HUMAN HERPESVIRUS (HHV) TYPES 6, 7, AND 8
- HHV-6 causes exanthem subitum (roseola infantum, a common childhood febrile illness with rash) and 10–20% of febrile seizures without rash in infancy.
- In older age groups, HHV-6 has been associated with mononucleosis syndromes and—in immunocompromised hosts—with encephalitis, pneumonitis, syncytial giant-cell hepatitis, and disseminated disease.
- More than 80% of adults are seropositive for HHV-6.
- HHV-7 is frequently acquired during childhood, and infections typically manifest as fever and seizures. The virus is commonly present in saliva.
- HHV-8 infection in healthy children can present as fever and rash; in immunocompromised pts, primary infection may present as fever, splenomegaly, pancytopenia, and rapid-onset Kaposi’s sarcoma.
- HHV-8 is associated with Kaposi’s sarcoma, body cavity–based lymphoma in AIDS pts, and multicentric Castleman’s disease.
- Unlike other herpesvirus infections, HHV-8 infection is much more common in some geographic areas (e.g., central and southern Africa) than in others (North America, Asia, northern Europe).
- The virus appears to be sexually spread and may also be transmitted in saliva, by organ transplantation, and through IV drug use.
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Citation
Kasper, Dennis L., et al., editors. "HUMAN HERPESVIRUS (HHV) TYPES 6, 7, and 8." Harrison's Manual of Medicine, 20th ed., McGraw Hill Inc., 2020. harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623262/all/HUMAN_HERPESVIRUS__HHV__TYPES_6__7__AND_8.
HUMAN HERPESVIRUS (HHV) TYPES 6, 7, AND 8. In: Kasper DLD, Fauci ASA, Hauser SLS, et al, eds. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623262/all/HUMAN_HERPESVIRUS__HHV__TYPES_6__7__AND_8. Accessed November 10, 2024.
HUMAN HERPESVIRUS (HHV) TYPES 6, 7, AND 8. (2020). In Kasper, D. L., Fauci, A. S., Hauser, S. L., Longo, D. L., Jameson, J. L., & Loscalzo, J. (Eds.), Harrison's Manual of Medicine (20th ed.). McGraw Hill Inc.. https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623262/all/HUMAN_HERPESVIRUS__HHV__TYPES_6__7__AND_8
HUMAN HERPESVIRUS (HHV) TYPES 6, 7, and 8 [Internet]. In: Kasper DLD, Fauci ASA, Hauser SLS, Longo DLD, Jameson JLJ, Loscalzo JJ, editors. Harrison's Manual of Medicine. McGraw Hill Inc.; 2020. [cited 2024 November 10]. Available from: https://harrisons.unboundmedicine.com/harrisons/view/Harrisons-Manual-of-Medicine/623262/all/HUMAN_HERPESVIRUS__HHV__TYPES_6__7__AND_8.
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