Yıl: 2023 Cilt: 17 Sayı: 1 Sayfa Aralığı: 14 - 19 Metin Dili: İngilizce DOI: 10.5578/ced.20239903 İndeks Tarihi: 01-06-2023

Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups

Öz:
Objective: The aim of this study was to investigate the clinical and laboratory findings of patients diagnosed with acute Epstein-Barr virus (EBV) infection according to age groups. Material and Methods: Patients diagnosed with acute EBV infection were enrolled in this cross-sectional study. Results: Totally, 894 patients diagnosed as acute EBV infection were included in the study. Of them, 540 (60.5%) patients were males (male/female= 1.52). Median age of the patients was four years (57 days-18 years). Seropositivity rate increased statistically as age increased (47.9%, 73.8% and 87.2%, respectively). Seventy patients were admitted with clinical presentation of IM with a median age of seven years (3 years-18 years). Serum median hemoglobin, leukocyte, thrombocyte, mean platelet values were statistically signficifantly different according to age groups (for all p< 0.001). Leukocytosis was more commonly encountered in EBV infected children <6 years old of age compared to 6-15 years old age and >15 years old of age (29.3%, 17.1% and 7.7%, respectively, p< 0.001). Neutropenia was present in 157 (17.6%) patients. Mean platelet volume (MPV) increased statistically significantly as age increased (p< 0.001). MPV/platelet ratio increased significantly as age increased (p< 0.001). MPV/platelet ratio was higher in IM cases. High serum CRP was more common in <6 years old of age compared to 6-15 years old age and >15 years old of age [304 (49.4%), 204 (33.2%), 107 (17.4%), respectively, p= 0.04]. Conclusion: EBV infection causes different laboratory findings and clinical presentations according to age groups.
Anahtar Kelime:

Akut Epstein-Barr Enfeksiyonunun Yaş Gruplarına Göre Laboratuvar Bulgularının Değişimi

Öz:
Giriş: Bu çalışmada akut Epstein-Barr virüs (EBV) ile enfekte hastalarda yaş gruplarına göre klinik ve laboratuvar bulgularının araştırılması amaçlanmıştır. Gereç ve Yöntemler: Bu kesitsel çalışmaya akut EBV enfeksiyonu tanısı konan hastalar dahil edilmiştir. Bulgular: Çalışmaya akut EBV enfeksiyonu tanısı konan, ortanca yaşı dört (57 gün-18 yıl) olan 540 (%60.5)’ı erkek (erkek/kadın= 1.52) toplam 894 hasta dahil edilmiştir. Seropozitiflik oranı, yaş artıkça istatistiksel anlamlı olarak artmıştır (%47.9; %73.8 ve %87.2). Ortanca yaşı yedi (3-18 yaş) olan toplam 70 hasta enfeksiyöz mononükleoz kliniği ile başvurmuştur. Yaş gruplarına göre serum ortanca hemaoglobin, lökosit, trombosit, ortalama platelet hacmi değerleri anlamlı şekilde farklı bulunmuştur (p< 0.001). Lökositoz <6 yaş olan hastalarda, 6-15 yaş arası olanlara ve >15 yaş olanlara göre anlamlı şekilde daha sık saptanmıştır (%29.3 versus %17.1 ve %7.7 p< 0.001). Nötropeni 157 (%17.6) hastada saptanmıştır. Yaşla beraber ortalama platelet hacmi anlamlı olarak artmıştır (p< 0.001). MPV/platelet oranı yaş