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91例EB病毒相关疾病儿童血浆EB病毒DNA的检测

段红梅 姚瑶 谢正德 闫静 胡英慧 幺远 周玲 申昆玲

中国当代儿科杂志2009,Vol.11Issue(11):897-900,4.
中国当代儿科杂志2009,Vol.11Issue(11):897-900,4.

91例EB病毒相关疾病儿童血浆EB病毒DNA的检测

Determination of plasma EBV DNA in 91 children with EBV-associated diseases

段红梅 1姚瑶 2谢正德 2闫静 2胡英慧 2幺远 2周玲 3申昆玲2

作者信息

  • 1. 北京中医药大学护理学院,北京,100102
  • 2. 首都医科大学附属北京儿童医院,北京,100045
  • 3. 中国疾病预防控制中心病毒病预防控制所肿瘤实验室,北京,100052
  • 折叠

摘要

Abstract

Objective To determine the plasma level of Epstein-Barr virus ( EBV) DNA in children with EBV-associated diseases, and to investigate the dynamic changes of EBV DNA level after initial infection as well as the relationship between EBV-DNA level and the diseases severity. Methods The subjects consisted of 73 children with primary EBV infection (infectious mononucleosis, pneumonia,etc. ) and 18 children with severe EBV-associated diseases (chronic active EBV infection, hemophagocytic lymphohistiocytosis, etc. ). The plasma EBV DNA level was detected by a real-time PCR assay. Results The plasma EBV DNA level decreased with the infection time in children with primary EBV infection. Two weeks after infection, plasma EBV DNA was almost undetectable. The positive rate of plasma EBV DNA in children with severe EBV-associated diseases increased significantly when compared with that in children with primary EBV infection (89% vs 16% ; P < 0.05). Conclusions The level of EBV replication may be reduced with the infection time. Dynamic determination of blood EBV DNA is useful for the evaluation of disease severity in children with EBV infection.

关键词

EB病毒/慢性活动性EB病毒感染/噬血细胞性淋巴组织细胞增生症/传染性单核细胞增多症/儿童

Key words

Epstein-Barr virus/ Chronic active Epstein-Barr virus infection/ Hemophagocytic lymphohistiocytosis/ Infectious mononucleosis/ Child

分类

医药卫生

引用本文复制引用

段红梅,姚瑶,谢正德,闫静,胡英慧,幺远,周玲,申昆玲..91例EB病毒相关疾病儿童血浆EB病毒DNA的检测[J].中国当代儿科杂志,2009,11(11):897-900,4.

基金项目

北京市科委基金(z0005190042511)、北京市教委基金(KM200710025023)及北京市自然科学基金(702026)资助. (z0005190042511)

中国当代儿科杂志

OA北大核心CSCDCSTPCD

1008-8830

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