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Published on: February 17, 2016
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.
Abstract:
The role and frequency of human herpesviruses (HHV)-6 and -7 in central nervous system (CNS) diseases of children are unclear. Cerebrospinal fluid samples from 245 pediatric patients (median age 43 days), submitted for evaluations of possible sepsis or of neurologic symptoms, were tested for HHV-6 and HHV-7 DNA by polymerase chain reaction. HHV-6 DNA was found in 3 of 245 samples, and HHV-7 was found in 0 of 245 samples. The three patients with HHV-6 DNA were <2 months of age. HHV-6 was likely pathogenic in two patients with meningitis who lacked evidence of another microbiologic cause. HHV-6 and HHV-7 are uncommon causes of CNS infection in children. HHV-6 may occasionally cause meningitis in young infants.
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