Identification of human bocaviruses in the cerebrospinal fluid of children hospitalized with encephalitis in China

J Clin Virol. 2013 Aug;57(4):374-7. doi: 10.1016/j.jcv.2013.04.008. Epub 2013 May 23.

Abstract

Background: Encephalitis is a major cause of death and disability in adults and children; different members in the family Parvoviridae are known to be associated with encephalitis to some extent.

Objectives: To determine the presence of human bocaviruses (HBoVs) and corresponding HBoV-specific immunoglobulins (Igs) in cerebrospinal fluid from children with suspected viral encephalitis.

Study design: Employing real-time PCR and nested touchdown PCR, 67 cerebrospinal fluid (CSF) samples from children with suspected viral encephalitis were screened for HBoV and routine encephalitis-causing viruses. Using ELISA, Western blot and IFA, HBoV-specific Ig were determined in the samples.

Results: Nine samples (134%) were HBoV1 DNA-positive, while one sample (15%) was HBoV2 DNA-positive. HBoV-specific IgM and IgG antibodies were detected in the CSF samples from three children; two samples were HBoV1 DNA-positive and one sample was negative. One death was recorded; CSF from this child was the only HBoV-IgM-positive CSF samples among the 67 CSF tested.

Conclusion: We screened CSF samples obtained from children with encephalitis for the presence of HBoV1 and HBoV2 and specific IgM- or IgG-responses. Detection of viral DNA and/or immunological response to HBoV1/HBoV2 highlights the significance of these viruses as causes of encephalitis in children. Further studies are needed to examine the role of HBoV infection in children encephalitis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • Child, Hospitalized
  • Child, Preschool
  • China
  • DNA, Viral / genetics
  • DNA, Viral / immunology
  • Encephalitis, Viral / cerebrospinal fluid*
  • Encephalitis, Viral / immunology
  • Encephalitis, Viral / virology*
  • Female
  • Human bocavirus / genetics*
  • Human bocavirus / immunology
  • Humans
  • Immunoglobulin G / immunology
  • Immunoglobulin M / immunology
  • Infant
  • Male

Substances

  • DNA, Viral
  • Immunoglobulin G
  • Immunoglobulin M