Varicella Zoster Virus (VZV) and Herpes Simplex Virus (HSV) in Solid Organ Transplant Patients

Varicella zoster virus (VZV) and the two herpes simplex viruses (HSV) are human α‐herpesviruses that establish life‐long latency in neural ganglia after initial primary infection. In the solid organ transplant (SOT) population, manifestations of VZV or HSV may be seen in up to 70% of recipients if n...

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Veröffentlicht in:American journal of transplantation 2013-02, Vol.13 (s3), p.55-66
Hauptverfasser: Zuckerman, R. A., Limaye, A. P.
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Limaye, A. P.
description Varicella zoster virus (VZV) and the two herpes simplex viruses (HSV) are human α‐herpesviruses that establish life‐long latency in neural ganglia after initial primary infection. In the solid organ transplant (SOT) population, manifestations of VZV or HSV may be seen in up to 70% of recipients if no prophylaxis is used, some of them life and organ threatening. While there are effective vaccines to prevent VZV primary infection and reactivation in immunocompetent adults, these vaccines are contraindicated after SOT because they are live‐virus vaccines. For HSV, prevention has focused primarily on antiviral strategies because the immunologic correlates of protection and control are different from VZV, making vaccine development more challenging. Current antiviral therapy remains effective for the majority of clinical VZV and HSV infections.
doi_str_mv 10.1111/ajt.12003
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subjects Adult
Antiviral Agents - therapeutic use
Chickenpox - complications
Chickenpox - etiology
Child
Drug Resistance, Viral
Ganglia - metabolism
Herpes simplex
Herpes Simplex - complications
Herpes Simplex - etiology
Herpes simplex virus
Herpesviridae
Herpesvirus 3, Human - metabolism
Humans
Organ Transplantation - adverse effects
prevention
Risk Factors
Simplexvirus - metabolism
transplantation
treatment
Treatment Outcome
Vaccines
varicella
Varicella-zoster virus
title Varicella Zoster Virus (VZV) and Herpes Simplex Virus (HSV) in Solid Organ Transplant Patients
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