Log in

Bocaparvovirus in infants hospitalized in a neonatal intensive care unit in Midwest Brazil during the COVID-19 pandemic (2021–2022)

  • Clinical Microbiology - Research Paper
  • Published:
Brazilian Journal of Microbiology Aims and scope Submit manuscript

Abstract

Human bocaparvoviruses (HBoVs) belong to the Parvoviridae family, being currently classified into four species (HBoV1–4). These viruses have been found in association with respiratory and gastroenteric symptoms, as well as in asymptomatic individuals. This study aimed to investigate the occurrence of HBoVs in infants under 5 months old admitted to a Neonatal Intensive Care Unit (NICU) during the COVID-19 pandemic (between March 2021 and March 2022). Clinical samples (nasopharyngeal swab, serum, stool, and urine) were screened by qPCR TaqMan. The HBoV was detected in samples of 31.6% (12/38) of participants. The most frequent alteration among the HBoV-positive neonates was the chest X-ray with interstitial infiltrate, followed by tachycardia and vomiting. Viral DNA was detected in more than one type of clinical sample in three of the participants in association with respiratory symptoms. Two participants had positive stool samples with or without enteric symptoms. HBoV intermittent and continuous positivity patterns were observed. The present study stands out for the prospective evaluation of positivity for HBoV in different types of clinical samples from a population of hospitalized infants. Our data supports circulation of HBoV in nosocomial environment during the COVID-19 pandemic.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Data availability

All data supporting the findings of this study are available within the manuscript and its Supplementary Information.

References

  1. Berns K, Parrish CR (2007) Parvoviridae. In: Knipe DM, Howley PM (eds) Fields virology, vol 6. Lippincott Williams & Wilkings, Philadelphia, pp 1768–1791, 2013

  2. International Committee on Taxonomy of Viruses (ICTV). Virus taxonomy: 2021 release. Disponível em: https://ta1k.ictvon1ine.org/taxonomy/. Acessoem: 18/01/2023.

  3. Bastien N, Brandt K, Dust K, Ward D, Li Y (2006) Human bocavirus infection, Canada. Emerg Infect Dis 12(5):848–850. https://doi.org/10.3201/eid1205.05142411

    Article  PubMed  PubMed Central  Google Scholar 

  4. Berry M, Gamieldien J, Fielding BC (2015) Identification of new respiratory viruses in the new millennium. Viruses 7(3):996–1019. https://doi.org/10.3390/v7030996

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Petry KR, Razera A, Santos JR, Carraro E (2022) Investigação de Bocavírus humano associado à infecção respiratória aguda em pacientes atendidos em unidade de saúde do Município de Guarapuava — PR. Braz J Dev 8(3):19379–19392. https://doi.org/10.34117/bjdv8n3-263

    Article  Google Scholar 

  6. Flores JC, Vizcaya CA, Araos RB, Montecinos LP, Godoy PM, Valiente-Echeverría F, Perret CP, Valenzuela PC, Hirsch TB, Ferrés MG Bocavirus humano en Chile: características clínicas y epidemiológicas en niños con infecciones respiratorias. Rev Chil Infect 28(6):504–511. https://doi.org/10.4067/S0716-1018201l000700001

  7. Zhou L, Zheng S, **ao Q, Ren L, **e X, Luo J, Wang L, Huang A, Liu W, Liu E (2014) Single detection of human bocavirus 1 with a high viral load in severe respiratory tract infections in previously healthy children. BMC Infectious Dis 14:424. https://doi.org/10.1186/1471-2334-14-424

    Article  Google Scholar 

  8. Madi NM, Al-Adwani A (2020) Human Bocavirus (HBoV) in Kuwait: molecular epidemiology and clinical outcome of the virus among patients with respiratory diseases. JMed Microbiol 69(7):1005–1012. https://doi.org/10.1099/jmm.0.001219

    Article  CAS  Google Scholar 

  9. Costa BCL, Dábilla NAS, Almeida TNA, Fiaccadori FS, Souza TT, DDP, Arantes AM, Souza M. (2019) Human bocavirus detection and quantification in fecal and serum specimens from recipients of allogeneic hematopoietic stem cell transplantation: a longitudinal study. JMed Vírol 94(2):594–600. https://doi.org/10.1002/jmv.25486

    Article  CAS  Google Scholar 

  10. Falahi S, Sayyadi H, Abdoli A, Kenarkoohi A, Mohammadi S (2020) The prevalence of human bocavirus in <2-year-old children with acute bronchiolitis. New Microbe and New Infect (37):100736. https://doi.org/10.1016/j.nmni.2020.100736

    Article  Google Scholar 

  11. Ghirardo S, Ullmann N, Ciofi Degli Atti ML, MD, Raponi M, Cutrera R. (2021) Delayed season’s onset and reduction of incidence of bronchiolitis during COVID-19 pandemic. Pediatr Pulmonol 56(8):2780–2781. https://doi.org/10.1002/ppul.25461

