V348I mutation in UL23 gene of human herpesvirus 1 in a case of herpetic hepatitis and haemophagocytic lymphohistiocytosis.

Acyclovir UL23 gene haemophagocytic lymphohistiocytosis syndrome herpetic hepatitis human herpesvirus-1

Journal

New microbes and new infections
ISSN: 2052-2975
Titre abrégé: New Microbes New Infect
Pays: England
ID NLM: 101624750

Informations de publication

Date de publication:
May 2019
Historique:
received: 31 12 2018
revised: 27 02 2019
accepted: 05 03 2019
entrez: 17 4 2019
pubmed: 17 4 2019
medline: 17 4 2019
Statut: epublish

Résumé

We herein report the case of a young immunocompetent adult patient with a rapidly fatal haemophagocytic lymphohistiocytosis syndrome related to human herpesvirus 1 (HHV-1) infection, with herpetic hepatitis and persistent high-level viraemia despite treatment with acyclovir. Haemophagocytic lymphohistiocytosis was confirmed in the patient's spleen and bone marrow. HHV-1 DNA was extracted from whole blood and liver biopsy and the UL23 gene was sequenced. A V348I natural polymorphism of the TK protein was found in blood and liver specimens. Further studies are needed to investigate the role of this polymorphism in the development of systemic immune dysregulation.

Identifiants

pubmed: 30988955
doi: 10.1016/j.nmni.2019.100529
pii: S2052-2975(19)30025-3
pii: 100529
pmc: PMC6447736
doi:

Types de publication

Case Reports

Langues

eng

Pagination

100529

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Auteurs

S Corcione (S)

Department of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.

F Sidoti (F)

Department of Public Health and Microbiology, Laboratory of Microbiology and Virology, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

C Costa (C)

Department of Public Health and Microbiology, Laboratory of Microbiology and Virology, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

S Mornese Pinna (S)

Department of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.

C Bonetto (C)

Department of Anaesthesia, Intensive Care and Emergency, AOU Città della Salute e della Scienza, Turin, Italy.

R Urbino (R)

Department of Anaesthesia, Intensive Care and Emergency, AOU Città della Salute e della Scienza, Turin, Italy.

R Cavallo (R)

Department of Public Health and Microbiology, Laboratory of Microbiology and Virology, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy.

F G De Rosa (FG)

Department of Medical Sciences, Infectious Diseases, University of Turin, Turin, Italy.

Classifications MeSH