PMID- 17204195 OWN - NLM STAT- MEDLINE DCOM- 20071220 LR - 20161018 IS - 1009-2137 (Print) IS - 1009-2137 (Linking) VI - 14 IP - 6 DP - 2006 Dec TI - [Prevalence of human herpesvirus-6 in allogeneic hematopoietic stem cell transplant recipients in correlation with cytomegalovirus infection]. PG - 1204-9 AB - In order to study the prevalence of human herpesvirus 6 (HHV-6) in allogeneic hematopoietic stem cell transplant (allo-HSCT) recipients in China and to analyze the relationship between HHV-6 and cytomegalovirus (CMV) infection in post-HSCT patients, nested polymerase chain reaction (PCR) was used to monitor HHV-6 DNAemia in 72 consecutive allo-HSCT recipients. 680 EDTA anticoagulated peripheral blood specimens were gathered before HSCT or weekly until 12 weeks after allo-HSCT. The variants of HHV-6 were identified by Hind III restriction analysis. CMV-pp65 antigenemia was detected by immunofluorescence stain. The results showed that HHV-6 DNAemia was detected at least once in 62.5% (45/72) of the patients on the median day 14 (range, 7 - 63 days) after allo-HSCT, and HHV-6B was the predominant variant. CMV antigenemia was detected at least once in 65.3% (47/72) of the patients on the median day 43 (range, 14 - 105 days) after allo-HSCT. Co-infection of HHV-6 and CMV (HHV-6+/CMV+) occurred in 52.8% (38/72) recipients. The onset of HHV-6 DNAemia was earlier than that of CMV antigenemia (P < 0.0001). Patients with HHV-6 DNAemia positive were more likely to have concurrent CMV antigenemia than HHV-6 DNAemia negative patients (84.4% vs 33.3%, P = 0.0001) after allo-HSCT. Among the herpesvirus related disease, the relatively high incidence of hemorrhage cystitis (HC) occurred in 23.6% (17/72) of post-HSCT patients. 88.2% (15/17) of HC developed in HHV-6 positive patients, and 82.3% (14/17) occurred in CMV+/HHV-6+ patients. It is concluded that infection of HHV-6, co-infection of HHV-6 and CMV, commonly occurred in post-HSCT patients in China, HHV-6 infection closely related to CMV antigenemia. FAU - Wang, Li-Ru AU - Wang LR AD - Peking University Institute of hematology, Peking University People is Hospital, Beijing 100044, China. wanglirumail@yahoo.com.cn FAU - Dong, Lu-Jia AU - Dong LJ FAU - Lu, Dao-Pei AU - Lu DP LA - chi PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhongguo Shi Yan Xue Ye Xue Za Zhi JT - Zhongguo shi yan xue ye xue za zhi JID - 101084424 RN - 0 (DNA, Viral) SB - IM MH - Adolescent MH - Adult MH - Child MH - China/epidemiology MH - Cytomegalovirus/genetics/isolation & purification MH - Cytomegalovirus Infections/*complications/epidemiology MH - DNA, Viral/*blood/genetics MH - Female MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Herpesvirus 6, Human/*isolation & purification/physiology MH - Humans MH - Male MH - Middle Aged MH - Polymerase Chain Reaction MH - Prevalence MH - Roseolovirus Infections/*complications/epidemiology/virology EDAT- 2007/01/06 09:00 MHDA- 2007/12/21 09:00 CRDT- 2007/01/06 09:00 PHST- 2007/01/06 09:00 [pubmed] PHST- 2007/12/21 09:00 [medline] PHST- 2007/01/06 09:00 [entrez] AID - 1009-2137(2006)06-1204-06 [pii] PST - ppublish SO - Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2006 Dec;14(6):1204-9.