Elevation of cytomegalovirus antigenemia predicts serious infection and death in patients receiving immunosuppressive therapies for autoimmune diseases.
Int J Rheum Dis
; 23(11): 1534-1540, 2020 Nov.
Article
em En
| MEDLINE
| ID: mdl-33051990
ABSTRACT
AIM:
We examined the relationship between cytomegalovirus (CMV) reactivation and serious infections.METHOD:
We conducted a single-center retrospective chart review study with 43 autoimmune disease patients experiencing CMV reactivation. We investigated the risk factors for serious infections among the patients using logistic regression analysis.RESULTS:
We identified that the maximum count of CMV antigenemia during the course of infection (CMV Ag MAX) was significantly associated with serious infection by multivariate analysis (adjusted odds ratio 1.509; 95% confidence interval 1.071-2.125). The receiver operating characteristic curve of CMV Ag MAX count showed a predictive value for serious infections (76.9% in sensitivity and 93.3% in specificity) and death (83.3% in sensitivity and 91.9% in specificity), and the cut-off count of serious infections and death was 6 and 10 per 105 white blood cell count, respectively.CONCLUSION:
We suggest that the counts of CMV Ag MAX can reflect the extent of compromise in the immune system, and can be a predictive marker for serious infections and death.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Doenças Autoimunes
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Ativação Viral
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Proteínas da Matriz Viral
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Hospedeiro Imunocomprometido
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Infecções por Citomegalovirus
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Citomegalovirus
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Imunossupressores
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Antígenos Virais
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Int J Rheum Dis
Ano de publicação:
2020
Tipo de documento:
Article