13,868 results match your criteria: "Varicella-Zoster Virus"

Article Synopsis
  • - Varicella-zoster virus causes chicken pox and shingles, and while usually mild in kids, it can be serious in immunocompromised individuals.
  • - An 11-year-old boy on methotrexate (not typically immunosuppressive) developed a severe varicella infection that led to pneumonia.
  • - He was treated with high-dose acyclovir and intravenous immunoglobulin (IVIG), which helped him recover completely thanks to their effectiveness in immunocompromised patients.
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Article Synopsis
  • JAK inhibitors, used to treat rheumatoid arthritis, can increase the risk of herpes zoster, prompting the need for appropriate vaccination timing with the recombinant zoster vaccine (RZV).
  • The STOP HZ study aims to determine whether initiating tofacitinib at the first or second RZV vaccination affects patients' immune response (IgG titers and T cell response) and disease activity.
  • This multicenter, randomized study will recruit 60 patients and measure various treatment outcomes, all while conforming to ethical guidelines and requiring informed consent.
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West Nile virus encephalitis: Clinical characteristics and a comparison to other infectious encephalitides.

J Neurol Sci

December 2024

Department of Neurology, Tel Aviv Medical Center, Tel Aviv, Israel; Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Encephalitis Center, Tel Aviv Medical Center, Tel Aviv, Israel.

Article Synopsis
  • The study aimed to compare the functional outcomes of adults with acute infectious encephalitis, focusing on West Nile virus encephalitis (WNVE) compared to other types such as VZV and HSV1.
  • A total of 105 patients were analyzed, revealing that WNVE and VZV patients were generally older and had worse clinical outcomes at discharge compared to HSV1 patients.
  • Notably, WNVE exhibited a pronounced inflammatory response, and the findings suggest a prevalence of WNVE and VZV over HSV1, highlighting the need for further research on West Nile virus infections.
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We evaluated the viral load of varicella-zoster virus (VZV) in ambient air, vesicle, and pharyngeal swabs in VZV-infected patients. Of 46 cases, 6 had VZV detected in indoor air samples from patient rooms. Results suggest an association between viral load in the pharyngeal swab and indoor air.

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Article Synopsis
  • * A 16-year-old girl with Hodgkin's lymphoma developed a vesicular rash after completing chemotherapy, which was identified as a disseminated rash caused by the Oka vaccine-strain varicella-zoster virus, 11 years after her last vaccination.
  • * This case emphasizes the importance of understanding potential complications of immunizations, particularly in patients who become immunocompromised later in life, and highlights the necessity of viral genotyping to differentiate vaccine strains from wild-type infections.*
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Aquaporin-4 antibody-positive neuromyelitis optica spectrum disorder triggered by herpes zoster: a case report and literature review.

J Int Med Res

November 2024

Department of Pain Medicine, Zhejiang Key Laboratory of Imaging and Interventional Medicine, The Fifth Affiliated Hospital of Wenzhou Medical University, Lishui Hospital of Zhejiang University, Lishui Central Hospital, Lishui, Zhejiang Province, China.

This paper presents the case of a 45-year-old woman who developed aquaporin-4 (AQP4) antibody-positive neuromyelitis optica spectrum disorder (NMOSD) approximately 6 weeks after a herpes zoster infection. Her initial symptoms included area postrema syndrome, which was marked by persistent nausea, vomiting, and belching. This report also provides a summary of the demographic and clinical features, disease progression, magnetic resonance imaging findings, cerebrospinal fluid analysis, treatment plans, and recovery outcomes of 11 patients-including this case and 10 others reported in the literature since 2008-who developed AQP4 antibody-positive NMOSD following herpes zoster infection.

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Purpose: To report a case of neuroretinitis as the presenting manifestation of COVID-19 infection alongside VZV reactivation, in the absence of other systemic symptoms.

Methods: A case report.

Results: A previously healthy 15-year-old male presented with a one-week history of acute unilateral visual loss and clinical findings consistent with neuroretinitis.

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Functional outcome after infectious encephalitis: a longitudinal multicentre prospective cohort study.

Clin Microbiol Infect

November 2024

INSERM, CIC 1414, Rennes, France; Infectious Diseases and Intensive Care Unit, CHU Ponchaillou, Rennes, France.

