Active Herpes Virus Infection in Young Children
https://doi.org/10.22627/2072-8107-2018-17-4-22-28
Abstract
Under observation were 122 young children (up to 3 years of age), who were identified markers of active forms of herpes virus infections. Markers were studied by PCR in blood, smear from tonsils, saliva, cerebrospinal fluid, urine with determination DNA of HSV 1—2 type, EBV, CMV, HHV-6 type, antigens were determined by indirect immunofluorescence in blood lymphocytes, by ELISA in serum — antibodies of the classes IgM and IgG. Herpesvirus infection occurs at an early age and contributes to the formation of various infectious and somatic pathology. In children from birth to 1 year of life, CMV infection in the form of a mono-infection with symptoms of CNS damage, generalized forms, neutropenia is more common (79% of cases). In children aged 1 to 2 years, in 76% of cases, HHV-6 infection is detected, more often in mixed variants. Patients of this group are observed with a long subfebrile condition, neutropenia, infectious mononucleosis. In the third year of life, there is an increase in infection of children with EBV, with approximately the same frequency of EBV and HHV-6, most often in mixed forms, the clinical manifestations of which is a typical symptom complex of infectious mononucleosis. At this age, the active persistence of herpes viruses contributes to the formation of a group of frequently ill children. Thus, when examining young children with various pathologies, it is necessary to diagnose herpes virus infection using modern methods to detect its active forms for the timely administration of etiotropic therapy.
About the Authors
N. Yu. EgorovaRussian Federation
Natalia Egorova, PhD, Associate Рrofessor of the Department of Infectious Diseases in Children
Moscow
O. V. Molochkova
Russian Federation
Oksana Molochkova, PhD, Associate Рrofessor of the Department of Infectious Diseases in Children
Moscow
L. N. Guseva
Russian Federation
Ludmila Guseva, PhD, Associate Рrofessor of the Department of Infectious Diseases in Children
Moscow
N. L. Waltz
Russian Federation
Natalya Waltz, Head of Infectious-Boxed Department for Young Children
Moscow
K. P. Chusov
Russian Federation
Konstantin Chusov, Head of the intensive care unit and intensive care for newborns and premature babies
Moscow
References
1. Bokovoy A.G., Egorov A.I. Herpesvirus infections in children and parents: A manual for students, pediatricians, infectionists, immunologists. Moscow: Center for Strategic Situations, 2014: 256. (In Russ.)
2. Chen M.R. Epstein-Barr Virus, the Immune System, and Associated Diseases. Front Microbiol. 2011; 2: 5. https://doi.org/10.3389/fmicb.2011.00005
3. Mogensen T.H., Paludan S.R. Molecular pathways in virus-induced cytokine production. Microbiol Mol Biol Rev. 2001; 65: 131— 150. https://doi.org/10.1128/MMBR.65.1.131-150.2001
4. Kanegane H., Wakiguchi H., Kanegane C., Kurashige T., Tosato G. Viral interleukin-10 in chronic active Epstein-Barr virus infection. J Infect Dis. 1997; 176(1): 254—257.
5. Dokmeci E., Xu L., Robinson E., Golubets K., Bottomly K., Herrick C.A. EBV deficiency leads to diminished T helper type 1 and increased T helper type 2 mediated airway inflammation. Immunology. 2011; 132(4): 559—566. https://doi.org/10.1111/j.1365-2567.2010.03401
6. Rybalkina T.N., Karazhas N.V., Savinkov P.A., Boshyan R.E., Lysenkova M.Y., Kornienko M.N., Veselovsky P.A., Burmistrov E.M., Lebedeva T.M., Markin P.A. The importance of herpesviruses in the etiology of a number of infectious and somatic diseases of children. Detskie Infektsii=Children's Infections. 2017;16(3):10—19. (In Russ.) https://doi.org/10.22627/2072-8107-2017-16-3-10-19
7. Kharlamova F.S., N.Yu. Egorova, O.V. Shamsheva, V.F. Uchaikin, O.V. Molochkova, E.V. Novosad, T.M. Lebedeva, E.V. Simonovа. The role of herpesvirus infection IV, V and VI types in infectious and somatic pathology in children. Pediatria=Pediatrics. 2017; 96 (4): 42—47. https://doi.org/10.24110/0031-403X-2017-96-4-42-47 (In Russ.)
8. Lebedeva T.M., Egorova N.Yu., Karazhas N.V., Rybalkina T.N., Kalugina M.Yu., Andzhel A.Ye., Uchaikin V.F. The role of herpesvirus infections with prolonged subfebrilitetes in children. Detskie Infektsii=Children's Infections. 2013; 12 (4): 23—27. (In Russ.) DOI:10.22627/2072-8107-2013-12-4-23-27
9. Simonova E.V., Kharlamova F.S., Uchaikin V.F., Drozdova I.M., Egorova N.Yu. CNS damage in herpesviral mono and mixed infections of the 6th type in children. Pediatria=Pediatrics. 2016; 95 (2): 22—29. (In Russ.) DOI: 10.24110/0031-403X-2016-95-2-22-29
10. Abramova N.A., Savenkova M.S., Abramov A.D. The role of intrafamily infection of frequently ill children. Detskie Infektsii=Children's Infections. 2014; 13 (1): 52—58. (In Russ.)
11. Sotnikov I.A, Egorova N.Yu., Valtz E.A., Chichaev E.V., Kushch A.A. The significance of the persistence of cytomegalovirus infection in the formation of a group of often ill children. Detskie Infektsii=Children's Infections. 2015; 14(4): 13—16. (In Russ.) DOI:10.22627/2072-8107-2015-14-4-13-16
12. Polovtseva T.V., Karazhas N.V., Kalugina M.Yu., Mamedova E.A. at al. Diagnosis of herpesvirus infection in young children. Detskie Infektsii=Children's Infections. 2012; 2:51—53. (In Russ.)
13. Egorova N.Yu. Cytomegalovirus mononucleosis (clinic, diagnosis, differential diagnosis): Author's abstract of PhD Thesis (Medicine). M., 2006. (In Russ.)
14. Simovanyan E.N., Denisenko V.B., Grigoryan A.V., Kim M.A., Bovtalo L.F., Belugina L.V. Epstein-Barr virus infection in children: improving the diagnosis and treatment program. Detskie Infektsii=Children's Infections. 2016; 15 (1):15-24. (In Russ.)
15. Congenital, perinatal and neonatal infections. Ed. A. Greenow, D. Osborne, S. Sutherland. M, Medicine, 2000: 288. (In Russ.)
16. Klemola E., von Essen R., Henle G. et al.: Infectious mononucleosislike disease with negative heterophil agglutination test: Clinical features in relations to Epstein-Barr virus and cytomegalovirus and antibodies. J. Infect. Dis. 1970; 121: 608—614.
Review
For citations:
Egorova N.Yu., Molochkova O.V., Guseva L.N., Waltz N.L., Chusov K.P. Active Herpes Virus Infection in Young Children. CHILDREN INFECTIONS. 2018;17(4):22-28. (In Russ.) https://doi.org/10.22627/2072-8107-2018-17-4-22-28