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喀麦隆雅温得总医院非霍奇金淋巴瘤患者中 EB 病毒、乙肝病毒、丙肝病毒和人类免疫缺陷病毒的血清流行率。

Seroprevalence of Epstein-Barr virus, hepatitis B virus, hepatitis C virus, and human immunodeficiency virus among patients with non-Hodgkin's lymphoma at the Yaounde General Hospital, Cameroon.

机构信息

Faculty of Science, Laboratory of Microbiology University of Yaoundé, Yaoundé, Cameroon.

Faculty of Medicine and Biomedical Sciences, University of Yaoundé, Yaoundé, Cameroon.

出版信息

Pan Afr Med J. 2022 May 19;42:58. doi: 10.11604/pamj.2022.42.58.31473. eCollection 2022.

Abstract

The non-Hodgkin's lymphomas (NHLs) are a diverse group of malignancies that originate in lymphoid cells, heterogeneous in clinical behavior, morphology, cellular origin, etiology, and pathogenesis. A viral infectious etiology had been associated with them. This study aimed to investigate the seroprevalence of Epstein-Barr virus (EBV), Hepatitis B virus (HBV), Hepatitis C virus (HCV) and Human Immunodeficiency Virus (HIV) among patients with NHL at the Yaoundé General Hospital (YGH). Participants for this cross-sectional study were recruited at the medical oncology unit from October 2018 to December 2019. For each patient fulfilling the inclusion criteria, five milliliters of blood were drawn at the crook of their elbows in EDTA tubes. Then, EBV, HIV, HBV, and HVC screening were done using the Rapid Diagnostic Tests (RDTs); Bio-Rad EBV, Alere Determine HIV-1/HIV-2, HBV the best diagnostic and HVC Wondfo biotech respectively. Participants were made up of sixty-three males (69.23%) and twenty-eight females (30.77%). Their ages ranged from nineteen to seventy-eight years, with a mean ± SD of 56.5 ± 15.5. There were eight HIV patients (8.8%) followed by five EBV or HBV patients (5.5%). Three patients were coinfected with HIV+EBV (3.3%) while only two patients (2.2%) had HCV. Only HIV and EBV were seen coinfected. The presence of HBV and HCV in patients with NHL reveals the need to understand how these viruses induce lymphoproliferative diseases, more precisely, the non-Hodgkin´s lymphoma.

摘要

非霍奇金淋巴瘤(NHL)是一组起源于淋巴样细胞的恶性肿瘤,其临床行为、形态、细胞起源、病因和发病机制具有异质性。曾有人认为其与病毒感染有关。本研究旨在调查雅温得总医院(YGH) NHL 患者中 Epstein-Barr 病毒(EBV)、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)和人类免疫缺陷病毒(HIV)的血清流行率。这项横断面研究的参与者于 2018 年 10 月至 2019 年 12 月在肿瘤内科医学单位招募。对于符合纳入标准的每位患者,在肘部弯曲处用 EDTA 管抽取 5 毫升血液。然后,使用快速诊断检测(RDT)进行 EBV、HIV、HBV 和 HCV 筛查;Bio-Rad EBV、Alere Determine HIV-1/HIV-2、HBV 是最好的诊断方法,HVC Wondfo biotech 则分别用于 EBV、HIV、HBV 和 HCV 的筛查。参与者包括 63 名男性(69.23%)和 28 名女性(30.77%)。他们的年龄从 19 岁到 78 岁不等,平均年龄±标准差为 56.5±15.5。有 8 名 HIV 患者(8.8%),5 名 EBV 或 HBV 患者(5.5%)。有 3 名患者合并感染 HIV+EBV(3.3%),仅有 2 名患者(2.2%)感染 HCV。仅发现 HIV 和 EBV 合并感染。NHL 患者中 HBV 和 HCV 的存在表明需要了解这些病毒如何引发淋巴增生性疾病,更确切地说是非霍奇金淋巴瘤。

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