Abstract:Europe has faced a massive spread of the varicella-zoster virus through the years. Since the introduction of an effective vaccine, complications and severe forms of chickenpox have been restricted. Nevertheless, among the population, some categories need specific care, such as pregnant women, who present one of the most fragile conditions facing this infection, both for the mother and the fetus. In this review, we highlight how the varicella-zoster virus can be dangerous during pregnancy, underlining the probl… Show more
“…It has also been shown [46,47] that CMV infection influences the host immune response to EBV. Both beta and gamma human herpesviruses possess extensive immunomodulatory capacities and co-infection can manifest both agonistic and antagonistic interactions with the host immune system [48] The Italian population studied showed a high seroprevalence (>95%) of VZV IgG in all the groups studied, which is in accordance with high VZV IgG seroprevalences reported for adults from several Western European countries [49,50]. In our study, VZV IgG levels in female adults significantly decreased with age, and a general decline in VZV IgG levels in Italian adults has been noted in other studies [51].…”
Previous exposure to Epstein–Barr virus (EBV) is strongly associated with the development of multiple sclerosis (MS). By contrast, past cytomegalovirus (CMV) infection may have no association, or be negatively associated with MS. This study aimed to investigate the associations of herpesvirus infections with MS in an Italian population. Serum samples (n = 200) from Italian people with multiple sclerosis (PwMS) classified as the relapsing-and-remitting clinical phenotype and (n = 137) healthy controls (HCs) were obtained from the CRESM Biobank, Orbassano, Italy. Both PwMS and HCs samples were selected according to age group (20–39 years, and 40 or more years) and sex. EBV virus capsid antigen (VCA) IgG, EBV nucleic acid-1 antigen (EBNA-1) IgG, CMV IgG, herpes simplex virus (HSV) IgG, and varicella zoster virus (VZV) IgG testing was undertaken using commercial ELISAs. EBV VCA IgG and EBNA-1 IgG seroprevalences were 100% in PwMS and 93.4% and 92.4%, respectively, in HCs. EBV VCA IgG and EBNA-1 IgG levels were higher (p < 0.001) in PwMS compared with HCs. For PwMS, the EBNA-1 IgG levels decreased with age, particularly in females. The CMV IgG seroprevalence was 58.7% in PwMS and 62.9% in HCs. CMV IgG seroprevalence increased with age. The HSV IgG seroprevalence was 71.2% in PwMS and 70.8% in HCs. HSV IgG levels were lower (p = 0.0005) in PwMS compared with HCs. VZV IgG seroprevalence was 97.5% in PwMS and 98.5% in HCs. In the population studied, several herpesvirus infections markers may have been influenced by the age and sex of the groups studied. The lack of a negative association of MS with CMV infection, and the observation of lower levels of HSV IgG in PwMS compared with HCs are findings worthy of further investigation.
“…It has also been shown [46,47] that CMV infection influences the host immune response to EBV. Both beta and gamma human herpesviruses possess extensive immunomodulatory capacities and co-infection can manifest both agonistic and antagonistic interactions with the host immune system [48] The Italian population studied showed a high seroprevalence (>95%) of VZV IgG in all the groups studied, which is in accordance with high VZV IgG seroprevalences reported for adults from several Western European countries [49,50]. In our study, VZV IgG levels in female adults significantly decreased with age, and a general decline in VZV IgG levels in Italian adults has been noted in other studies [51].…”
Previous exposure to Epstein–Barr virus (EBV) is strongly associated with the development of multiple sclerosis (MS). By contrast, past cytomegalovirus (CMV) infection may have no association, or be negatively associated with MS. This study aimed to investigate the associations of herpesvirus infections with MS in an Italian population. Serum samples (n = 200) from Italian people with multiple sclerosis (PwMS) classified as the relapsing-and-remitting clinical phenotype and (n = 137) healthy controls (HCs) were obtained from the CRESM Biobank, Orbassano, Italy. Both PwMS and HCs samples were selected according to age group (20–39 years, and 40 or more years) and sex. EBV virus capsid antigen (VCA) IgG, EBV nucleic acid-1 antigen (EBNA-1) IgG, CMV IgG, herpes simplex virus (HSV) IgG, and varicella zoster virus (VZV) IgG testing was undertaken using commercial ELISAs. EBV VCA IgG and EBNA-1 IgG seroprevalences were 100% in PwMS and 93.4% and 92.4%, respectively, in HCs. EBV VCA IgG and EBNA-1 IgG levels were higher (p < 0.001) in PwMS compared with HCs. For PwMS, the EBNA-1 IgG levels decreased with age, particularly in females. The CMV IgG seroprevalence was 58.7% in PwMS and 62.9% in HCs. CMV IgG seroprevalence increased with age. The HSV IgG seroprevalence was 71.2% in PwMS and 70.8% in HCs. HSV IgG levels were lower (p = 0.0005) in PwMS compared with HCs. VZV IgG seroprevalence was 97.5% in PwMS and 98.5% in HCs. In the population studied, several herpesvirus infections markers may have been influenced by the age and sex of the groups studied. The lack of a negative association of MS with CMV infection, and the observation of lower levels of HSV IgG in PwMS compared with HCs are findings worthy of further investigation.
