Experts warn of a new epidemic: It targets the upper respiratory tract and lungs
Pediatric Health and Diseases Specialist Dr. Fikret İşbilir has warned families about the symptoms and treatment of Bocavirus (HBoV) infection, noting that this virus is frequently among the diseases that are commonly misidentified.
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Bocavirus (HBoV) is a DNA virus belonging to the Parvoviridae family. While it is usually seen in the upper respiratory tracts of children, this virus can also settle in the lower respiratory tracts and often leads to serious consequences such as bronchitis, asthma attacks, and pneumonia. Frequently seen especially at the end of winter and the beginning of spring, this virus affects almost all children under the age of 5.
IT TARGETS THE UPPER RESPIRATORY TRACT AND LUNGS
Unlike other viruses, Bocavirus does not just cause a runny nose; it has a tendency to settle in the lower respiratory tracts. This leads to a clinical picture defined as an "acute wheezing child." Children may make whistling sounds while breathing. This condition can trigger asthma attacks and lead to diseases such as bronchitis.
FEVER AND COUGH MAY NOT ALWAYS BE INNOCENT
Because Bocavirus symptoms resemble other viral infections such as RSV, Influenza, and Adenovirus, families may find it difficult to recognize these symptoms. Specialist Dr. Fikret İşbilir stated that a fever lasting longer than 3–4 days, an increase in coughing, and a decrease in appetite are important warning signs that must be evaluated by a specialist.
BOCAVIRUS DOES NOT PROGRESS THE SAME WAY IN EVERY CHILD
Bocavirus infection usually creates a mild and self-limiting clinical picture in healthy children. However, it can progress more severely in premature infants, children with chronic lung disease, and individuals with suppressed immune systems. Children in this group may struggle with the illness for a longer period and may require hospitalization.
Diagnosis of Bocavirus infection is difficult because it is often confused with other viral infections. Specialist Dr. İşbilir said, "We use 'Respiratory Panel PCR' tests for a definitive diagnosis. Thanks to these tests performed with a nasal swab, it can be determined which virus is present in the child's body. Additionally, a 'co-infection' situation where two different viruses are present at the same time can sometimes be detected."
One of the most significant mistakes in the treatment of Bocavirus is the belief that antibiotics should be used if there is a fever. Specialist Dr. Fikret İşbilir explained, "Our priority is to manage the symptoms. It is essential to reduce high fever, keep nasal passages clear, ensure fluid balance, and apply bronchodilator treatment when necessary."
BOCAVIRUS CAN ALSO AFFECT DIGESTION
Some types of Bocavirus (HBoV-2, HBoV-3, HBoV-4) can also affect the intestines. This can lead to digestive problems such as diarrhea and vomiting in addition to coughing and fever. In this situation, families may worry, 'Did my child catch a cold or were they poisoned?' However, this occurs as a result of the systemic spread of the virus in the body.
THE VIRUS CAN REMAIN ALIVE ON SURFACES FOR A LONG TIME
Bocavirus is quite resistant to the external environment and can remain alive for hours on surfaces such as door handles and toys. Stating that school administrations and parents should pay special attention to toy cleaning and classroom ventilation, Specialist Dr. İşbilir emphasized that children can catch the virus by touching infected toys in addition to shaking hands.
GOLDEN ADVICE FOR PARENTS
Specialist Dr. Fikret İşbilir offered the following golden advice to parents: "It helps the immune system strengthen for your children to have viral infections a few times a year. However, with viruses like Bocavirus that affect the lower respiratory tracts, the 'let's wait and see, it will pass' mentality can be risky. If you see a persistent cough, rapid breathing, or difficulty feeding in your child, seek help from a specialist. Early treatment can reduce the risk by 80%."