Kinetics of Hepatitis E Virus Infections in Asymptomatic Persons.

Autor: Plümers, Ricarda, Dreier, Jens, Knabbe, Cornelius, Steinmann, Eike, Todt, Daniel, Vollmer, Tanja
Předmět:
Zdroj: Emerging Infectious Diseases; May2024, Vol. 30 Issue 5, p934-940, 7p
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 × 104 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. [ABSTRACT FROM AUTHOR]
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