Poor outcomes of chronic active Epstein-Barr virus infection and hemophagocytic lymphohistiocytosis in non-Japanese adult patients.

نویسندگان

  • Gabe S Sonke
  • Inge Ludwig
  • Hannah van Oosten
  • Joke W Baars
  • Ellen Meijer
  • Arnon P Kater
  • Daphne de Jong
چکیده

Chronic active Epstein-Barr virus infection manifests as a combination of persistent infectious mononucleosis-like symptoms and high viral load in apparently immunocompetent patients. It is closely related to Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis. These 2 abnormal Epstein-Barr virus-associated diseases are seldom reported in individuals other than Japanese children and adolescents. We report a series of 2 adult non-Japanese patients with fatal chronic active Epstein-Barr virus and 1 adult non-Japanese patient with Epstein-Barr virus hemophagocytic lymphohistiocytosis and discuss its pathogenesis and treatment options.

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Abbreviations: BM: bone marrow, CAEBV: chronic active Epstein-Barr virus infection, EBV: Epstein-Barr virus, EBER: Epstein-Barr virus-encoded mRNA, EBNA: Epstein-Barr virus-nuclear antigen, HLH: hemophagocytic lymphohistiocytosis, HIV: human immunodeficiency virus, HMB: hypersensitivity to mosquito

Affiliations: 1. Department of Pediatrics, 2. Department of Medicine and Biosystemic Science, 3. Department of Medicine, and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 4. Department of Infectious Diseases, National Research Institute for Child Health and Development, Tokyo, 5. Department of 2 Pathology, Faculty of Medicine, Kurume University School o...

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Epstein–Barr Virus and Hemophagocytic Lymphohistiocytosis

Epstein-Barr virus (EBV) is a ubiquitous virus that infects nearly all people worldwide without serious sequela. However, for patients who have genetic diseases which predispose them to the development of hemophagocytic lymphohistiocytosis (HLH), EBV infection is a life-threatening problem. As a part of a themed collection of articles on EBV infection and human primary immune deficiencies, we w...

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عنوان ژورنال:
  • Clinical infectious diseases : an official publication of the Infectious Diseases Society of America

دوره 47 1  شماره 

صفحات  -

تاریخ انتشار 2008