PMID- 23408504 OWN - NLM STAT- MEDLINE DCOM- 20130904 LR - 20211021 IS - 1096-9071 (Electronic) IS - 0146-6615 (Print) IS - 0146-6615 (Linking) VI - 85 IP - 5 DP - 2013 May TI - Frequent detection of cytomegalovirus (CMV) DNA in the lower respiratory tract in CMV-seropositive pediatric patients with underlying chronic bronchopulmonary diseases lacking canonical immunosuppression. PG - 888-92 LID - 10.1002/jmv.23499 [doi] AB - Cytomegalovirus (CMV) may be a relevant cause of morbidity in patients displaying various inflammatory diseases. In this study, it was investigated whether CMV DNA is detected in the lower respiratory tract and the systemic compartment in pediatric patients with chronic or recurrent bronchopulmonary diseases. A total of 42 lower respiratory tract specimens and 11 paired plasma samples from 42 patients were analyzed for the presence of CMV DNA by real-time PCR. The respiratory specimens were also screened for the presence of respiratory viruses and human herpesvirus 6 (HHV-6) and 7 (HHV-7) by PCR methods. Quantitative bacterial and fungal cultures were performed. IL-6 levels in the respiratory specimens were quantified using ELISA. CMV DNA was detected either in the lower respiratory airways, in plasma, or both in 54.5% of CMV-seropositive patients. The levels of IL-6 were significantly higher in these patients than in those with no detectable levels of CMV DNA. HHV-6 and HHV-7 DNA were detected in three and one patients, respectively. Respiratory viruses were detected in 13 of the 42 patients. Significant growth of one or more bacterial species was observed in 17 patients. No significant association was found between the presence of CMV DNA and the detection of other microorganisms. The data indicated that the presence of CMV DNA in the lower respiratory tract is a frequent finding in children with chronic or recurrent bronchopulmonary diseases. Further, prospective observational studies are needed to assess the impact of this phenomenon, if any, on the clinical course of these patients. CI - Copyright (c) 2013 Wiley Periodicals, Inc. FAU - Escribano, Amparo AU - Escribano A AD - Pediatric Service, Hospital Clinico Universitario, Valencia, Spain. FAU - Chilet, Marifina AU - Chilet M FAU - Clari, Maria Angeles AU - Clari MA FAU - Lucas, Raquel AU - Lucas R FAU - Costa, Elisa AU - Costa E FAU - Bravo, Dayana AU - Bravo D FAU - Munoz-Cobo, Beatriz AU - Munoz-Cobo B FAU - Borras, Rafael AU - Borras R FAU - Navarro, David AU - Navarro D LA - eng PT - Journal Article DEP - 20130213 PL - United States TA - J Med Virol JT - Journal of medical virology JID - 7705876 RN - 0 (Antibodies, Viral) RN - 0 (DNA, Viral) RN - 0 (Interleukin-6) SB - IM MH - Adolescent MH - Antibodies, Viral/*blood MH - Child MH - Child, Preschool MH - Chronic Disease MH - Cytomegalovirus/*isolation & purification MH - DNA, Viral/*blood/*isolation & purification MH - Female MH - Humans MH - Infant MH - Interleukin-6/blood MH - Lung Diseases/*epidemiology/virology MH - Male MH - Plasma/*virology MH - Real-Time Polymerase Chain Reaction MH - Recurrence MH - Respiratory System/*virology PMC - PMC7166780 EDAT- 2013/02/15 06:00 MHDA- 2013/09/05 06:00 PMCR- 2013/02/13 CRDT- 2013/02/15 06:00 PHST- 2012/11/19 00:00 [accepted] PHST- 2013/02/15 06:00 [entrez] PHST- 2013/02/15 06:00 [pubmed] PHST- 2013/09/05 06:00 [medline] PHST- 2013/02/13 00:00 [pmc-release] AID - JMV23499 [pii] AID - 10.1002/jmv.23499 [doi] PST - ppublish SO - J Med Virol. 2013 May;85(5):888-92. doi: 10.1002/jmv.23499. Epub 2013 Feb 13.