Diagnosis of primary human herpesvirus 6 and 7 infections in febrile infants by polymerase chain reaction

Duncan A. Clark, I. Michael Kidd, Kathryn E. Collingham, Michael Tarlow, Titi Ayeni, Andrew Riordan, Paul D. Griffiths, Vincent C. Emery*, Deenan Pillay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

44 Citations (Scopus)

Abstract

Primary human herpesvirus 6 (HHV-6) and 7 (HHV-7) infections were identified in febrile children by qualitative and quantitative polymerase chain reaction (PCR) assays. Diagnosis was based on the differential detection of viral DNA in peripheral blood mononuclear cells (PBMC), but not in saliva. Six of 41 febrile infants, but none of seven non-febrile controls, were identified with primary infections (three HHV-6, three HHV-7). These children had significantly higher viral loads in PBMC (HHV-6, median 24 213 genomes/106 PBMC; HHV-7, median 6 040 000 genomes/106 PBMC) than DNA- aemic, saliva PCR positive children (HHV-6, median 1606 genomes/106 PBMC, p < 0.01; HHV-7, median 7089 genomes/106 PBMC, p < 0.05). Vital DNA was detected in serum by PCR in only 50% of primary infections. All three children with primary HHV-7 infection had febrile convulsions. Thus PCR, including quantitative assays, may identify primary HHV-6 and HHV-7 infections when an appropriate combination of clinical specimens is used.

Original languageEnglish
Pages (from-to)42-45
Number of pages4
JournalArchives of Disease in Childhood
Volume77
Issue number1
DOIs
Publication statusPublished - 1997
Externally publishedYes

Keywords

  • Febrile convulsions
  • HHV-6
  • HHV-7
  • Polymerase chain reaction

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