artıkça anlamlı olarak artmıştır (p< 0.001). MPV/platelet oranı enfeksiyöz mononükleoz kliniği olan hastalarda daha yüksek bulunmuştur. Serum C-reaktif protein yüksekliği <6 yaş hastalarda, 6-15 yaş arası hastalarda ve >15 yaş hastalarda daha sık saptanmıştır [304 (%49.4); 204 (%33.2); 107 (%17.4) p= 0.04]. Sonuç: EBV enfeksiyonu yaş gruplarına göre farklı klinik tablolara ve laboratuvar bulgularına neden olmaktadır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Sitki-Green DL, Edwards RH, Covington MM, Raab-Traub N. Biology of Epstein-Barr virus during infectious mononucleosis. J Infect Dis 2004;189:483-92. https://doi.org/10.1086/380800
  • 2. Kimura H, Hoshino Y, Kanegane H, Tsuge I, Okamura T, Kawa K, et al. Clinical and virologic characteristics of chronic active Epstein-Barr virus infection. Blood 2001;98:280-6. https://doi.org/10.1182/blood. V98.2.280
  • 3. Koutras A. Epstein-Barr virus infection with pancreatitis, hepatitis and proctitis. Pediatr Infect Dis 1983;2:312-13. https://doi. org/10.1097/00006454-198307000-00014
  • 4. Nowalk A, Green M. Epstein-Barr virus. Microbiol Spectr 2016;4(3):10. https://doi.org/10.1128/microbiolspec.DMIH2-0011-2015
  • 5. Cohen JI. Epstein-Barr virus infection. N Engl J Med 2000;343(7):481-92. https://doi.org/10.1056/NEJM200008173430707
  • 6. Dunmire SK, Verghese PS, Balfour HH Jr. Primary Epstein-Barr virus infection. J Clin Virol 2018;102:84-92. https://doi.org/10.1016/j. jcv.2018.03.001
  • 7. Kawa K. Epstein-Barr virus-associated diseases in humans. Int J Hematol 2000;71(2):108-17.
  • 8. Niller HH, Bauer G. Epstein-Barr virus: Clinical diagnostics. Methods Mol Biol 2017;1532:33-55. https://doi.org/10.1007/978-1-4939-6655-4_2
  • 9. Chen HS, Ho MC, Hu RH, Wu JF, Chen HL, Ni YH, et al. Roles of Epstein-Barr virus viral load monitoring in the prediction of posttransplant lymphoproliferative disorder in pediatric liver transplantation. J Formos Med Assoc 2019;118(9):1362-8. https://doi.org/10.1016/j.jfma.2018.12.007
  • 10. Black S, Kushner I, Samols D. C-reactive protein. J Biol Chem 2004;279(47):48487-90. https://doi.org/10.1074/jbc.R400025200
  • 11. Durán A, González A, Delgado L, Mosquera J, Valero N. Serum level of C-reactive protein is not a parameter to determine the difference between viral and atypical bacterial infections. J Med Virol 2016;88(2):351- 5. https://doi.org/10.1002/jmv.24341
  • 12. García-Peris M, Jiménez Candel MI, Mañes Jiménez Y, Pariente Martí M, González Granda D, Calvo Rigual F. Primoinfección por el virus de Epstein-Barr en niños sanos [Epstein-Barr virus primary infection in healthy children]. An Pediatr (Barc) 2019;90(6):376-85. https://doi. org/10.1016/j.anpedi.2018.09.003
  • 13. American Academy of Pediatrics. [Epstein-Barr Virus Infections (Infectious Mononucleosis).] In: Kimberlin DW, Brady MT, Jackson MA, Long SS, eds. Red Book: 2015 Report of the Committee on Infectious Diseases. 30th ed. Elk Grove Village, IL: American Academy of Pediatrics; 2015:336- 40.
