Active co-infection with HBV and/or HCV in South African HIV positive patients due for cancer therapy

Autor: Mojakgomo Hendrick Motswaledi, M. Jeffrey Mphahlele, Thembeni L. Msibi, Tshweu S. Monokoane, Andrew Munyalo Musyoki, Selokela G. Selabe
Rok vydání: 2014
Předmět:
Zdroj: Journal of Medical Virology. 87:213-221
ISSN: 0146-6615
DOI: 10.1002/jmv.24055
Popis: Human immunodeficiency virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HCV) share routes of transmission. There is limited data on the incidence of active co-infection with HBV and/or HCV in cancer patients infected with HIV in Africa. This was a prospective study based on 34 patients with varied cancer diagnosis, infected with HIV and awaiting cancer therapy in South Africa. HIV viral load, CD4+ cell counts, Alanine-aminotransferase and aspartate aminotransferase levels were tested. Exposure to HBV and HCV was assessed serologically using commercial kits. Active HBV and/or HCV co-infection was detected using viral specific nested PCR assays. HCV 5′-UTR PCR products were sequenced to confirm active HCV infection. Active viral infection was detected in 64.7% of patients for HBV, 38.2% for HCV, and 29.4% for both HBV and HCV. Occult HBV infection was observed in 63.6% of the patients, while seronegative HCV infection was found in 30.8% of patients. In addition, CD4+ cell count
Databáze: OpenAIRE