Department of Pediatrics, Naval Medical Center, San Diego, California 92134, USA.
Pediatr Res. 2009 May;65(5 Pt 2):78R-83R. doi: 10.1203/PDR.0b013e31819db90c.
Several new viruses have recently been described in children, including human metapneumovirus (hMPV) and human bocavirus (HBoV). hMPV has been established as a common cause of upper and lower respiratory tract infections in children, often second only to respiratory syncytial virus as a cause of bronchiolitis in infants. Diagnostic tools have been developed for the clinician and effective treatment and prevention strategies are being investigated. HBoV was more recently identified. Although it was initially identified in the airway of children, high rates of codetection of other viral pathogens and detection of the virus in the stool have raised questions about the true role of HBoV as a cause of respiratory infections. A focus on epidemiology, pathogenesis, clinical features, and diagnostic techniques for hMPV and HBoV is presented.
最近在儿童中描述了几种新病毒,包括人类偏肺病毒(hMPV)和人类博卡病毒(HBoV)。hMPV 已被确定为儿童上呼吸道和下呼吸道感染的常见原因,通常仅次于呼吸道合胞病毒,是婴儿毛细支气管炎的病因。已经为临床医生开发了诊断工具,正在研究有效的治疗和预防策略。HBoV 是最近才被发现的。尽管它最初是在儿童的气道中被发现的,但其他病毒病原体的高检出率和病毒在粪便中的检出率使人们对 HBoV 作为呼吸道感染病因的真正作用产生了疑问。本文重点介绍了 hMPV 和 HBoV 的流行病学、发病机制、临床特征和诊断技术。