The value of common blood parameters for the differential diagnosis of respiratory tract infections in children

Abstract Mycoplasma pneumoniae and influenza A virus are common pathogens that cause respiratory tract infection in children. Both pathogens present with similar clinical symptoms, and their epidemic periods often overlap. Consequently, it is challenging for clinicians to make a rapid preliminary di...

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Main Authors: Jun’e Ma, Ting Tian, Nianyi Zeng, Yue Gu, Xuewei Ren, Zhengjiang Jin
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:AMB Express
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Online Access:https://doi.org/10.1186/s13568-025-01829-1
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author Jun’e Ma
Ting Tian
Nianyi Zeng
Yue Gu
Xuewei Ren
Zhengjiang Jin
author_facet Jun’e Ma
Ting Tian
Nianyi Zeng
Yue Gu
Xuewei Ren
Zhengjiang Jin
author_sort Jun’e Ma
collection DOAJ
description Abstract Mycoplasma pneumoniae and influenza A virus are common pathogens that cause respiratory tract infection in children. Both pathogens present with similar clinical symptoms, and their epidemic periods often overlap. Consequently, it is challenging for clinicians to make a rapid preliminary diagnosis. However, common blood tests is simple and efficient, Therefore, the purpose of this study is to preliminarily distinguish Mycoplasma pneumoniae and influenza A virus infection in children by analyzing the results of common blood tests, thereby guiding clinical diagnosis and treatment.The results showed that, compared with children in the influenza A virus-positive group, children in the Mycoplasma pneumoniae-positive group had higher white blood cell (WBC), red blood cell (RBC), haemoglobin (HGB), platelet (PLT) counts, lymphocyte (LYM) and eosinophil (EOS) counts and ratios, as well as higher concentrations of C-reactive protein (CRP) and serum amyloid A (SAA), while neutrophil (NEU) and monocyte (MONO) counts and ratios, Neutrophil to Lymphocyte ratio( NLR) were lower, in addition, LYM, EOS counts and ratios, and NLR were all more effective in differentiating between the two pathogen infections, A combined analysis of these indicators further improved the differentiation efficacy. Therefore, LYM and EOS counts and ratios, along with NLR, can serve as effective blood parameters for differentiating Mycoplasma pneumoniae infections from influenza A virus infections in children.
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spelling doaj-art-5c2f5a1279b745da927c0f260d5750142025-02-09T12:55:47ZengSpringerOpenAMB Express2191-08552025-02-011511810.1186/s13568-025-01829-1The value of common blood parameters for the differential diagnosis of respiratory tract infections in childrenJun’e Ma0Ting Tian1Nianyi Zeng2Yue Gu3Xuewei Ren4Zhengjiang Jin5Department of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Clinical Laboratory, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Mycoplasma pneumoniae and influenza A virus are common pathogens that cause respiratory tract infection in children. Both pathogens present with similar clinical symptoms, and their epidemic periods often overlap. Consequently, it is challenging for clinicians to make a rapid preliminary diagnosis. However, common blood tests is simple and efficient, Therefore, the purpose of this study is to preliminarily distinguish Mycoplasma pneumoniae and influenza A virus infection in children by analyzing the results of common blood tests, thereby guiding clinical diagnosis and treatment.The results showed that, compared with children in the influenza A virus-positive group, children in the Mycoplasma pneumoniae-positive group had higher white blood cell (WBC), red blood cell (RBC), haemoglobin (HGB), platelet (PLT) counts, lymphocyte (LYM) and eosinophil (EOS) counts and ratios, as well as higher concentrations of C-reactive protein (CRP) and serum amyloid A (SAA), while neutrophil (NEU) and monocyte (MONO) counts and ratios, Neutrophil to Lymphocyte ratio( NLR) were lower, in addition, LYM, EOS counts and ratios, and NLR were all more effective in differentiating between the two pathogen infections, A combined analysis of these indicators further improved the differentiation efficacy. Therefore, LYM and EOS counts and ratios, along with NLR, can serve as effective blood parameters for differentiating Mycoplasma pneumoniae infections from influenza A virus infections in children.https://doi.org/10.1186/s13568-025-01829-1Common blood parametersMycoplasma pneumoniaeInfluenza a virusDifferentiated effectiveness
spellingShingle Jun’e Ma
Ting Tian
Nianyi Zeng
Yue Gu
Xuewei Ren
Zhengjiang Jin
The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
AMB Express
Common blood parameters
Mycoplasma pneumoniae
Influenza a virus
Differentiated effectiveness
title The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
title_full The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
title_fullStr The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
title_full_unstemmed The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
title_short The value of common blood parameters for the differential diagnosis of respiratory tract infections in children
title_sort value of common blood parameters for the differential diagnosis of respiratory tract infections in children
topic Common blood parameters
Mycoplasma pneumoniae
Influenza a virus
Differentiated effectiveness
url https://doi.org/10.1186/s13568-025-01829-1
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