Neonatal pertussis presenting as acute bronchiolitis: direct detection of the Bordetella pertussis genome using loop-mediated isothermal amplification

Autor: Ryuzo Hanayama, Akari Nakamura, Hiroko Shimoda, Yoshihisa Kinoshita, Katsuhiro Nomoto, Toshiyuki Ohta, Takashi Sakano, Takeki Furue, Yasuyuki Okada, Tetsuo Nakayama, Hiroaki Ono, Tetsushi Suto
Rok vydání: 2008
Předmět:
Zdroj: European Journal of Pediatrics. 168:347-349
ISSN: 1432-1076
0340-6199
DOI: 10.1007/s00431-008-0744-8
Popis: We report a 28-day-old female infant with pertussis presenting as severe acute bronchiolitis with cyanosis. On admission, the patient's symptoms were similar to those of acute bronchiolitis. However, occasional apneic episodes with cyanosis and peripheral lymphocytosis suggested neonatal pertussis and prompted us to examine the presence of Bordetella pertussis using loop-mediated isothermal amplification (LAMP) based on the insertion sequence IS481. LAMP of the nasopharyngeal and intratracheal aspirates was positive for B. pertussis and a diagnosis of neonatal pertussis was made. As the clinical features of pertussis in neonates and early infancy are not characteristic, LAMP is a useful tool for rapid diagnosis of B. pertussis infection.
Databáze: OpenAIRE