Clinical Features of Respiratory Tract Infections Associated with Parechovirus A in Pediatric Patients - Summary - MDSpire

Clinical Features of Respiratory Tract Infections Associated with Parechovirus A in Pediatric Patients

  • By

  • Lars Høsøien Skanke

  • Inger Heimdal

  • Hilde Lysvand

  • Nina Moe

  • Sidsel Krokstad

  • Andreas Christensen

  • Kari Risnes

  • Svein Arne Nordbø

  • Henrik Døllner

  • April 20, 2026

  • 0 min

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Objective:

To study the role of parechovirus A (PeV-A) in respiratory tract infections (RTI) in children using clinical and virological data from two observational studies conducted over a specified time frame.

Key Findings:
  • 4.6% of PeV-A positive RTIs were single virus detections in hospitalized children (15/323).
  • 95.4% of PeV-A cases had co-detections with other viruses, notably RSV (28 cases) and HRV (77 cases).
  • Single PeV-A detection was associated with pharyngitis and tonsillitis in 10 out of 15 cases.
  • PeV-A presence did not impact clinical manifestations or outcomes in children with co-detected RSV and HRV.
Interpretation:

PeV-A is commonly detected in pediatric RTIs, often alongside other viruses, but its presence does not worsen disease severity in cases with RSV or HRV.

Limitations:
  • The study relied on retrospective medical record evaluations, which may introduce bias.
  • Potential confounding factors from co-detected viruses may affect the interpretation of PeV-A's role.
Conclusion:

Single PeV-A detection is linked to pharyngitis and tonsillitis, while most hospitalized cases involve co-detections without significant impact on disease severity, emphasizing the role of co-detections.

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