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About:
Bordetella pertussis in infants hospitalized for acute respiratory symptoms remains a concern
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Bordetella pertussis in infants hospitalized for acute respiratory symptoms remains a concern
Creator
Bonci, Enea
Carannante, Anna
Ferrara, Marianna
Midulla, Fabio
Moretti, Corrado
Nenna, Raffaella
Nicolai, Ambra
Papasso, Stefano
Papoff, Paola
Pierangeli, Alessandra
Scagnolari, Carolina
Schiavariello, Concetta
Stefanelli, Paola
Source
Medline; PMC
abstract
BACKGROUND: Preliminary results suggest that pertussis infection might be considered in infants during a seasonal respiratory syncytial virus (RSV) outbreak. METHODS: In order to analyze clinical features and laboratory findings in infants with pertussis hospitalized for acute respiratory symptoms during a seasonal RSV outbreak, we conducted a retrospective single-center study on 19 infants with pertussis (6 boys; median age 72 days) and 19 matched controls (RSV-bronchiolitis), hospitalized from October 2008 to April 2010. B. pertussis and RSV were detected from nasopharyngeal washes with Real Time-PCR. RESULTS: Infants with pertussis were less often breastfeed than infants with RSV bronchiolitis (63.2% vs 89.5%; p <0.06). Clinically, significantly fewer infants with pertussis than controls had more episodes of whooping cough (63.2% vs 0.0%; p < 0.001) and also less frequently fever at admission (15.8% vs 68.4%; p <0.01), apnea (52.6% vs 10.5%; p <0.006), and cyanosis (52.6% vs 10.5%; p < 0.006). Infants with pertussis had more often no abnormal chest sounds on auscultation than infants with RSV bronchiolitis (0% vs 42,1%; p < 0.005). The absolute blood lymphocyte and eosinophil counts were higher in infants with B. pertussis than in controls with bronchiolitis (23886 ± 16945 vs 10725 ± 4126 cells/mm(3), p < 0.0001 and 13.653 ± 10.430 vs 4.730 ± 2.400 cells/mm(3), p < 0.001). The molecular analysis of 2 B. pertussis isolates for ptxA1, ptxP3, and prn2 genes showed the presence of gene variants. CONCLUSIONS: When infants are hospitalized for acute respiratory symptoms, physicians should suspect a pertussis infection, seek for specific clinical symptoms, investigate lymphocyte and eosinophil counts and thus diagnose infection early enough to allow treatment.
has issue date
2013-11-08
(
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)
bibo:doi
10.1186/1471-2334-13-526
bibo:pmid
24209790
has license
cc-by
sha1sum (hex)
6086be90c6e06e3fcbef307a61c0563e029ee24d
schema:url
https://doi.org/10.1186/1471-2334-13-526
resource representing a document's title
Bordetella pertussis in infants hospitalized for acute respiratory symptoms remains a concern
has PubMed Central identifier
PMC4226035
has PubMed identifier
24209790
schema:publication
BMC Infect Dis
resource representing a document's body
covid:6086be90c6e06e3fcbef307a61c0563e029ee24d#body_text
is
schema:about
of
named entity 'CONCERN'
named entity 'ACUTE'
named entity 'BORDETELLA PERTUSSIS'
covid:arg/6086be90c6e06e3fcbef307a61c0563e029ee24d
named entity 'SEASONAL'
named entity 'PERTUSSIS'
named entity 'INFANTS'
named entity 'RESPIRATORY SYNCYTIAL VIRUS'
named entity 'CONSIDERED'
named entity 'BACKGROUND'
named entity 'HOSPITALIZED'
named entity 'INFANTS'
named entity 'RESPIRATORY SYMPTOMS'
named entity 'OUTBREAK'
named entity 'SUGGEST'
named entity 'INFECTION'
named entity 'MIGHT BE'
named entity 'PRELIMINARY RESULTS'
named entity 'infection'
named entity 'symptoms'
named entity 'Preliminary results'
named entity 'RSV'
named entity 'cyanosis'
named entity 'RSV'
named entity 'tetanus'
named entity 'protein'
named entity 'pertussis'
named entity 'fever'
named entity 'pertussis'
named entity 'MgSO'
named entity 'DTaP'
named entity 'co-morbidity'
named entity 'bronchiolitis'
named entity '3, 4'
named entity 'pertussis'
named entity 'whooping cough'
named entity 'RT-PCR'
named entity 'Belgium'
named entity 'vaccine'
named entity 'lymphocyte'
named entity 'Pediatric'
named entity 'respiratory symptoms'
named entity 'pertactin'
named entity 'pertussis toxin'
named entity 'respiratory syncytial virus'
named entity 'Tdap'
named entity 'B. Pertussis'
named entity 'Germany'
named entity 'antibiotic therapy'
named entity 'nucleotide sequences'
named entity 'molecular sequence data'
named entity 'bronchiolitis'
named entity 'eosinophil'
named entity 'bronchiolitis'
named entity 'Germany'
named entity 'macrolides'
named entity 'B. pertussis'
named entity 'B. pertussis'
named entity 'allele'
named entity 'arterial oxygen saturation'
named entity 'pertussis'
named entity 'B. pertussis'
named entity 'booster doses'
named entity 'B. pertussis'
named entity 'platelet'
named entity 'unimmunized'
named entity 'Fisher test'
named entity 'B. pertussis'
named entity 'RSV'
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