Herpesvirus and neurological manifestations in patients with severe coronavirus disease

Bibliographic Details
Main Author: Carneiro, Vanessa Cristine de
Publication Date: 2022
Other Authors: Alves‑leon, Soniza Vieira, Sarmento, Dmitry José de Santana, Coelho, Wagner Luis da Costa Nunes Pimentel, Moreira, Otacilio da Cruz, Lemos, Andreza Salvio, Ramos, Carlos Henrique Ferreira, Ramos Filho, Carlos Henrique Ferreira, Marques, Carla Augusta Barreto, Gonçalves, João Paulo da Costa, Leon, Luciane Almeida Amado, Paula, Vanessa Salete de
Format: Article
Language: eng
Source: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1186/s12985-022-01828-9
Download full: https://arca.fiocruz.br/handle/icict/54561
Summary: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ, Brasil.
id CRUZ_8f3efb4729be91f58a4155fc34cf87bb
oai_identifier_str oai:arca.fiocruz.br:icict/54561
network_acronym_str CRUZ
network_name_str Repositório Institucional da FIOCRUZ (ARCA)
repository_id_str 2135
spelling Carneiro, Vanessa Cristine deAlves‑leon, Soniza VieiraSarmento, Dmitry José de SantanaCoelho, Wagner Luis da Costa Nunes PimentelMoreira, Otacilio da CruzLemos, Andreza SalvioRamos, Carlos Henrique FerreiraRamos Filho, Carlos Henrique FerreiraMarques, Carla Augusta BarretoGonçalves, João Paulo da CostaLeon, Luciane Almeida AmadoPaula, Vanessa Salete de2022-08-10T13:28:12Z2022-08-10T13:28:12Z2022CARNEIRO, Vanessa Cristine de Souza et al. Herpesvirus and neurological manifestations in patients with severe coronavirus disease. Virology Journal, v. 19, n. 101, p. 1 - 9, 2022.1743-422Xhttps://arca.fiocruz.br/handle/icict/5456110.1186/s12985-022-01828-9engBMCInfecção por SARS-CoV-2Manifestações neurológicasHerpesvírusSARS-CoV-2 infectionHerpesvirusNeurological manifestationsHerpesvirus and neurological manifestations in patients with severe coronavirus diseaseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Departamento de Neurologia/Referência e Centro de Pesquisa em Esclerose Múltipla e Outras Doenças do Sistema Nervoso Central Doenças Inflamatórias Desmielinizantes Idiopáticas do Sistema. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Universidade Estadual da Paraíba. Escola de Odontologia. Departamento de Diagnóstico Oral. Araruna, PB, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Biologia Molecular e Endemias. Plataforma de PCR em tempo real RPT09A. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro / UNIRIO. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro / UNIRIO. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro / UNIRIO. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Universidade Federal do Estado do Rio de Janeiro / UNIRIO. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Departamento de Neurologia/Referência e Centro de Pesquisa em Esclerose Múltipla e Outras Doenças do Sistema Nervoso Central Doenças Inflamatórias Desmielinizantes Idiopáticas do Sistema. Rio de Janeiro, RJ, Brasil / Universidade Federal do Estado do Rio de Janeiro / UNIRIO. Instituto Biomédico. Laboratório de Neurociências Translacionais. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil.Background: Certain clinical manifestations of coronavirus disease (COVID-19) mimic those associated with human herpesvirus (HHV) infection. In this study, we estimated the prevalence of herpesvirus in patients with COVID-19 and determined if coinfection is associated with poorer outcomes and neurological symptoms. Methods: We analyzed samples of 53 patients diagnosed with COVID-19. The samples were evaluated for the presence of alphaherpesviruses, betaherpesviruses, and gammaherpesviruses, and the viral loads were quantified using quantitative polymerase chain reaction (qPCR) method. Results: Among the patients, in 79.2% had detection at least one type of herpesvirus. HHV-6 (47.2%), cytomegalovirus (43.3%), and HHV-7 (39.6%) showed the highest detection rates. Patients with a high severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) load were more likely to show herpes simplex virus 1 detection (p = 0.037). Among patients coinfected with SARS-CoV-2 and HHVs, 26.4% showed central nervous system-associated neurological symptoms and herpetic manifestations. A statistically significant association was observed between neurological changes and HHV-6 detection (p = 0.034). Conclusions: The findings showed a high prevalence of herpesvirus in patients with COVID-19. Furthermore, even though SARS-CoV-2 and HHV coinfection was not associated with poorer outcomes, the findings demonstrated the association between neurological symptoms and HHV-6 detection.