Child Kidney Dis.  2016 Oct;20(2):69-73. 10.3339/jkspn.2016.20.2.69.

Predicting Factors of Roseola Infantum Infected with Human Herpesvirus 6 from Urinary Tract Infection

• Ko HR
• Shin SM
• Park SW

• KMID: 2366599
• DOI: http://doi.org/10.3339/jkspn.2016.20.2.69

Abstract

PURPOSE
The aim of this study was to compare the clinical and laboratory features of infants with roseola infantum due to human herpesvirus 6 (HHV6) infection and those with urinary tract infection (UTI).
METHODS
We retrospectively reviewed the medical records of children who were hospitalized at Cheil General Hospital and Women's Health Care Center, College of Medicine, Dankook University, and diagnosed as having HHV6 infection or UTI.
RESULTS
Among the infants admitted between September 2014 and May 2016, 92 (male, 45 and female, 47) were included in the study and divided into a HHV6 infection group (n=50) and a UTI group (n=42). The relative risk of UTI compared with that of HHV6 infection increased with pyuria (P<0.001), increased with leukocytosis (mean white blood cell [WBC] count, 15,048±5,756/mm³ vs 87,916±54,056/mm³; P<0.001), increased with C-reactive protein (CRP) level (4.89±4.85 mg/dL vs 1.04±1.76 mg/dL; P<0.001), and younger age (6.3±3.2 months vs 18.3±12.6 months; P<0.001). The relative risk of HHV6 infection compared with that of UTI increased with fever duration (4.3±1.7 days vs 2.8±1.7 days; P<0.001) and decreased with platelet (PLT) count (373±94×10³/mm³ vs 229±90×10³/mm³; P<0.001). No significant differences were found between the HHV6 groups according to the presence or absence of pyuria.
CONCLUSION
Pyuria, age, fever duration, WBC count, CRP level, and PLT count were the differentiating factors of HHV6 infection from UTI. However, sterile pyuria can occur in children with HHV6 infection. In the presence of pyuria, CRP level and PLT count were the strong predictors of UTI compared with HHV6.

Keyword

Roseola infantum; Human herpesvirus 6; Urinary tract infection; fever; Pyuria

MeSH Terms

Blood Platelets
C-Reactive Protein
Child
Exanthema Subitum*
Female
Fever
Herpesvirus 6, Human*
Hospitals, General
Humans*
Infant
Leukocytes
Leukocytosis
Medical Records
Pyuria
Retrospective Studies
Urinary Tract Infections*
Urinary Tract*
Women's Health
C-Reactive Protein