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Identifier 000363193
Title Ανίχνευση ερπητοϊών σε παιδιά με οξεία σκωληκοειδίτιδα
Alternative Title Detection of herpes viruses in children with acute appendicitis
Author Κατζόλη, Πολυξένη
Thesis advisor Σουρβίνος, Γεώργιος
Reviewer Σταθόπουλος, Ε.
Ζώρας, Οδυσσέας
Abstract This study aimed to investigate the incidence of herpes simplex virus (HSV) types-1 and -2, varicella-zoster virus (VZV), cytomegalovirus (CMV), Epstein-Barr virus (EBV), human herpes virus 6 (HHV-6) and human herpes virus 7 (HHV-7) in childhood acute appendicitis. Polymerase chain reaction (PCR) assays were applied to detect herpes virus DNA in 38 children [11 girls and 27 boys, mean age 9 years (STD+/-2.59), range 6-14 years], who underwent an appendectomy within a 2.5-year period. Appendix, omentum and peripheral blood mononuclear cells (PBMCs) were available from each case. Of the 38 children with acute appendicitis, 20 (52.6%) had advanced (phlegmonous) acute appendicitis and 18 (47.4%) had perforated appendicitis and local peritonitis. Forty-one blood specimens from age-matched healthy children (25 female and 16 male), with clinical manifestations unrelated to viral infections served as negative controls. CMV was the most frequently detected virus (8/38, 21%), followed by HHV-6 (3/38, 7.9%). CMV ήταν η πιο συχνά ανιχνεύεται ιού (8 / 38, 21%), ακολουθούμενη από HHV-6 (3 / 38, 7,9%). EBV and HSV-1 were detected, though not in all three different types of tissue specimens tested.. None of the samples examined were HSV-2-, VZV- or HHV-7-positive. Of all the specimens, the omentum was the most commonly infected tissue (63.0%) while the appendix and peripheral blood specimens were found to be positive for viral infection in 60.5% and 50% of cases, respectively. The CMV IgG+ antibodies were positive in 54% of the control cases while 86% of the same group presented HHV-6 IgG+ antibodies. To the best of our knowledge, this is the first study documenting the presence of herpes virus DNA in children with acute appendicitis, suggesting that possible viral infection or reactivation is associated with childhood appendicitis.
Physical description 87 σ. : πιν. ; 30 εκ.
Language Greek
Subject Appendicitis
CMV
HHV-6
HHV-7
HSV1,2
Herpesviridae
PCR
Ερπητοϊοί
Σκωληκοειδίτιδα
Issue date 2009-07-24
Collection   School/Department--School of Medicine--Department of Medicine--Doctoral theses
  Type of Work--Doctoral theses
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