Characteristics of Epstein-Barr virus primary infection in pediatric liver transplant recipients
| Autor: | J P Buts, Jean-Bernard Otte, Raymond Reding, Etienne Sokal, Françoise Smets, Monique Bodéus, Patrick Goubau |
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| Rok vydání: | 2000 |
| Předmět: |
Male
Herpesvirus 4 Human Adolescent medicine.medical_treatment Liver transplantation Opportunistic Infections medicine.disease_cause Asymptomatic Polymerase Chain Reaction Virus Herpesviridae hemic and lymphatic diseases Medicine Humans Aspartate Aminotransferases Prospective Studies Child Antigens Viral Hepatology business.industry Liver Diseases Infant Alanine Transaminase Herpesviridae Infections gamma-Glutamyltransferase Epstein–Barr virus Lymphoproliferative Disorders Liver Transplantation Transplantation Tumor Virus Infections Immunoglobulin M Child Preschool Immunology DNA Viral Abnormal Liver Function Test Female Viral disease medicine.symptom business Immunosuppressive Agents |
| Zdroj: | Journal of hepatology. 32(1) |
| ISSN: | 0168-8278 |
| Popis: | BACKGROUND/AIM: Pediatric liver transplant recipients are at high risk of Epstein-Barr virus infection. However the incidence of clinical symptoms and the graft function at the time of acute infection remains poorly documented. The aim of this study was to monitor the clinical and biochemical events associated with primary Epstein-Barr virus infection. METHODS: Clinical and biological patterns associated with Epstein-Barr virus infection were prospectively searched in 38 liver transplanted children. Polymerase chain reaction and anti-Epstein-Barr virus IgM antibodies were used at regular intervals to detect the timing of primary infection. RESULTS: Five children (13%) had pretransplant immunity, 26 (68.5%) developed primary Epstein-Barr virus infection 15 to 90 days after transplantation and seven (18.5%) remained Epstein-Barr virus negative. The four patients with clinical symptoms at the time of infection subsequently developed post-transplant lymphoproliferative disease. A single post-transplant lymphoproliferative disease occurred in non-symptomatic patients (overall incidence 13%). No mortality was associated with post-transplant lymphoproliferative disease. Two asymptomatic patients had abnormal liver function tests possibly related to primary Epstein-Barr virus infection. CONCLUSION: Epstein-Barr virus primary infection occurs in 80% of seronegative patients within 3 months after OLT. Clinical symptoms are rare and closely associated with post-transplant lymphoproliferative disease. Outside post-transplant lymphoproliferative disease, the consequences of infection are marginal. |
| Databáze: | OpenAIRE |
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