PMID- 9738722 OWN - NLM STAT- MEDLINE DCOM- 19981001 LR - 20190630 IS - 0022-3476 (Print) IS - 0022-3476 (Linking) VI - 133 IP - 3 DP - 1998 Sep TI - Primary human herpesvirus 7 infection: a comparison of human herpesvirus 7 and human herpesvirus 6 infections in children. PG - 386-9 AB - OBJECTIVE: To define the clinical and virologic characteristics of primary human herpesvirus 7 (HHV-7) infection and to compare these characteristics with those of primary human herpesvirus 6 (HHV-6) infection. STUDY DESIGN: A prospective convenience sample study of 496 children < or =3 years old. HHV-7 and HHV-6 infections were identified by viral isolation. Polymerase chain reaction and serology for HHV-7 and HHV-6 were performed. Clinical and laboratory characteristics of patients were obtained from medical records and follow-up interviews. RESULTS: Children with primary HHV-7 infection (n = 8) were identified and compared with children with primary HHV-6 infection (n = 29) detected during the same time period. All children were febrile (mean temperature 39.8 degrees C) with no difference in the degree of fever, frequency of rash, or gastrointestinal complications between the groups. The median age of children with primary HHV-7 infection was 26 months, significantly older than that of children with primary HHV-6 infection (median, 9 months). Children with primary HHV-7 infection were also more likely than those with primary HHV-6 infection to have seizures associated with the illness (P = .004). CONCLUSION: Primary infection with HHV-7 can cause a highly febrile illness in childhood, complicated by seizures. The serologic diagnosis of primary HHV-6 and HHV-7 infections may be confounded by cross-reacting antibodies. FAU - Caserta, M T AU - Caserta MT AD - Department of Pediatrics and Medicine, Children's Hospital at Strong, University of Rochester School of Medicine and Dentistry, New York, USA. FAU - Hall, C B AU - Hall CB FAU - Schnabel, K AU - Schnabel K FAU - Long, C E AU - Long CE FAU - D'Heron, N AU - D'Heron N LA - eng GR - R01 A 133020-02/PHS HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Pediatr JT - The Journal of pediatrics JID - 0375410 RN - 0 (Antibodies, Viral) SB - IM MH - Age Factors MH - Antibodies, Viral/analysis MH - Child, Preschool MH - Cross Reactions MH - Diarrhea/physiopathology MH - Exanthema/physiopathology MH - Fever/physiopathology MH - Follow-Up Studies MH - Herpesviridae Infections/diagnosis/immunology/*physiopathology MH - *Herpesvirus 6, Human/genetics/immunology/isolation & purification MH - *Herpesvirus 7, Human/genetics/immunology/isolation & purification MH - Humans MH - Infant MH - Interviews as Topic MH - Polymerase Chain Reaction MH - Prospective Studies MH - Retrospective Studies MH - Seizures/physiopathology MH - Vomiting/physiopathology EDAT- 1998/09/17 00:00 MHDA- 1998/09/17 00:01 CRDT- 1998/09/17 00:00 PHST- 1998/09/17 00:00 [pubmed] PHST- 1998/09/17 00:01 [medline] PHST- 1998/09/17 00:00 [entrez] AID - S0022-3476(98)70275-6 [pii] AID - 10.1016/s0022-3476(98)70275-6 [doi] PST - ppublish SO - J Pediatr. 1998 Sep;133(3):386-9. doi: 10.1016/s0022-3476(98)70275-6.