence analysis. RESULTS: Candidate pathogens were detected by MassTag PCR in 27 of the 44 (61%) specimens that previously were rated negative. Sixteen of these 27 specimens (59%) contained picornaviruses; of these 9 (57%) contained RNA of a recently discovered clade of rhinoviruses. Bocaviruses were detected in three patients by RT-PCR. CONCLUSIONS: Our study confirms that multiplex MassTag-PCR enhances the detection of pathogens in clinical specimens, and shows that previously unrecognized rhinoviruses, that potentially form a species HRV-C, may cause a significant amount of pediatric respiratory disease.
Authors:
Samuel R Dominguez; Thomas Briese; Gustavo Palacios; Jeffrey Hui; Joseph Villari; Vishal Kapoor; Rafal Tokarz; Mary P Glodé; Marsha S Anderson; Christine C Robinson; Kathryn V Holmes; W Ian Lipkin
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology     Volume:  43     ISSN:  1386-6532     ISO Abbreviation:  J. Clin. Virol.     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-10     Completed Date:  2008-12-01     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9815671     Medline TA:  J Clin Virol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  219-22     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, The Children's Hospital, University of Colorado Denver School of Medicine, Aurora, CO, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Child, Preschool
Enterovirus / isolation & purification
Enterovirus Infections / epidemiology,  virology
Female
Humans
Infant
Male
Nasopharynx / virology*
Picornaviridae Infections / epidemiology,  virology*
Polymerase Chain Reaction / methods
Prevalence
Respiratory Tract Infections* / epidemiology,  virology
Rhinovirus* / classification,  isolation & purification
Virus Diseases* / epidemiology,  virology
Grant Support
ID/Acronym/Agency:
P01 AI059576-01/AI/NIAID NIH HHS; P01 AI059576-010001/AI/NIAID NIH HHS; P01 AI059576-02/AI/NIAID NIH HHS; P01 AI059576-020001/AI/NIAID NIH HHS; P01 AI059576-03/AI/NIAID NIH HHS; P01 AI059576-030001/AI/NIAID NIH HHS; P01 AI059576-04/AI/NIAID NIH HHS; P01 AI059576-040001/AI/NIAID NIH HHS; P01 AI059576-05/AI/NIAID NIH HHS; P01 AI059576-050001/AI/NIAID NIH HHS; P01-AI-059576/AI/NIAID NIH HHS; U01 AI070411-01/AI/NIAID NIH HHS; U01 AI070411-02/AI/NIAID NIH HHS; U01 AI070411-03/AI/NIAID NIH HHS; U01AI070411/AI/NIAID NIH HHS; U54 AI057158-01/AI/NIAID NIH HHS; U54 AI057158-02/AI/NIAID NIH HHS; U54 AI057158-03/AI/NIAID NIH HHS; U54 AI057158-04/AI/NIAID NIH HHS; U54 AI057158-05/AI/NIAID NIH HHS; U54 AI057158-05S1/AI/NIAID NIH HHS; U54AI57158/AI/NIAID NIH HHS
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