Article Synopsis
  • The study aimed to analyze the long-term functional outcomes of patients who survived infectious encephalitis (IE) and identify risk factors linked to poor recovery.
  • Researchers followed 322 patients over one year, assessing their recovery using the modified Rankin scale, and identified that many survivors experienced continued symptoms even after six months.
  • Key risk factors for a worse functional outcome included older age, immunocompromised status, ICU admission, abnormal brain imaging, and specific viral infections like herpes simplex virus 1.
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[Viral retinitis].

J Fr Ophtalmol

December 2024

Service d'ophtalmologie, Sorbonne université, CHU Pitié-Salpêtrière, Paris, France.

Viruses belonging to the herpes family group, including HSV (herpes simplex virus) 1 and 2, VZV (varicella zoster virus) and CMV (cytomegalovirus) are the leading causes of necrotizing retinitis. These viral retinal necroses generally manifest in three forms, depending on the patient's immune status: acute retinal necrosis (ARN), progressive outer retinal necrosis (PORN) and CMV retinitis. Although specific, effective drug treatments are available today, early treatment initiation is essential to avoid sight-threatening complications.

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Background: Acyclovir treatment is an efficient prophylaxis to prevent varicella-zoster virus (VZV) reactivation after allogeneic hematopoietic stem cell transplantation (HSCT).

Aims: This single center retrospective study tried to determine if the lymphocytes immunophenotyping could help to determine the duration of prophylaxis, and evaluated complications, and associated risk factors for VZV infection.

Methods And Results: Eighty-four children underwent an allogeneic HSCT, in which 77 received an acyclovir prophylaxis.

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Article Synopsis
  • * Conducted at Asia University Hospital, the analysis of cerebrospinal fluid from 19 patients found that 10.5% tested positive for viral infections, with herpes simplex virus-1 and Varicella zoster virus identified.
  • * The findings highlight the FilmArray ME panel's effectiveness in providing quick and accurate diagnoses, leading to faster clinical treatment and potentially better patient outcomes.
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In memory of an exquisite medicinal chemist, Prof. Morris Robins.

Nucleosides Nucleotides Nucleic Acids

November 2024

Department of Microbiology, Immunology and Transplantation, Rega Institute for Medical Research, Laboratory of Virology and Chemotherapy, KU Leuven, B-3000Leuven, Belgium.

Among the most prominent realizations of Morris J. Robins in the antiviral nucleoside chemistry are the synthesis of 8-substituted (methyl-, amino-, bromo-, iodo) derivatives of acyclovir, xylotubercidin as an inhibitor of herpes simplex virus (HSV) infections, the anti-HIV activity of the 2',3'-dideoxyriboside of 2,6-diaminopurine (ddDAPR) and the 3'-azido- and 3'-fluoro derivatives thereof (AzddDAPR and FddDAPR, respectively), the potentiating effect of ribavirin on the anti-HIV activity of 2',3'-dideoxyinosine (ddI) and ddDAPR, S-adenosylhomocysteine hydrolase (SAH) inhibitors principally active against vaccinia virus (VV) and vesicular stomatitis virus (VSV), and furo[2,3-d]pyrimidinone derivatives active against varicella-zoster virus (VZV).

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Exploring the appropriate situation of performing CSF mNGS in patients with proposed intracranial infections.

BMC Neurol

November 2024

Department of Neurology, Harrison International Peace Hospital, No. 180 of Renmin East Road, Taocheng District, Hengshui, Hebei, 050000, China.

Background: Identifying the responsible pathogen is crucial for precision medicine in intracranial infections, and Cerebrospinal Fluid (CSF) Metagenomic Next-Generation Sequencing (mNGS) is a reliable method for this detection. However, the indiscriminate utilization of this approach may impose a financial burden on both patients and society. The study aims to investigate the optimal conditions for applying CSF mNGS in patients with suspected intracranial infections, offering valuable references for precision medicine of intracranial infections.

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A 66-year-old woman reported 10 days of generalised weakness, falls and memory 'glitches'. She had developed left-sided ophthalmic herpes zoster 3 months before but was otherwise well. MR scan of brain showed acute left-sided ischaemic strokes and CT cerebral angiogram identified marked stenoses of the left anterior and middle cerebral arteries.