    Article  PubMed  PubMed Central  Google Scholar 

  12. Piñana M, Vila J, Andrés C, Saura J, González-Sánchez A, Creus-Costa A, Saubi N, Esperalba J, Rando A, Iglesias-Cabezas MJ, Quer J, Soriano-Arandes A, Soler- Palacín P, Pumarola T, Antón A (2022) Molecular characterization and clinical impact of human bocavirus at a tertiary hospital in Barcelona (Catalonia, Spain) during the 2014-2017 seasons. Infection. https://doi.org/10.1007/s15010-022-01955-z

  13. Kapoor A, Slikas E, Simmonds P, Chieochansin T, Naeem A, Shaukat S, Masroor Alam M, Sharif S, Angez M, Zaidi S, Delwart E (2009) A new bocavirus species in human stool. J Infect Dis 199(2):196–200. https://doi.org/10.1086/595831

    Article  PubMed  Google Scholar 

  14. Khamrin P, Thongprachum A, Shimizu H, Okitsu S, Mizuguchi M, Hayakawa S, Maneekm N, Ushijima H (2012) Detection of human bocavirus 1 and 2 from children with acute gastroenteritis in Japan. J Med Virol 84(6):901–905. https://doi.org/10.1002/jmv.23274

    Article  PubMed  Google Scholar 

  15. Sousa TT, Almeida TNV, Fiaccadori FS, Souza M, Badr KR, Cardoso DDP (2017) Identification of human bocavirus type 4 in a child asymptomatic for respiratory tract infection and acute gastroenteritis - Goiania, Goias, Brazil. Braz J Infect Dis 4:21. https://doi.org/10.1016/j.bjid.2017.03.012

    Article  Google Scholar 

  16. Malta FC, Varella RB, Guimarães MAAM, Miagostovich MP, Fumian TM (2020) Human bocavirus in Brazil: molecular epidemiology, viral load and co-infections. Pathogens 9(8):645. https://doi.org/10.3390/pathogens9080645

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Guido M, Tumolo MR, Verri T, Romano A, Serio F, Giorgi M, Donno A, Bagordo F, Zizza A (2016) Human bocavirus: current knowledge and future challenges. World J Gastroenterol 22(39):8684–8697. https://doi.org/10.3748/wjg.v22.i39.8684

    Article  PubMed  PubMed Central  Google Scholar 

  18. Bagasi AA, Howson-Wells HC, Clark G, Tarr AW, Soo S, Irving WL, McClure CP (2020) Human bocavirus infection and respiratory tract disease identified in a UK patient cohort. J Clin Virol (129):104453. https://doi.org/10.1016/j.jcv.2020.104453

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Falcón AO, Simón DR (2022) Identificación de agentes virales en niños con infección respiratoria aguda. Rev Cubana de Pediatría 94(4):1–5

  20. Moreno CM, Solís YO, O’Ryan MG (2009) Bocavirus humano: estudios en la literatura médica y en Chile. Rev Chil Infect 26:504–510. https://doi.org/10.4067/S0716-10182009000700003

    Article  Google Scholar 

  21. Pilger DA, Cantarelli VV, Amantea SL, Leistner-Segal S (2011) Detecção de Bocavírus humano e metapneumovírus humano por PCR em tempo real de pacientes com sintomas respiratórios no su1 do Brasil. Mem Inst Osvaldo Cruz 106(1):56–60

  22. Martin ET, Kuypers J, McRoberts JP, Englund JA, Zerr DM (2015) Human bocavirus 1 primary infection and shedding in infants. J Infect Dis 212(4):516–524. https://doi.org/10.1093/infdis/jiv044

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Deng Z, Hao Y, Yao L, **e Z, Gao H, **e L, Zhong L, Zhang B, Cao Y, Duan Z (2014) Immunogenicity of recombinant human bocavirus-1,2 VP2 gene virus-like particles inmice. Immunology 142(1):58–66. https://doi.org/10.1111/imm.12202

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Anjos D, Fiaccadori FS, Servian CP, Fonseca SG, Guilarde AO, Borges MASB, Franco FC, Ribeiro BM, Souza M (2022) SARS-CoV-2 loads in urine, sera and stool specimens in association with clinical features of COVID-19 patients. J Clin Virol Plus 2(1):100059. https://doi.org/10.1016/j.jcvp.2021.100059

    Article  PubMed  Google Scholar 

  25. Díaz NER, Andino GM, Urquijo MC, Passarella C, Picón C, Picón D, Acosta M, Rovira C, Hector MM, Deluca GD (2016) Circulación de Bocavirusen niños menores de 5 años con infección respiratória aguda de la provincia del Chaco: análisis de los años 2014 y 2015. Rev Fac Med Univ Nac Nordeste 36(3):5–12. https://doi.org/10.30972/med.3632143

    Article  Google Scholar 

  26. Albuquerque MCM, Rocha LN, Benati FJ, Soares CC, Maranhão AG, Ramírez ML, Erdman R, Santos N (2007) Infecção por Bocavírus humano em neonatos com gastroenterite, Brasil. Emerg Infect Dis 13(11):1756–1758. https://doi.org/10.3201/eid1311.060671

