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№3' 2020

INFECTIOUS DISEASES

International Medical Journal, Vol. 26., Iss. 3, 2020, P. 79−82.


DOI (https://doi.org/10.37436/2308-5274-2020-3-14)

AGE FEATURES OF SOME FORMS OF HERPESVIRUS INFECTION


Sorokina O. G., Liadova T. I., Popov M. M., Dorosh D. M., Malanchuk S. G., Gololobova O. V., Grechishkina Yu. O., Sorokina A. V.

V. N. Karazin Kharkiv National University
Kharkiv National Medical University, Ukraine

Epstein−Barr virus occupies an important place in the structure of infectious lesions of herpesvirus etiology. In order to study the age−related course of chronic infection caused by Epstein−Barr virus, a study was conducted with involvement of 141 patients. According to the results of our study, we found that a chronic infection caused by Epstein−Barr virus is characterized with polymorphism of clinical symptoms, there are certain features of its manifestations depending on the age of patients. Among the clinical manifestations of the infection, chronic tonsillitis, chronic fatigue syndrome and peripheral lymphadenopathy were most often found. Peripheral lymphadenopathy, hepatolienal syndrome and chronic tonsillitis were most common in the patients aged 18−25 years, prolonged subfebrility was noted in the age group of 26−35 years, and chronic fatigue syndrome, arthralgia and myalgia among were observed in the patients aged 36−45 years. A study of the recurrence rate in patients with chronic infection caused by Epstein−Barr virus of different age groups revealed that patients aged 18−25 and 26−35 years had 1−2 recurrences during the year, and those aged 36−45 years had 4 ones and more. Analysis of the results of laboratory studies showed that the patients with chronic infection caused by Epstein−Barr virus, compared with the control group showed a significant increase in erythrocyte sedimentation rate, relative lymphocytes and monocytes, as well as a decrease in absolute and relative neutrophil content, indicating leukocyte blood formula, characteristic of the viral etiology of the disease associated with Epstein−Barr virus. There was no correlation between the clinical analysis of blood with age of the patients with chronic infection caused by Epstein−Barr virus.

Key words: herpesvirus infection, chronic Epstein − Barr virus infection, disease course, clinical and laboratory parameters, immune system.


REFERENCES


1. Do pitannya pro gerpetichnu іnfektsіyu yak aktual'nu problemu s'ogodennya / V. P. Borak, L. B. Romanyuk, V. T. Borak, N. Ya. Kravets' // Aktual'na іnfektologіya. 2016. № 2 (11). S. 53−58.

2. Gilyuk O. G., Bulat L. M. Vіkovі osoblivostі klіnіchnogo perebіgu gerpesvіrusnoї іnfektsії u dіtei // Biomedical and biosocial anthropology. 2017. № 28. S. 112−116.

3. Infectious mononucleosis of Epstein − Barr virus etiology: etiology, pathogenesis, immunogenesis, treatment / O. V. Vigovskya, S. A. Kramarev, V. A. Doroshenko, I. V. Shpak // Attending physician. 2012. № 4. P. 29−34.

4. Odumade O. A., Hogquist K. A., Balfour H. H. Jr. Progress and problems in understanding and managing primary Epstein − Barr virus infections // Clin. Microbiol. Rev. 2011. Vol. 24 (1). R. 193−209. doi: https://doi.org/10.1128/cmr.00044−10

5. Okano M. Features of Chronic Active Epstein − Barr virus Infection and Related Human Diseases // The Open Hematology J. 2011. № 5. P.1−3. doi: https://doi.org/10.2174/1874276901105010001

6. Sorokіna O. G., Popov M. M., Lyadova T. І. Vpliv polіmorfіzmu gena іnterleikіnu−28 na perebіg khronіchnoї Epshteina − Barr vіrusnoї іnfektsії // Svіt meditsini ta bіologії. 2017. № 3 (61). C. 68−72.

7. Behavioral, virologic, and immunologic factors associated with acquisition and severity of primary Epstein − Barr virus infection in university students / H. H. Balfour et al. // J. Infect. Dis. 2013. № 207. R. 80−88. doi: https://doi.org/10.1093/infdis/jis646

8. Kazmirchuk V. E., Mal'tsev D. V. Diagnostika i lechenie infektsii, vyzvannoi Epshteina − Barr virusom (virusom gerpesa cheloveka 4 tipa) // Klіnіchna іmunologіya, alergologіya, іnfektologіya. 2011. № 2 (41). S. 30−36.

9. Sorokіna O. G., Popov M. M., Lyadova T. І. Vivchennya poshirenostі rіznikh alelіv іnterleikіnu−28 u patsієntіv z khronіchnimi formami Epshteina − Barr vіrusnoї іnfektsії // Vіsn. problem bіologії ta meditsini. 2017. № 4 (140). C. 20−25.

10. Infectious mononucleosis in university students in the United kingdom: evaluation of the clinical features and consequences of the disease / K. F. Macsween et al. // Clin. Inf. Dis. 2010. Vol. 50, № 5. P. 699−706. doi: https://doi.org/10.1086/650456

11. Pokrovs'ka T. V. Khronіchna Epshteina − Barr vіrusna іnfektsіya − aktual'nі pitannya // Іnfektsіinі khvorobi. 2014. № 2. S. 70−74.

12. Sorokіna O. G., Popov M. M., Lyadova T. І. Efektivnіst' protivіrusnoї terapії u patsієntіv z rіznimi genotipami іnterleikіnu−28 pri khronіchnikh formakh Epshteina − Barr vіrusnoї іnfektsії. Aktual'nі problemi suchasnoї meditsini // Vіsn. Ukraїns'koї medichnoї stomatologіchnoї akademії. 2017. T. 17, vip. 4 (60), ch. 2. C. 227−231.

13. Herpesvirus seropositivity in childhood associates with decreased monocyte−induced NK cell IFN−gamma production / S. Saghafian−Hedengren et al. // J. Immunol. 2009. № 182 (4). P. 2511−2517. doi: https://doi.org/10.4049/jimmunol.0801699

14. Dunmire S. K., Hogquist K. A., Balfour H. H. Infectious Mononucleosis // Curr. Top. Microbiol. Immunol. 2015. № 390 (1). P. 211−240.

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