Human herpesviruses 6 and 7 and central nervous system infection in children

Asad Ansari1, Shaobing Li, Mark J Abzug

  • 1University of Colorado School of Medicine, Denver, Colorado 90262, USA.

Insights

Human herpesviruses (HHV)-6 and -7 are uncommon causes of central nervous system (CNS) infections in children. HHV-6 was detected in three infants, likely causing meningitis in two young infants.

Area of Science:

  • Pediatric Neurology
  • Infectious Diseases
  • Virology

Background:

  • The role of human herpesviruses (HHV)-6 and -7 in pediatric central nervous system (CNS) diseases remains unclear.
  • Accurate diagnosis is crucial for appropriate management of CNS infections in infants and children.

Purpose of the Study:

  • To determine the frequency and potential pathogenicity of HHV-6 and HHV-7 DNA in cerebrospinal fluid (CSF) of pediatric patients.
  • To investigate the association between HHV-6/HHV-7 detection and CNS disease in children.

Main Methods:

  • CSF samples from 245 pediatric patients were analyzed for HHV-6 and HHV-7 DNA using polymerase chain reaction (PCR).
  • Patients presented with symptoms suggestive of sepsis or neurological conditions.
  • Clinical data, including age and alternative diagnoses, were reviewed.

Main Results:

  • HHV-6 DNA was detected in 3 out of 245 samples (1.2%).
  • HHV-7 DNA was not detected in any of the samples.
  • The three patients positive for HHV-6 were all under 2 months of age.
  • HHV-6 was considered the likely cause of meningitis in two patients lacking other identifiable microbiologic causes.

Conclusions:

  • HHV-6 and HHV-7 are infrequent causes of CNS infections in the pediatric population.
  • HHV-6 can occasionally be a pathogenic cause of meningitis in young infants.
  • Further research is warranted to fully elucidate the spectrum of HHV-6 and HHV-7 associated CNS diseases in children.

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