BACKGROUND: Measles virus (MV) RNA was detected 1 month after hospitalization with measles in more than half of Zambian children but the duration of detectable RNA was not determined. OBJECTIVES: To characterize the time course of MV clearance and identify factors associated with presence of viral RNA at late times after clinical recovery from infection. STUDY DESIGN: Blood, urine and nasopharyngeal specimens from 49 Zambian children with laboratory-confirmed measles were collected a median of 100 days (range 65-118) after rash onset. Samples were assayed for MV nucleocapsid and hemagglutinin RNA by reverse transcriptase-polymerase chain reaction. Amplified products were sequenced. Selected immunologic studies were performed. RESULTS: MV RNA was detected in at least one specimen from 18 children (37%). Eighteen percent of 44 blood mononuclear cell, 23% of 30 nasopharyngeal and 50% of 6 urine specimens were positive. Detection was not associated with HIV-1 infection, % CD4(+) T lymphocytes, plasma interleukin-10 levels or persistent MV-specific IgM. The MV genotype was D2 and sequences of late specimens were the same as specimens collected during acute illness. CONCLUSIONS: Presence of viral RNA at multiple sites more than 3 months after acute disease suggests that clearance of MV-infected cells occurs over many months.
Slow clearance of measles virus RNA after acute infection. Publishing Authors By Initials
Slow clearance of measles virus RNA after acute infection. Journal Published:
PUBLICATION TYPE: Research Support, Non-U.S. Gov
Journal: Journal of clinical virology : the official public
VOLUME: 39
Page Numbers: 312-7
Journal Abbreviation: J. Clin. Virol.
ISSN: 1386-6532
DAY: 10
MONTH: 07
YEAR: 2007
Slow clearance of measles virus RNA after acute infection. Information
Number of References:
LANGUAGE: eng
NlmUniqueID: 9815671
Slow clearance of measles virus RNA after acute infection. Keywords Mesh Terms:
KEYWORDS: Zambia
MESH TERMS: blood
Chemical & Substance for Abstract: Slow clearance of measles virus RNA after acute infection. Information
Substance Name: RNA, Viral
Registry Number: 0
Grant and Affiliation Information for Slow clearance of measles virus RNA after acute infection.
AFFILIATION: W. Harry Feinstone Department of Molecular Microbiology and Immunology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD 21205, USA.
Country: Netherlands
AGENCY: United States NIAID
GRANT: AI23047
ACRONYM: AI
MEDLINETA: J Clin Virol
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