Epstein-Barr virus infection in HIV-positive patients

Autor: Lukas Matter, Amalio Telenti, R. Malinverni, F Marchesi, Daniel Germann, D. E. Uehlinger
Rok vydání: 1993
Předmět:
Zdroj: European Journal of Clinical Microbiology & Infectious Diseases. 12:601-609
ISSN: 1435-4373
0934-9723
DOI: 10.1007/bf01973638
Popis: The relationship between Epstein-Barr virus (EBV) viral load in peripheral blood and HIV infection was determined in 103 HIV-infected patients. Epstein-Barr virus was detected by polymerase chain reaction in 75% of the patients, 21% of whom had the more uncommon EBV subtype 2. The highest levels of EBV were found in patients with 100-400 CD4+ cells/mm3 and not in those with more profound immunosuppression. An association was identified between EBV load and HIV proviral levels (p0.001), an IgM response to EBV early antigens (por = 0.01) and p24 antigenemia (p0.01 in patients with100 CD4+ cells), but not with other clinical or laboratory parameters. Combinations of different EBV and HIV parameters identified a subgroup of patients with a 2.2- to 4.8-fold risk ofor = 35% decline in CD4+ counts over six months. The association between EBV and HIV markers may reflect a significant pathogenic interaction between the two viruses.
Databáze: OpenAIRE