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Herpesvirus and neurological manifestations in patients with severe coronavirus disease
Journal article   Open access   Peer reviewed

Herpesvirus and neurological manifestations in patients with severe coronavirus disease

Vanessa Cristine de Souza Carneiro, Soniza Vieira Alves-Leon, Dmitry José de Santana Sarmento, Wagner Luis da Costa Nunes Pimentel Coelho, Otacilio da Cruz Moreira, Andreza Lemos Salvio, Carlos Henrique Ferreira Ramos, Carlos Henrique Ferreira Ramos Filho, Carla Augusta Barreto Marques, João Paulo da Costa Gonçalves, …
Virology journal, Vol.19(1), pp.101-101
06/08/2022
DOI: 10.1186/s12985-022-01828-9
PMID: 35676707
url
https://doi.org/10.1186/s12985-022-01828-9View
Published (Version of record) Open Access

Abstract

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. 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. 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). 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.
COVID-19 - complications Cytomegalovirus Herpesviridae Herpesviridae Infections - complications Herpesviridae Infections - epidemiology Herpesvirus 6, Human Herpesvirus 7, Human Humans SARS-CoV-2

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