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://arca.fiocruz.br/bitstreams/621e4ac6-2a54-441f-bc8e-b325ad6e2ee1/download5a560609d32a3863062d77ff32785d58MD51falseAnonymousREADORIGINALVanessaCristine_VanessadePaula_etal_IOC_2002.pdfVanessaCristine_VanessadePaula_etal_IOC_2002.pdfapplication/pdf841041https://arca.fiocruz.br/bitstreams/20f1bd90-699f-41fd-8219-5ee74f429047/download6e1aa0430b2656a882bd9a2a4cbd26eaMD52trueAnonymousREADTEXTVanessaCristine_VanessadePaula_etal_IOC_2002.pdf.txtVanessaCristine_VanessadePaula_etal_IOC_2002.pdf.txtExtracted texttext/plain46453https://arca.fiocruz.br/bitstreams/acadf305-4234-45aa-9f34-127d8f8a32dd/download5a07f5a2f9abf0df72a015fbdeb56ab8MD57falseAnonymousREADTHUMBNAILVanessaCristine_VanessadePaula_etal_IOC_2002.pdf.jpgVanessaCristine_VanessadePaula_etal_IOC_2002.pdf.jpgGenerated Thumbnailimage/jpeg6070https://arca.fiocruz.br/bitstreams/f2bde8e7-cc0f-4aa2-b2fc-2405e82eada9/downloadf6c40e98ba262d36203b90e8dd728e8eMD58falseAnonymousREADicict/545612025-07-29 19:27:19.208open.accessoai:arca.fiocruz.br:icict/54561https://arca.fiocruz.brRepositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352025-07-29T22:27:19Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)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
dc.title.none.fl_str_mv Herpesvirus and neurological manifestations in patients with severe coronavirus disease
title Herpesvirus and neurological manifestations in patients with severe coronavirus disease
spellingShingle Herpesvirus and neurological manifestations in patients with severe coronavirus disease
Carneiro, Vanessa Cristine de
Infecção por SARS-CoV-2
Manifestações neurológicas
Herpesvírus
SARS-CoV-2 infection
Herpesvirus
Neurological manifestations
title_short Herpesvirus and neurological manifestations in patients with severe coronavirus disease
title_full Herpesvirus and neurological manifestations in patients with severe coronavirus disease
title_fullStr Herpesvirus and neurological manifestations in patients with severe coronavirus disease
title_full_unstemmed Herpesvirus and neurological manifestations in patients with severe coronavirus disease
title_sort Herpesvirus and neurological manifestations in patients with severe coronavirus disease
author Carneiro, Vanessa Cristine de
author_facet Carneiro, Vanessa Cristine de
Alves‑leon, Soniza Vieira
Sarmento, Dmitry José de Santana
Coelho, Wagner Luis da Costa Nunes Pimentel
Moreira, Otacilio da Cruz
Lemos, Andreza Salvio
Ramos, Carlos Henrique Ferreira
Ramos Filho, Carlos Henrique Ferreira
Marques, Carla Augusta Barreto
Gonçalves, João Paulo da Costa
Leon, Luciane Almeida Amado
Paula, Vanessa Salete de
author_role author
author2 Alves‑leon, Soniza Vieira
Sarmento, Dmitry José de Santana
Coelho, Wagner Luis da Costa Nunes Pimentel
Moreira, Otacilio da Cruz
Lemos, Andreza Salvio
Ramos, Carlos Henrique Ferreira
Ramos Filho, Carlos Henrique Ferreira
Marques, Carla Augusta Barreto
Gonçalves, João Paulo da Costa
Leon, Luciane Almeida Amado
Paula, Vanessa Salete de
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Carneiro, Vanessa Cristine de
Alves‑leon, Soniza Vieira
Sarmento, Dmitry José de Santana
Coelho, Wagner Luis da Costa Nunes Pimentel
Moreira, Otacilio da Cruz
Lemos, Andreza Salvio
Ramos, Carlos Henrique Ferreira
Ramos Filho, Carlos Henrique Ferreira
Marques, Carla Augusta Barreto
Gonçalves, João Paulo da Costa
Leon, Luciane Almeida Amado
Paula, Vanessa Salete de
dc.subject.other.none.fl_str_mv Infecção por SARS-CoV-2
Manifestações neurológicas
Herpesvírus
topic Infecção por SARS-CoV-2
Manifestações neurológicas
Herpesvírus
SARS-CoV-2 infection
Herpesvirus
Neurological manifestations
dc.subject.en.none.fl_str_mv SARS-CoV-2 infection
Herpesvirus
Neurological manifestations
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Virologia Molecular. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Desenvolvimento Tecnológico em Virologia. Rio de Janeiro, RJ, Brasil.
publishDate 2022
dc.date.accessioned.fl_str_mv 2022-08-10T13:28:12Z
dc.date.available.fl_str_mv 2022-08-10T13:28:12Z
dc.date.issued.fl_str_mv 2022
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv CARNEIRO, Vanessa Cristine de Souza et al. Herpesvirus and neurological manifestations in patients with severe coronavirus disease. Virology Journal, v. 19, n. 101, p. 1 - 9, 2022.
dc.identifier.uri.fl_str_mv https://arca.fiocruz.br/handle/icict/54561
dc.identifier.issn.none.fl_str_mv 1743-422X
dc.identifier.doi.none.fl_str_mv 10.1186/s12985-022-01828-9
identifier_str_mv CARNEIRO, Vanessa Cristine de Souza et al. Herpesvirus and neurological manifestations in patients with severe coronavirus disease. Virology Journal, v. 19, n. 101, p. 1 - 9, 2022.
1743-422X
10.1186/s12985-022-01828-9
url https://arca.fiocruz.br/handle/icict/54561
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC
publisher.none.fl_str_mv BMC
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://arca.fiocruz.br/bitstreams/621e4ac6-2a54-441f-bc8e-b325ad6e2ee1/download
https://arca.fiocruz.br/bitstreams/20f1bd90-699f-41fd-8219-5ee74f429047/download
https://arca.fiocruz.br/bitstreams/acadf305-4234-45aa-9f34-127d8f8a32dd/download
https://arca.fiocruz.br/bitstreams/f2bde8e7-cc0f-4aa2-b2fc-2405e82eada9/download
bitstream.checksum.fl_str_mv 5a560609d32a3863062d77ff32785d58
6e1aa0430b2656a882bd9a2a4cbd26ea
5a07f5a2f9abf0df72a015fbdeb56ab8
f6c40e98ba262d36203b90e8dd728e8e
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv repositorio.arca@fiocruz.br
_version_ 1839715906111930368