Postnatal Human Herpesvirus 8 and Human Immunodeficiency Virus Type 1 Infection in Mothers and Infants from Zambia
Author(s) -
Brad Brayfield,
Saul Phiri,
Chipepo Kankasa,
Jubra Muyanga,
Hamakwa Mantina,
Geoffrey Kwenda,
John T. West,
Ganapati Bhat,
D.B. Marx,
Winslow Klaskala,
Charles D. Mitchell,
Charles Wood
Publication year - 2003
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/367985
Subject(s) - in utero , transmission (telecommunications) , medicine , virus , pregnancy , human immunodeficiency virus (hiv) , immunology , virology , peripheral blood mononuclear cell , human herpesvirus , immunodeficiency , pediatrics , biology , fetus , immune system , in vitro , engineering , biochemistry , genetics , electrical engineering
The specific route and timing of human herpesvirus (HHV) 8 infection in regions where Kaposi sarcoma is endemic are not known. HHV-8 infection and any risk factors that may be associated with HHV-8, including human immunodeficiency virus (HIV) type 1 infection, were monitored during the 12-month postdelivery period for 416 mothers and 485 infants from Lusaka, Zambia. HHV-8 incident infection rates during this period were 3.2 and 5.3 infections/100 person-years for infants and mothers, respectively. HHV-8 infection among infants was not associated with HHV-8 or HIV-1 infection in the mother. Among the HHV-8-positive infants, 2 of 12 tested were found to have HHV-8 DNA in their peripheral blood mononuclear cells at birth, which suggests that in utero infection is possible. However, most HHV-8-positive infants appeared to have acquired infection either intrapartum or postpartum. The present study indicates that transmission of HHV-8 to infants can occur early and is likely via multiple routes.
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