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May 15, 2001Clinical Infectious Diseases

Lower Respiratory Tract Infections due to Adenovirus in Hospitalized Korean Children: Epidemiology, Clinical Features, and Prognosis

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Authors

JHJimin HongHLHyo‐Jeong LeePPPedro A. Piedra

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Overview

Retrospective study observes high mortality and lung damage from adenovirus serotypes 3 and 7 in young children, highlighting the severe risk of epidemic viral strains.

Key Points

  • To evaluate the epidemiology, clinical presentation, radiographic findings, and outcomes of lower respiratory tract infections caused by different adenovirus serotypes in hospitalized children.
  • Reviewed all medical records and viral cultures of children hospitalized with lower respiratory tract infections (LRTIs) at Seoul National University Children's Hospital between 1990 and 1998 (N=1,472).
  • Isolated adenovirus from nasal aspirate specimens, determined viral serotypes, and evaluated clinical course, radiographic features, and mortality.
  • Adenovirus was recovered from 87 of 1,472 children (5.9%) with LRTI, occurring predominantly in children younger than 2 years (71%) and younger than 5 years (94%).
  • Serotype 7 was the most frequent (41% [36/87]), followed by serotype 2 (15% [13/87]) and serotype 3 (15% [13/87]); serotypes 3 and 7 occurred in epidemics and featured frequent extrapulmonary abnormalities, homogeneous consolidation, and pleural effusion.
  • Overall mortality was 12%, reaching 19% among children infected with serotype 7; residual sequelae occurred in 50% (6/12) of patients with serotype 3 and in 25% (9/36) of patients with serotype 7.

Cite This Study

Hong et al. (2001) studied this question.

synapsesocial.com/papers/6a8a6f8d788d49930fcbfe83https://doi.org/10.1086/320146
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