Résumé
The association of congenital heart disease with severe respiratory syncytial virus (RSV) lower respiratory tract infection is examined in this review. Current perspectives on prophylaxis for RSV in this patient subgroup are also discussed
Sujets)
Cardiopathies congénitales , Infections à virus respiratoire syncytial/physiopathologie , Infections à virus respiratoire syncytial/prévention et contrôle , Revue de la littératureRésumé
To determine whether bonnet monkeys are susceptible to infection and disease due to respiratory syncytial virus (RSV), 4 juvenile bonnet monkeys (Macaca radiata) were inoculated with RSV intratracheally and sacrificed at 3, 5, 7 and 9 days post infection. RSV was cultured from pre-autopsy broncheoalveolar lavage fluid from all 4 animals with a peak titre of virus on day 9. Serum RSV neutralizing antibody was present by day 7. Animals developed tachypnoea and chest retractions by 5th day post infection and 2 animals had lobular pneumonia on chest radiography. The pathological changes were of a bronchovascular inflammation, interstitial pneumonia and alveolitis, akin to that seen in humans. These findings show that bonnet monkeys can be infected with RSV, and can develop immune response and clinical and pathological changes similar to those seen in human infants with RSV disease. Thus intractracheal RSV inoculation of juvenile bonnet monkeys appears to be a good model to study pathogenesis of RSV disease.