Human herpesvirus 6 viremia in bone marrow transplant recipients: Clinical features and risk factors

Tetsushi Yoshikawa, Yoshizo Asano, Masaru Ihira, Kyoko Suzuki, Masahiro Ohashi, Sadao Suga, Kazuko Kudo, Keizo Horibe, Seiji Kojima, Koji Kato, Takaharu Matsuyama, Yukihiro Nishiyama

Research output: Contribution to journalArticlepeer-review

142 Citations (Scopus)

Abstract

Human herpesvirus 6 (HHV-6) infection was studied in 82 bone marrow transplant (BMT) recipients (72 allogeneic, 10 autologous). All recipients and 30 donors were seropositive for HHV-6 antibody at the time of bone marrow transplantation. Thirty-one recipients (37.8%) had HHV-6 viremia 2-4 weeks after transplantation. The incidence of HHV-6 viremia was significantly higher among allogeneic BMT recipients than in autologous BMT recipients (P = .011). Therefore, the following analyses of allogeneic BMT recipients were carried out (n = 72). Geometric mean antibody titers (log10) were significantly higher in recipients without viremia than in those with viremia (1.84 ± 0.39 vs. 1.61 ± 0.42; P = .022). Logistic regression analysis demonstrated that leukemia or lymphoma is an independent risk factor (P = .031) for HHV-6 viremia. Rash occurring within 1 month after transplantation was observed in 17 (54.8%) of 31 recipients with HHV-6 viremia but in only 8 (19.5%) of 41 recipients without HHV-6 viremia (P = .001).

Original languageEnglish
Pages (from-to)847-853
Number of pages7
JournalJournal of Infectious Diseases
Volume185
Issue number7
DOIs
Publication statusPublished - 01-04-2002

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Infectious Diseases

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