“…До 5 % дорослого населення, у тому числі жінки фертильного віку, залишаються сприйнятливими до VZV-інфекції [4]. У 5-16 % вагітних антитіл до вірусу вітряної віспи немає [5].…”
Section: розглядається клінічний випадок захворювання на оперізувальн...unclassified
“…Найменший ризик для плода визначається терміном між 20 і 35 тижнями. У разі захворювання мами після 20-го тижня вагітності у дитини немає ознак вітряної віспи, але на ранньому етапі життя у неї може розвинутися оперізувальний герпес [4,7].…”
Section: розглядається клінічний випадок захворювання на оперізувальн...unclassified
Розглядається клінічний випадок захворювання на оперізувальний герпес дитини 7,5 міс., яка зазнала вертикальної передачі вітряної віспи від своєї хворої мами. Аналізуються ризики для плода в разі інфікування вагітних у різні терміни вірусом вітряної віспи та динаміка розвитку симптомів оперізвального герпесу у дитини. Розглядаються результати лабораторних обстежень, які включали визначення антигенів VZV у зішребку з дна міхурця методом прямої імунофлюоресценції та серологічне обстеження крові на виявлення IgM та IgG до VZV. Ці тести допомагають підтвердити діагноз і визначити стадію захворювання. Описано ефективне лікування з локальною обробкою ураженої шкіри антисептичними розчинами та застосуванням мазі герпевіру, а також моніторинг пацієнта в амбулаторних умовах. Отримані результати свідчать про успішне видужання дитини без ускладнень, що є важливим для розуміння можливих перспектив вдосконалення лікування у подібних клінічних випадках.
“…However, in adults, pregnant women and immunocompromised, the infection can lead to many complications. Pulmonary involvement during chickenpox is one of the most serious complications, its frequency is increasing in recent years, with an estimated incidence in Europe and the United States of 5% and 50% respectively, and its mortality rate of up to 20% [5,6,7,8]. However, the epidemiology of varicella and its complications is still poorly described in low-income countries.…”
Introduction: Pulmonary involvement during chickenpox is one of the most serious complications. However, it can be difficult to distinguish between varicella pneumonia, bacterial superinfection and an acute chest syndrome. We report a case of varicella complicated by pneumonia in a young adult with sickle cell disease.
Observation: It was a 24-year-old woman with sickle cell disease. Examination on admission revealed generalized skin lesions of varying ages, associated with scratching lesions. On day 3 of hospitalization, she presented an acute respiratory distress associated with fever (40°C). Thoracic CT angiography revealed diffuse pulmonary nodules and micronodules in both lung fields. Blood culture isolated Staphylococcus spp. The patient was put on oxygen therapy combined with antiviral treatment and antibiotic therapy. The course was marked by symptoms regression, with disappearance of respiratory distress on day 2 and apyrexia on day 3 of treatment. The follow-up chest CT scan carried out at month 4, came back normal.
Conclusion: Although pneumonia is one of the most common complications of varicella, it can be difficult to diagnose in patients with sickle cell disease, considering the frequency of pulmonary involvement of various etiologies
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