  • 14. Dowd JB, Palermo T, Brite J, McDade TW, Aiello A. Seroprevalence of Epstein-Barr virus infection in U.S. children ages 6-19, 2003-2010. PLoS One 2013;8(5):e64921. https://doi.org/10.1371/journal.pone.0064921
  • 15. Balfour HH Jr, Sifakis F, Sliman JA, Knight JA, Schmeling DO, Thomas W. Age-specific prevalence of Epstein-Barr virus (EBV) infection among children in the United States and factors affecting its acquisition. J Infect Dis 2013;208(08):1286-93. https://doi.org/10.1093/infdis/jit321
  • 16. Topp SK, Rosenfeldt V, Vestergaard H, Christiansen CB, Von Linstow ML. Clinical characteristics and laboratory findings in Danish children hospitalized with primary Epstein-Barr virus infection. Infect Dis (Lond) 2015;47(12):908-14. https://doi.org/10.3109/23744235.2015.1082036
  • 17. Cheng H, Chen D, Peng X, Wu P, Jiang L, Hu Y. Clinical characteristics of Epstein-Barr virus infection in the pediatric nervous system. BMC Infect Dis 2020;20(1):886. https://doi.org/10.1186/s12879-020-05623-1
  • 18. Han X, Xu P, Duan X, Liu Y, Zhang J, Xu H. High mean platelet volume- to-platelet count ratio as a diagnostic maker for increased risk of liver function damage in pediatric patients with infectious mononucleosis in China. Exp Ther Med 2019;18(6):4523-7. https://doi.org/10.3892/ etm.2019.8104
  • 19. Pedersen M, Asprusten TT, Godang K, Leegaard TM, Osnes LT, Skovlund E, et al. Predictors of chronic fatigue in adolescents six months after acute Epstein-Barr virus infection: A prospective cohort study. Brain Behav Immun 2019;75:94-100. https://doi.org/10.1016/j.bbi.2018.09.023
  • 20. Slaats J, Ten Oever J, van de Veerdonk FL, Netea MG. IL-1β/IL-6/CRP and IL-18/ferritin: Distinct inflammatory programs in infections. PLoS Pathog 2016;12(12):e1005973. https://doi.org/10.1371/journal. ppat.1005973
  • 21. Poggiali E, Zaino D, Immovilli P, Rovero L, Losi G, Dacrema A, et al. Lactate dehydrogenase and C-reactive protein as predictors of respiratory failure in COVID-19 patients. Clin Chim Acta 2020;509:135-8. https:// doi.org/10.1016/j.cca.2020.06.012
  • 22. Perez L. Acute phase protein response to viral infection and vaccination. Arch Biochem Biophys 2019;671:196-202. https://doi.org/10.1016/j. abb.2019.07.013
APA Oktay K, Karadag Oncel E, Kara A, Cengiz A, Ceyhan M (2023). Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. , 14 - 19. 10.5578/ced.20239903
Chicago Oktay Kamile Ötiken,Karadag Oncel Eda,Kara Ates,Cengiz Ali Bülent,Ceyhan Mehmet Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. (2023): 14 - 19. 10.5578/ced.20239903
MLA Oktay Kamile Ötiken,Karadag Oncel Eda,Kara Ates,Cengiz Ali Bülent,Ceyhan Mehmet Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. , 2023, ss.14 - 19. 10.5578/ced.20239903
AMA Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. . 2023; 14 - 19. 10.5578/ced.20239903
Vancouver Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. . 2023; 14 - 19. 10.5578/ced.20239903
IEEE Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M "Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups." , ss.14 - 19, 2023. 10.5578/ced.20239903
ISNAD Oktay, Kamile Ötiken vd. "Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups". (2023), 14-19. https://doi.org/10.5578/ced.20239903
APA Oktay K, Karadag Oncel E, Kara A, Cengiz A, Ceyhan M (2023). Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. Çocuk Enfeksiyon Dergisi, 17(1), 14 - 19. 10.5578/ced.20239903
Chicago Oktay Kamile Ötiken,Karadag Oncel Eda,Kara Ates,Cengiz Ali Bülent,Ceyhan Mehmet Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. Çocuk Enfeksiyon Dergisi 17, no.1 (2023): 14 - 19. 10.5578/ced.20239903
MLA Oktay Kamile Ötiken,Karadag Oncel Eda,Kara Ates,Cengiz Ali Bülent,Ceyhan Mehmet Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. Çocuk Enfeksiyon Dergisi, vol.17, no.1, 2023, ss.14 - 19. 10.5578/ced.20239903
AMA Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. Çocuk Enfeksiyon Dergisi. 2023; 17(1): 14 - 19. 10.5578/ced.20239903
Vancouver Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups. Çocuk Enfeksiyon Dergisi. 2023; 17(1): 14 - 19. 10.5578/ced.20239903
IEEE Oktay K,Karadag Oncel E,Kara A,Cengiz A,Ceyhan M "Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups." Çocuk Enfeksiyon Dergisi, 17, ss.14 - 19, 2023. 10.5578/ced.20239903
ISNAD Oktay, Kamile Ötiken vd. "Change of Laboratory Findings of Acute Epstein-Barr Virus Infection According to Age Groups". Çocuk Enfeksiyon Dergisi 17/1 (2023), 14-19. https://doi.org/10.5578/ced.20239903