Kinetics of Hepatitis E Virus Infections in Asymptomatic Persons.

Autor: Plümers R, Dreier J, Knabbe C, Steinmann E, Todt D, Vollmer T
Jazyk: angličtina
Zdroj: Emerging infectious diseases [Emerg Infect Dis] 2024 May; Vol. 30 (5), pp. 934-940.
DOI: 10.3201/eid3005.231764
Abstrakt: To determine the kinetics of hepatitis E virus (HEV) in asymptomatic persons and to evaluate viral load doubling time and half-life, we retrospectively tested samples retained from 32 HEV RNA-positive asymptomatic blood donors in Germany. Close-meshed monitoring of viral load and seroconversion in intervals of ≈4 days provided more information about the kinetics of asymptomatic HEV infections. We determined that a typical median infection began with PCR-detectable viremia at 36 days and a maximum viral load of 2.0 × 10 4 IU/mL. Viremia doubled in 2.4 days and had a half-life of 1.6 days. HEV IgM started to rise on about day 33 and peaked on day 36; IgG started to rise on about day 32 and peaked on day 53. Although HEV IgG titers remained stable, IgM titers became undetectable in 40% of donors. Knowledge of the dynamics of HEV viremia is useful for assessing the risk for transfusion-transmitted hepatitis E.
Databáze: MEDLINE