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Deluca GD, Urquijo MC, Passarella C, Picón C, Picón D, Acosta M, Rovira C, Marín HM (2016) Bocavirus en niños menores de 5 años con infección respiratoria aguda. Provincia del Chaco, 2014. Medicina (B. Aires) 76(3):139–147

  28. Lima KTLA, Lobo PS, Bezerra DAM, Junior ETP, Mascarenhas JDP, Soares LS (2023) Bocavírus humano em amostras fecais de neonatos hospitalizados em Belém, Pará. Res Soc Dev 12(1). https://doi.org/10.33448/rsd-v12i1.34639

  29. Durigon GS, Oliveira DBL, Vollet SB, Storni JG, Felício MCC, Finelli C, Piera J, Magalhães M, Caldeira RN, Barbosa ML, Durigon EL, Berezin EN (2010) Hospital-acquired human bocavirus in infants. J Hosp Infect 76(2):171–173. https://doi.org/10.1016/j.jhin.2010.04.028

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. García-Garcia ML, González-Carrasco E, Quevedo S, Muñoz C, Sánchez-Escudero V, Pozo F, Casas I, Calvo C (2015) Clinical and virological characteristics of early and moderate preterm infants readmitted with viral respiratory infections. J Pediatr Infect Dis 34(7):693–699. https://doi.org/10.1097/INF.0000000000000718

    Article  Google Scholar 

  31. Foulongne V, Olejnik Y, Perez V, Elaerts S, Rodière M, Segondy M (2006) Human bocavirus in French children. Emerg Infect Dis 12(8):1251–1253. https://doi.org/10.3201/eid1208.060213

    Article  PubMed  PubMed Central  Google Scholar 

  32. Polo D, Lema A, Gàndara E, Romalde JL (2021) Prevalence of human bocavirus infections in Europe. A systematic review and meta-analysis. Transbound Eerg Dis 1:11. https://doi.org/10.1111/tbed.14233

  33. Onosi O, Upfold NS, Jukes MD, Luke GA, Knox C (2020) The first detection of human bocavirus species 2 and 3 in raw sewage and mussels in South Africa. Food Environ Virol 12(1):84–88. https://doi.org/10.1007/s12560-019-09417-w

    Article  CAS  PubMed  Google Scholar 

  34. Pozo F, Garcia-Garcia ML, Calvo C, Cuesta I, Pérez-Breña P (2007) High incidence of human bocavirus infection in children in Spain. J Clin Virol 40(3):224–228. https://doi.org/10.1016/j.jcv.2007.08.010

    Article  PubMed  PubMed Central  Google Scholar 

  35. Calvo C, Garcia-Garcia ML, Blanco C, Santos MJ, Pozo F, Pérez-Breña P, Casas I (2008) Human bocavirus infection in a neonatal intensive care unit. J Infect 57(3):269–271. https://doi.org/10.1016/j.**f.2008.06.004

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. Wagner JC, Pyles RB, Miller AL, Nokso-Koivisto J, Loeffelholz MJ, Chonmaitree T (2016) Determining persistence of bocavirus DNA in the respiratory tract of children by pyrosequencing. Pediatr Infect Dis J 35:471–476. https://doi.org/10.1097/INF.0000000000001058

    Article  PubMed  PubMed Central  Google Scholar 

  37. Schildgen O (2013) Human bocavirus: lessons learned to date. Pathogens 1:12. https://doi.org/10.3390/pathogens2010001

    Article  CAS  Google Scholar 

  38. Don M, Venermo MS, Hedman K, Ruuskanen O, Allander T, Korppi M (2011) Don’t forget serum in the diagnosis of human bocavirus infection. J of Infect Dis 203(7):1031–1032. https://doi.org/10.1093/infdis/jiql57

    Article  Google Scholar 

  39. Bubshait DK, Albuali WH, Yousef AA, Obeid OE, Alkharsah KR, Hassan MI, Vatte C, Alzahrani AJ, Bukhari H (2015) Clinical description of human bocavirus viremia in children with LRTI, Eastern Province, Saudi Arabia. Anais Med Torácica 10(2):146–149. https://doi.org/10.4103/1817-1737.151437

    Article  Google Scholar 

  40. OPAS, Organização Pan-Americana da Saúde (2017) Prevenção de infecções relacionadas à assistência à saúde em neonatologia. Centro Latino-Americano de Perinatologia Saúde da Mulher e Reprodutiva

    Google Scholar 

Download references

Funding

This study is part of a larger Project, funded by FAPEG (202010267000279) and approved by the Research Ethics Committee of the Hospital das Clinicas/EBSERH/UFG (CAE: 30804220.2.0000.5078).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Menira Souza.

Ethics declarations

Conflict of interest

The authors declare no competing interests.

Additional information

Responsible Editor: Mauricio Nogueira

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

ESM 1

(PDF 261 kb)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

de Faria Gonçalves, A., Anjos, D., de Oliveira Peixoto, F.A. et al. Bocaparvovirus in infants hospitalized in a neonatal intensive care unit in Midwest Brazil during the COVID-19 pandemic (2021–2022). Braz J Microbiol 55, 315–322 (2024). https://doi.org/10.1007/s42770-023-01184-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42770-023-01184-y

Keywords

Navigation