HHV-6 infections in hospitalized young children of Gabon.


Journal

Infection
ISSN: 1439-0973
Titre abrégé: Infection
Pays: Germany
ID NLM: 0365307

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 19 04 2023
accepted: 15 07 2023
medline: 27 11 2023
pubmed: 28 7 2023
entrez: 27 7 2023
Statut: ppublish

Résumé

Fever is a common cause for hospitalization among the pediatric population. The spectrum of causative agents is diverse. Human herpesvirus 6 (HHV-6) is a ubiquitous virus that often causes hospitalization of children in western countries. Previously, we investigated the cause of fever of 600 febrile hospitalized children in Gabon, and in 91 cases the causative pathogen was not determined. In this study, we assessed HHV-6 infection as potential cause of hospitalization in this group. Blood samples were assessed for HHV-6 using real-time quantitative PCR. Three groups were investigated: (1) group of interest: 91 hospitalized children with febrile illness without a diagnosed causing pathogen; (2) hospitalized control: 91 age-matched children hospitalized with febrile illness with a potentially disease-causing pathogen identified; both groups were recruited at the Albert Schweitzer Hospital in Lambaréné, Gabon and (3) healthy control: 91 healthy children from the same area. Samples from 273 children were assessed. Age range was two months to 14 years, median (IQR) age was 36 (12-71) months; 52% were female. HHV-6 was detected in 64% (58/91), 41% (37/91), and 26% (24/91) of the samples from groups 1, 2, and 3, respectively; with statistically significant odds of being infected with HHV-6 in group 1 (OR = 4.62, 95% CI [2.46, 8.90]). Only HHV-6B was detected. Although tropical diseases account for a large proportion of children's hospitalizations, considering common childhood diseases such as HHV-6 when diagnosing febrile illnesses in pediatric populations in tropical countries is of importance.

Identifiants

pubmed: 37501013
doi: 10.1007/s15010-023-02077-w
pii: 10.1007/s15010-023-02077-w
pmc: PMC10665219
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1759-1765

Subventions

Organisme : Deutsches Zentrum für Infektionsforschung
ID : TTU 03.709

Informations de copyright

© 2023. The Author(s).

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Auteurs

Juliana Inoue (J)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.

David Weber (D)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.

José Francisco Fernandes (JF)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany.
Centre of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam Infection & Immunity, Amsterdam Public Health, Amsterdam University Medical Centres, Location University of Amsterdam, Amsterdam, The Netherlands.

Ayola Akim Adegnika (AA)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany.

Selidji Todagbe Agnandji (ST)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany.

Bertrand Lell (B)

Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.

Peter G Kremsner (PG)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany.

Martin Peter Grobusch (MP)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Centre of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Amsterdam Infection & Immunity, Amsterdam Public Health, Amsterdam University Medical Centres, Location University of Amsterdam, Amsterdam, The Netherlands.
Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Cape Town, South Africa.
Masanga Medical Research Unit, Masanga, Sierra Leone.

Benjamin Mordmüller (B)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany.
Centre de Recherches Médicales de Lambaréné (CERMEL), Lambaréné, Gabon.
Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.

Jana Held (J)

Institute of Tropical Medicine, Eberhard Karls University Tübingen, Tübingen, Germany. jana.held@uni-tuebingen.de.
German Center for Infection Research (DZIF), Partner Site Tübingen, Tübingen, Germany. jana.held@uni-tuebingen.de.

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