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实体器官移植受者中的人疱疹病毒8型感染

Human herpesvirus type 8 infections among solid organ transplant recipients.

作者信息

Allen Upton D

机构信息

Division of Infectious Diseases, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Canada.

出版信息

Pediatr Transplant. 2002 Jun;6(3):187-92. doi: 10.1034/j.1399-3046.2002.02006.x.

Abstract

Human herpes virus 8 (HHV-8) is known to be associated with Kaposi's sarcoma (KS), primary effusion lymphoma (PEL) and a form of Castleman's disease. Recently, it has also been shown to be associated with acute bone marrow failure in transplant patients. While, the full spectrum of clinical manifestations due to HHV-8 is yet to be defined in transplant recipients, it is known to cause post-transplant KS as a result of primary as well as secondary infection. This review will discuss the possible role of HHV-8 as a cause of disease in solid organ transplant recipients by focussing on important issues, including the biology of the virus, epidemiology, clinical manifestations, laboratory diagnosis and treatment, followed by a discussion of issues of relevance to the pediatric transplant recipient.

摘要

已知人类疱疹病毒8型(HHV-8)与卡波西肉瘤(KS)、原发性渗出性淋巴瘤(PEL)以及一种卡斯尔曼病有关。最近,还发现它与移植患者的急性骨髓衰竭有关。虽然移植受者中由HHV-8引起的全部临床表现尚未明确,但已知它可因原发性和继发性感染导致移植后KS。本综述将聚焦于重要问题,包括病毒生物学、流行病学、临床表现、实验室诊断和治疗,探讨HHV-8作为实体器官移植受者疾病病因的可能作用,随后讨论与儿科移植受者相关的问题。

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