Reverse vertical transmission of hepatitis B virus (HBV) infection from a transfusion-infected newborn to her mother.

Détails

ID Serval
serval:BIB_08E8EB021560
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Reverse vertical transmission of hepatitis B virus (HBV) infection from a transfusion-infected newborn to her mother.
Périodique
Journal of Hepatology
Auteur(s)
Niederhauser C., Candotti D., Weingand T., Maier A., Tinguely C., Stolz M., Allain J.P.
ISSN
1600-0641 (Electronic)
ISSN-L
0168-8278
Statut éditorial
Publié
Date de publication
2012
Volume
56
Numéro
3
Pages
734-737
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Résumé
BACKGROUND & AIMS: Clinical cases of viral infections possibly involving the transfusion of blood components are systematically investigated.
METHODS: Serological and molecular markers of hepatitis B virus were used including HBsAg, anti-HBc, anti-HBs, HBV DNA, and viral load. Full genome sequencing and phylogenetic analyses were performed.
RESULTS: An acute HBV infection was diagnosed in the mother of a 16-month-old daughter who had been transfused at age three weeks with one quarter of a regular red cell concentrate (RCC). The repeat donor of the index donation was free of HBV markers in two previous donations but seroconverted to anti-HBc and anti-HBs 3 months post-donation of a unit containing only low level of HBV DNA. One other newborn recipient of the same RCC was asymptomatically HBV infected. A third newborn recipient whose mother had been HBV vaccinated and carried moderate level of anti-HBs was not infected. Full length nucleotide sequence identity between HBV strains from the mother and the two infected transfusion recipients provided evidence of the transfusion origin of all three infections in the absence of donor sequence.
CONCLUSIONS: Reverse vertical HBV transmission was likely the result of casual mother contact with a baby carrying extremely high viral load. The blood products intended to immunodeficient newborn should be submitted to more thorough viral testing considering their increased susceptibility to infections.
Mots-clé
Acute Disease, Adult, Blood Transfusion/adverse effects, Female, Genome, Viral, Hepatitis B/blood, Hepatitis B/transmission, Hepatitis B virus/genetics, Hepatitis B virus/isolation & purification, Humans, Infant, Infant, Newborn, Infectious Disease Transmission, Vertical, Phylogeny, Viral Load
Pubmed
Web of science
Open Access
Oui
Création de la notice
09/11/2014 16:52
Dernière modification de la notice
20/08/2019 13:31
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