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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1993-2-2
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pubmed:abstractText |
Documented viral peritonitis in peritoneal dialysis patients is rare, although up to 20% of all cases are culture negative (non-fungal, non-bacterial). CMV-infected peritoneal cells may serve as a reservoir for reinfection and/or reactivation of CMV after renal transplantation. CMV-Polymerase Chain Reaction (CMV-PCR) amplification analysis identified CMV-DNA in cells from the peritoneal dialysate of 8 patients (3 culture negative peritonitis from a total of 5 examined) and 5 asymptomatics) out of 17 potential kidney transplant recipients (6 on IPD 16.6 +/- 6 months, range 10-29 months; 11 on CAPD 28.1 +/- 25 months, range 2-81 months). Serum titers (10/17 patients analyzed) of anti-CMV IgG antibodies ranged from < 1:20 to 1:320 (no correlation with CMV-DNA) while anti-CMV IgM antibodies were undetectable. Detection of CMV specific sequences in peritoneal cells in peritoneal dialysis patients by the PCR assay is sensitive (amplification of a 133 bp immediate early CMV gene sequence allows detection of 10 CMV infected cells in a background of 10(5) uninfected peritoneal cells), rapid (1 day visual, 3 days with confirmation by Southern hybridization), specific (no amplification of human embryo and kidney cell DNA, or HSV, EBV, or VZV infected cells) and is non-invasive in IPD/CAPD patients since no additional invasive technique is required.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1197-8554
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
8
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
258-64
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1361801-Cytomegalovirus,
pubmed-meshheading:1361801-Cytomegalovirus Infections,
pubmed-meshheading:1361801-DNA, Viral,
pubmed-meshheading:1361801-Dialysis Solutions,
pubmed-meshheading:1361801-Humans,
pubmed-meshheading:1361801-Peritoneal Dialysis,
pubmed-meshheading:1361801-Peritoneal Dialysis, Continuous Ambulatory,
pubmed-meshheading:1361801-Peritonitis,
pubmed-meshheading:1361801-Polymerase Chain Reaction,
pubmed-meshheading:1361801-Sensitivity and Specificity
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pubmed:year |
1992
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pubmed:articleTitle |
Detection of CMV-DNA in cells from peritoneal fluid of IPD/CAPD patients by polymerase chain reaction.
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pubmed:affiliation |
Nephrology Department, Chaim Sheba Medical Center, Tel Hashomer, Israel.
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pubmed:publicationType |
Journal Article
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