PMID- 11049765 OWN - NLM STAT- MEDLINE DCOM- 20010202 LR - 20061115 IS - 1058-4838 (Print) IS - 1058-4838 (Linking) VI - 31 IP - 4 DP - 2000 Oct TI - Human herpesvirus 6 infection after autologous or allogeneic stem cell transplantation: a single-center prospective longitudinal study of 92 patients. PG - 881-6 AB - To determine the incidence and clinical relevance of active human herpesvirus 6 (HHV-6) infection, 92 consecutive unselected recipients of autologous or allogeneic stem cell grafts were investigated in a prospective longitudinal study. Active infection was assessed by the presence of viral deoxyribonucleic acid (DNA) in 846 peripheral blood mononuclear cell specimens and 115 plasma specimens, by means of a specially developed polymerase chain reaction designed to avoid detection of latent genome. The incidence of HHV-6 infection observed was 42.5%, irrespective of the type or source of graft, and infection was significantly associated with partial (P=.002) or total myelosuppression (P=.01) and fever (P<. 000001). Infusion of bone marrow as the source of graft, reactivation occurring before platelet or neutrophil engraftment, and presence of HHV-6 DNA in plasma were identified as risk factors for symptomatic HHV-6 infection (P<.002). FAU - Imbert-Marcille, B M AU - Imbert-Marcille BM AD - Laboratoire de Virologie, Institut de Biologie des Hopitaux de Nantes, Nantes, FRANCE. bmimbert@sante.univ-nantes.fr FAU - Tang, X W AU - Tang XW FAU - Lepelletier, D AU - Lepelletier D FAU - Besse, B AU - Besse B FAU - Moreau, P AU - Moreau P FAU - Billaudel, S AU - Billaudel S FAU - Milpied, N AU - Milpied N LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20001025 PL - United States TA - Clin Infect Dis JT - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JID - 9203213 RN - 0 (DNA Primers) RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Base Sequence MH - Child MH - Child, Preschool MH - DNA Primers/genetics MH - DNA, Viral/blood/genetics MH - Female MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesviridae Infections/*etiology/transmission/virology MH - *Herpesvirus 6, Human/genetics/isolation & purification/pathogenicity MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Prospective Studies MH - Transplantation, Autologous MH - Transplantation, Homologous EDAT- 2000/10/26 11:00 MHDA- 2001/03/03 10:01 CRDT- 2000/10/26 11:00 PHST- 1999/10/25 00:00 [received] PHST- 2000/01/04 00:00 [revised] PHST- 2000/10/26 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2000/10/26 11:00 [entrez] AID - CID994215 [pii] AID - 10.1086/318142 [doi] PST - ppublish SO - Clin Infect Dis. 2000 Oct;31(4):881-6. doi: 10.1086/318142. Epub 2000 Oct 25.