Outcome of intravenous immunoglobulin-transmitted hepatitis C virus infection in primary immunodeficiency

(c)2001 Elsevier Science.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 101(2001), 3 vom: 07. Dez., Seite 284-8
1. Verfasser: Razvi, S (VerfasserIn)
Weitere Verfasser: Schneider, L, Jonas, M M, Cunningham-Rundles, C
Format: Aufsatz
Sprache:English
Veröffentlicht: 2001
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Antiviral Agents Immunoglobulins, Intravenous Interferon-alpha Ribavirin 49717AWG6K
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245 1 0 |a Outcome of intravenous immunoglobulin-transmitted hepatitis C virus infection in primary immunodeficiency 
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520 |a Physicians in the United States who treat patients with primary immunodeficiency were contacted to identify subjects who had been infected with hepatitis C due to exposure to contaminated intravenous immunoglobulin (IVIg) in 1993-1994. From this survey we gathered information on 58 PCR-positive hepatitis C-infected patients; 37 had CVID, 9 had XLA, 5 were IgG subclass deficient, 4 were antibody deficient with normal immunoglobulin levels, 2 had SCID after BMT, and 1 had B cell linker deficiency. Of the 58 subjects, 30 had been treated with IFN-alpha in combination with ribavirin in 5 cases, and 26 other subjects were not treated. Of those who were treated, 11 (37%) resolved the infection and became PCR-negative; of the 26 who were not treated, 5 (19%) have resolved the infection, outcomes not significantly different. Patients 20 years of age or younger had a significantly better outcome compared to those older than age 20 (P = 0.02). Five subjects of the 58 have had a liver transplantation, a sixth has had two transplants, and 10 (17%) of the group have died. This survey demonstrates the heterogeneity of the clinical outcome in subjects with primary immunodeficiency who contracted hepatitis C due to viral contamination of IVIg 
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700 1 |a Jonas, M M  |e verfasserin  |4 aut 
700 1 |a Cunningham-Rundles, C  |e verfasserin  |4 aut 
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