Primary gamma-herpesviral infection in Zambian children

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dc.contributor.authorMinhas, Veenuen
dc.contributor.authorBrayfield, Bradley P.en
dc.contributor.authorCrabtree, Kay L.en
dc.contributor.authorKankasa, Chipepoen
dc.contributor.authorMitchell, Charles D.en
dc.contributor.authorWood, Charlesen
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen
dc.date.accessioned2012-07-31T23:01:15Zen
dc.date.available2012-07-31T23:01:15Zen
dc.date.issued2010-05-12en
dc.date.updated2012-07-31T23:01:15Zen
dc.description.abstractBackground HHV-8 is closely related to Epstein-Barr virus (EBV), but the clinical presentations of these two infections in early childhood are not well understood. Also, it is not known whether infection by one virus correlates with another. Here, we compare the natural history of infection by these two viruses along with the clinical manifestations and risk factors that are associated with early childhood infection in Zambia, which is an endemic area for HHV-8. Methods This study was conducted in a cohort of 12 month old Zambian children (N = 677). Data on socio-economic status and a wide range of clinical manifestations were collected. Logistic regression was used to test for significant associations between the collected variables and HHV-8 or EBV serostatus at 12 months of age. Results We observed a significantly higher seroprevalence for EBV (58.9%) as compared to HHV-8 (13.4%). HIV-1 infected children had at a significantly higher risk of being infected with HHV-8 (Odds ratio [OR] 3.69, 95% confidence interval [CI] 1.64 - 8.32). HIV-1 infection of the mothers was a significant risk factor for increased acquisition of EBV but not HHV-8 by children (OR 1.86, 05% CI 1.20 - 2.87). Self reported rash was marginally associated with primary infection for HHV-8 and EBV. Conclusions These results suggest that there is no correlation between EBV and HHV-8 infections. Infection by one does not increase the susceptibility for the second virus. Primary HHV-8 and EBV infection in early childhood may clinically present as rash but remains largely asymptomatic and may remain undetected in this population. HIV infection in the mother or child are important risk factors that contribute to EBV or HHV-8 infection.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationBMC Infectious Diseases. 2010 May 12;10(1):115en
dc.identifier.doihttps://doi.org/10.1186/1471-2334-10-115en
dc.identifier.urihttp://hdl.handle.net/10919/18754en
dc.language.isoenen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.holderVeenu Minhas et al.; licensee BioMed Central Ltd.en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titlePrimary gamma-herpesviral infection in Zambian childrenen
dc.title.serialBMC Infectious Diseasesen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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