» Articles » PMID: 30280095

Viral Sepsis in Children

Overview
Journal Front Pediatr
Specialty Pediatrics
Date 2018 Oct 4
PMID 30280095
Citations 14
Authors
Affiliations
Soon will be listed here.
Abstract

Sepsis in children is typically presumed to be bacterial in origin until proven otherwise, but frequently bacterial cultures ultimately return negative. Although viruses may be important causative agents of culture-negative sepsis worldwide, the incidence, disease burden and mortality of viral-induced sepsis is poorly elucidated. Consideration of viral sepsis is critical as its recognition carries implications on appropriate use of antibacterial agents, infection control measures, and, in some cases, specific, time-sensitive antiviral therapies. This review outlines our current understanding of viral sepsis in children and addresses its epidemiology and pathophysiology, including pathogen-host interaction during active infection. Clinical manifestation, diagnostic testing, and management options unique to viral infections will be outlined.

Citing Articles

Neonatal Sepsis: Aetiology, Pathophysiology, Diagnostic Advances and Management Strategies.

Raturi A, Chandran S Clin Med Insights Pediatr. 2024; 18:11795565241281337.

PMID: 39371316 PMC: 11452898. DOI: 10.1177/11795565241281337.


Profile analysis of emerging respiratory virus in children.

Moreira A, Silva P, do Prado Assuncao L, de Oliveira Santos M, Regina Malveste Ito C, Araujo K Eur J Clin Microbiol Infect Dis. 2023; 42(7):873-882.

PMID: 37160574 PMC: 10169160. DOI: 10.1007/s10096-023-04615-8.


Characterization of T Helper 1 and 2 Cytokine Profiles in Newborns of Mothers with COVID-19.

Moreira A, Silva P, Gomes R, de Oliveira Santos M, Regina Malveste Ito C, Candido Goncalves Barbosa L Biomedicines. 2023; 11(3).

PMID: 36979888 PMC: 10045352. DOI: 10.3390/biomedicines11030910.


A severe case of human rhinovirus A45 with central nervous system involvement and viral sepsis.

Liu J, Zhao H, Feng Z, Liu Y, Feng Q, Qian S Virol J. 2022; 19(1):72.

PMID: 35459180 PMC: 9034649. DOI: 10.1186/s12985-022-01799-x.


Neutrophil Extracellular Traps in Severe SARS-CoV-2 Infection: A Possible Impact of LPS and (1→3)-β-D-glucan in Blood from Gut Translocation.

Saithong S, Worasilchai N, Saisorn W, Udompornpitak K, Bhunyakarnjanarat T, Chindamporn A Cells. 2022; 11(7).

PMID: 35406667 PMC: 8997739. DOI: 10.3390/cells11071103.


References
1.
Chappell D, Jacob M, Rehm M, Stoeckelhuber M, Welsch U, Conzen P . Heparinase selectively sheds heparan sulphate from the endothelial glycocalyx. Biol Chem. 2007; 389(1):79-82. DOI: 10.1515/BC.2008.005. View

2.
Goulder P, Jeena P, Tudor-Williams G, Burchett S . Paediatric HIV infection: correlates of protective immunity and global perspectives in prevention and management. Br Med Bull. 2001; 58:89-108. DOI: 10.1093/bmb/58.1.89. View

3.
Rivers E, Nguyen B, Havstad S, Ressler J, Muzzin A, Knoblich B . Early goal-directed therapy in the treatment of severe sepsis and septic shock. N Engl J Med. 2002; 345(19):1368-77. DOI: 10.1056/NEJMoa010307. View

4.
Kim Y, Pareek R, Murphy R, Harrison L, Farrell E, Cook R . The antiviral effects of RSV fusion inhibitor, MDT-637, on clinical isolates, vs its achievable concentrations in the human respiratory tract and comparison to ribavirin. Influenza Other Respir Viruses. 2017; 11(6):525-530. PMC: 5705693. DOI: 10.1111/irv.12503. View

5.
Spaeder M, Custer J, Bembea M, Aganga D, Song X, Scafidi S . A multicenter outcomes analysis of children with severe viral respiratory infection due to human metapneumovirus. Pediatr Crit Care Med. 2013; 14(3):268-72. DOI: 10.1097/PCC.0b013e3182720fc7. View