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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
11
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pubmed:dateCreated |
1996-1-24
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pubmed:abstractText |
Human herpesvirus 6 (HHV-6) is a recently discovered virus the pathogenicity of which in solid organ transplant recipients has not been defined. We describe a unique febrile syndrome due to disseminated invasive variant B HHV-6 infection in a liver transplant recipient with evidence of direct tissue invasion by the virus. Acute febrile illness characterized by life-threatening thrombocytopenia, progressive encephalopathy and skin rash developed in association with invasive HHV-6 infection in a liver transplant recipient. HHV-6 was isolated from the patient's peripheral blood in cell culture; variant B HHV-6 DNA was detected in the patient's peripheral blood mononuclear cells (PBMC) at a concentration greater than 1000 virus genomes per 10(6) PBMC. A bone marrow biopsy was also positive for HHV-6, documenting direct tissue invasion. Intravenous ganciclovir for three weeks led to a prompt clinical response. Although larger studies are warranted, our case suggests that HHV-6 should be considered in the diagnostic evaluation of patients with fever, cytopenia, and encephalopathy, particularly since HHV-6 is susceptible to ganciclovir and foscarnet.
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pubmed:commentsCorrections | |
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:month |
Dec
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pubmed:issn |
0041-1337
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
15
|
pubmed:volume |
60
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
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pubmed:pagination |
1355-7
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:8525536-Adult,
pubmed-meshheading:8525536-Base Sequence,
pubmed-meshheading:8525536-DNA, Viral,
pubmed-meshheading:8525536-DNA Primers,
pubmed-meshheading:8525536-Dermatitis,
pubmed-meshheading:8525536-Fever,
pubmed-meshheading:8525536-Herpesviridae Infections,
pubmed-meshheading:8525536-Herpesvirus 6, Human,
pubmed-meshheading:8525536-Humans,
pubmed-meshheading:8525536-Immunocompromised Host,
pubmed-meshheading:8525536-Liver Transplantation,
pubmed-meshheading:8525536-Molecular Sequence Data,
pubmed-meshheading:8525536-Thrombocytopenia,
pubmed-meshheading:8525536-alpha 1-Antitrypsin Deficiency
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pubmed:year |
1995
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pubmed:articleTitle |
Variant B human herpesvirus-6 associated febrile dermatosis with thrombocytopenia and encephalopathy in a liver transplant recipient.
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pubmed:affiliation |
Department of Medicine, Veterans Affairs Medical Center, Pittsburgh, Pennsylvania 15240, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
|