Bordetella and Bronchiolitis: A Chance Association or More Than That?
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Acute bronchiolitis is one of the most common causes of acute lower respiratory tract infection in young children with considerable morbidity and rarely, mortality. It is predominantly caused by viruses, most common being respiratory syncytial virus (RSV). Recently, Bordetella pertussis (B. pertussis) had been found in infants with bronchiolitis either in combination with virus/es or in isolation. The effect and implications of this association of B. pertussis and bronchiolitis is not clearly understood. Treatment option will be different if a child with bronchiolitis had B. pertussis infection.
A single centre study by Gökçe et al. from Turkey in this issue reported B. pertussis in 44 (25.6%) patients out of 172 young infants (< 6 mo of age) hospitalized with acute bronchiolitis . Out of 44 cases, 27 (61.4%) had co-infection with other viruses while 17 (38.6%) had B. pertussisas a sole pathogen. Among viruses, Respiratory syncytial virus (RSV) was most common, detected in 88...
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- 1.Gökçe S, Kurugöl Z, Aydemir SŞ, Çiçek C, Aslan A, Koturoğlu G. Bordetella pertussis infection in hospitalized infants with acute bronchiolitis. Indian J Pediatr. 2017; https://doi.org/10.1007/s12098-017-2480-4.