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Objectives: Viral infections are the leading cause of posttransplant morbidity and mortality. We aimed to determine the effect on graft function, the risk factors, the frequency, and types of viral infections and to evaluate the effect of viral infections on kidney and patient outcomes in pediatric kidney transplant patients.

Materials And Methods: Records of children undergoing kidney transplant in our center during the period February 1, 2010, to December 31, 2023, were retrospectively evaluated.

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Article Synopsis
  • GATA2 deficiency is an autosomal dominant condition that increases the risk of severe infections and can lead to hemophagocytic lymphohistiocytosis (HLH), prompting a review of case studies linking the two.
  • The systematic review analyzed 15 studies published between 2016 and 2024, including data from 23 patients aged 7 to 57, revealing various genetic mutations and infections contributing to HLH.
  • Out of 8 patients who underwent hematopoietic stem cell transplantation (HSCT) for this condition, 6 survived while 2 did not, indicating some potential for successful treatment despite the severity of the disease.
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Determination of Varicella vaccine's potency; containing live attenuated strain (Oka) of Varicella Zoster virus, has been limited to in vitro cell culture methods. In this study, a label free potentiometric biosensor has been developed for the first time and optimized to determine the content of varicella zoster virus. A passive ion-flux sensing platform has been developed using an anti-varicella monoclonal antibody and tetrabutyl ammonium bromide as a marker ion.

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Introduction: The precise cause of antibody-mediated immune responses on chronic obstructive pulmonary disease (COPD), asthma, and lung function remains unclear. We characterized the relationship between antibody-mediated immune responses to COPD, asthma, and lung function, ultimately achieve the prevention or treatment.

Methods: We obtained summary data from published genome-wide association studies, including antibody-mediated immune responses, COPD, asthma, forced expiratory volume in the first second (FEV1), forced expiratory volume (FVC), and FEV1/FVC.

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Article Synopsis
  • A study conducted at Banaras Hindu University aimed to identify the causes of Acute Encephalitis Syndrome (AES) in adults, an area previously under-researched compared to studies focused on children and the Japanese encephalitis virus (JEV).
  • The research involved collecting blood and cerebrospinal fluid (CSF) samples from patients older than 18 with fever and altered sensorium, employing various diagnostic tests for different infections.
  • The findings revealed that tuberculous meningitis (TBM) was the most common cause of AES (16.7%), followed by leptospirosis (15.1%) and scrub typhus (11.9%), emphasizing the need for rapid detection and treatment of these conditions.
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Case 334.

Radiology

October 2024

From the Department of Radiology, The Ottawa Hospital-University of Ottawa, 1053 Carling Ave, Ottawa, ON, Canada. K1Y 4E9.

Article Synopsis
  • * Her medical history was generally uncomplicated; she denied any recent severe illnesses, risk factors, or travel history, and her vital signs were normal upon examination.
  • * Diagnostic tests, including MRI and a lumbar puncture, showed significant findings: abnormalities in the brain, high cerebrospinal fluid pressure, and an elevated white blood cell count in the CSF indicating potential inflammation or infection.
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Article Synopsis
  • * Unlike well-researched hepatotropic viruses (hepatitis A-E), research on NHVH is limited due to its rarity and generally mild symptoms.
  • * NHVH can present as mild liver enzyme elevations or lead to severe acute liver failure, and management often focuses on understanding the specific virus involved.
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Objective: This study aimed to assess the prevalence of Varicella-Zoster Virus (VZV) immunity, vaccination uptake and incidence of VZV-related events in inflammatory arthritis (IA) patients initiating biologic or targeted synthetic disease-modifying antirheumatic drugs.

Methods: An observational study was conducted in a single hospital between March 2019 and December 2020. Ninety-three IA patients were included.

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Article Synopsis
  • A 38-year-old man presented to the emergency department with a severe headache and a recent history of chickenpox, but showed no neurological deficits during examination.
  • CT and MRI scans revealed extensive thrombosis in the left transverse and sigmoid sinuses, prompting the stroke team to initiate treatment with anticoagulants.
  • After a year of treatment, his headaches improved, warfarin was eventually discontinued, and he reported resolution of symptoms during follow-up evaluations.
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