1. Parvovirus B19 in HIV+ adult patients with different CD4+ lymphocyte counts.
- Author
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Pedranti MS, Rodriguez-Lombardi G, Bracciaforte R, Romano N, Lujan P, Ricchi B, Mautino J, and Adamo MP
- Subjects
- Adolescent, Adult, Aged, Anemia diagnosis, Anemia virology, Antibodies, Viral blood, Antiretroviral Therapy, Highly Active, Case-Control Studies, Coinfection virology, DNA, Viral blood, Female, HIV Infections drug therapy, Humans, Immunoglobulin G blood, Immunoglobulin M blood, Male, Middle Aged, Parvoviridae Infections blood, Retrospective Studies, Viral Load, Young Adult, CD4 Lymphocyte Count, HIV Infections virology, Parvoviridae Infections diagnosis, Parvovirus B19, Human isolation & purification
- Abstract
Purpose: Human parvovirus B19 (B19V) can cause anemia in immunocompromised patients. We aimed to investigate the presence of B19V in HIV+ adults with different CD4+ T cell counts, to recognise the frequency of B19V in these different conditions and its possible association with anemia., Methodology: We studied B19V specific IgM, IgG and DNA in 98 HIV+ patients and in 52 healthy individuals. HIV load, CD4+ counts and haemoglobin level were also determined in the patients., Results: No individual in the control group had detectable IgM, 41/52 (78.8 %) had IgG and 5/52 (9.6 %) had B19V DNA. Among HIV+ patients, we found 5/98 (5.1 %) IgM+, 66/98 (67.3 %) IgG+ and 15/98 (15.3 %) had B19V DNA (no significant differences between the two groups compared). Considering the CD4+ cell range in HIV patients, 37 had <200 CD4+ cells ml
-1 , 31 had 200-500, and 30 had >500. Anti-B19V IgG prevalence in patients with >500 CD4+ cells ml-1 was significantly higher than in the rest (P=0.004) and compared to the control (P=0.046). B19V DNA concentration was always <103 IU ml-1 , including 5 healthy individuals and 15 HIV+ patients. There was no significant association between B19V IgM or DNA and anemia nor between B19V DNA and HIV load., Conclusions: The results indicate that B19V is not a high-risk factor for anemia in adult HIV+ patients under HAART treatment. Further studies will contribute to elucidate the mechanisms and significance of B19V DNA prevalence/persistence in adults, independently of the CD4+ cell status.- Published
- 2017
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