Persistent long-term human herpesvirus 6 (HHV-6) infection in a patient with langerhans cell histiocytosis

Márta Csire, Gábor Mikala, János Jákó, Tamás Masszi, Judit Jánosi, János Dolgos, Tibor Füle, Attila Tordai, György Berencsi, István Vályi-Nagy

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Langerhans cell histiocytosis (eosinophilic granuloma) was first diagnosed in the adolescence of a male patient presented. Several years later persisting human herpesvirus 6 (HHV-6) infection was recognized. The HHV-6 infection could be verified retrospectively in his historical histological samples; the continuous presence of HHV-6 could be established through 17 years of disease course. The patient was operated several times during this period for painful relapses, and developed diabetes insipidus. At variable time points during the clinical course, Varicella zoster (VZV), Epstein-Barr virus (EBV) and human herpesvirus 8 (HHV-8) infections were temporarily detected from blood samples and biopsy specimens. HHV-6 was the only virus continuously identified throughout the entire follow-up period. Antiviral therapy effectively cleared EBV and HHV-8, but HHV-6 remained detectable throughout the disease course. Since DNA sequences of HHV-6 could be detected in the pathologic histiocytes of eosinophilic granuloma, and from other samples taken later on, it is suggested that long-term HHV-6 infection may be associated with development or progression of Langerhans cell histiocytosis.

Original languageEnglish
Pages (from-to)157-160
Number of pages4
JournalPathology and Oncology Research
Volume13
Issue number2
DOIs
Publication statusPublished - Jan 1 2007

Keywords

  • Eosinophilic granuloma
  • HHV-6
  • Herpesvirus reactivation
  • Human herpesviruses
  • Langerhans cell histiocytosis

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Oncology
  • Cancer Research

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