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251467

Rapid Detection of Viral Pneumonia in Children with Primary Immunodeficiency

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

virology

Abstract

Background: In children with primary immunodeficiency (PID), the most common types of infection are respiratory tract infections, among which viral pneumonia representing the majority. Early diagnosis and treatment can prevent or diminish the respiratory complications. Multiplex polymerase chain reaction (Multiplex PCR) can permit amplification of a lot of viruses all together in a single reaction mixture. Objective: Determining different viruses causing pneumonia in children with PID by multiplex PCR. Methodology: A cross-sectional study included 33 nasopharyngeal swabs collected from children suffering from PID with clinical respiratory signs of pneumonia. For each collected sample, nucleic acid extraction and multiplex PCR were done using primers specific for influenza A, influenza B, adenovirus, respiratory syncytial virus (RSV), cytomegalovirus (CMV), parainfluenza virus 1 (PIV1), parainfluenza virus 2 (PIV2), parainfluenza virus 3 (PIV3) and human coronavirus (HCoV-NL63). Results: Viruses were detected in 11 nasopharyngeal samples (11/33, 33.33%). Viral pneumonia was mostly found in children with severe combined immune deficiency (5/11; 45.45%), followed by children with common variable immunodeficiency (3/11; 27.27%) and children with hyper Ig E syndrome, hyper Ig M syndrome and selective Ig A deficiency (1/11; 9.09%) for each. RSV and CMV were the most common detected viruses; each virus was detected in 3 cases. Influenza virus A was detected in 2 cases and adenovirus, PIV1 and PIV3 each was detected in one case. Influenza virus B, PIV2 and HCoV-NL63 were not detected in any sample. No viruses were detected in the nasopharyngeal swabs taken from children with chronic granulomatous disease. No mixed viral infection was detected in any sample. Conclusion: Severe viral pneumonia is frequent in the children with PID. Multiplex PCR has a major benefit, as it allows simultaneous amplification of several viruses in a single reaction mixture with cost-effective diagnosis.

DOI

10.51429/EJMM29317

Keywords

primary immunodeficiency, viral pneumonia, Multiplex PCR

Authors

First Name

Safaa

Last Name

EL-Ageery

MiddleName

M.

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Mansoura University, Egypt

Email

safageery@gmail.com

City

-

Orcid

-

First Name

Rabab

Last Name

Ali

MiddleName

A.

Affiliation

Medical Laboratories Technology Department, Faculty of Applied Medical Sciences, Taibah University, Saudi Arabia; Genetic Unit, Children Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

First Name

Mayada

Last Name

Zeid

MiddleName

S.

Affiliation

Infecteous Diseases and Malnutrition Unit, Children Hospital, Faculty of Medicine, Mansoura University, Egypt

Email

-

City

-

Orcid

-

Volume

29

Article Issue

3

Related Issue

35774

Issue Date

2020-07-01

Receive Date

2022-07-27

Publish Date

2020-07-01

Page Start

129

Page End

136

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_251467.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=251467

Order

251,467

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Rapid Detection of Viral Pneumonia in Children with Primary Immunodeficiency

Details

Type

Article

Created At

23 Jan 2023