Long-term shedding of infectious epstein-barr virus after infectious mononucleosis

J Infect Dis. 2005 Mar 15;191(6):985-9. doi: 10.1086/428097. Epub 2005 Feb 7.

Abstract

Epstein-Barr virus (EBV) DNA loads in peripheral blood mononuclear cells (PBMCs), plasma, and saliva, as well as infectivity of the virus in saliva, were evaluated in 20 patients for 6 months after the onset of infectious mononucleosis (IM). All patients displayed sustained high EBV DNA loads in the saliva, associated with a persistent infectivity of saliva at day 180. EBV DNA load in PBMCs decreased significantly from day 0 to day 180 (in spite of a viral rebound between day 30 and day 90 in 90% of the patients), and EBV DNA rapidly disappeared from plasma. These data show that patients with IM remain highly infectious during convalescence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • DNA, Viral / blood
  • Female
  • Herpesvirus 4, Human / isolation & purification
  • Herpesvirus 4, Human / pathogenicity
  • Herpesvirus 4, Human / physiology*
  • Humans
  • Infectious Mononucleosis / virology*
  • Leukocytes, Mononuclear / virology
  • Male
  • Saliva / virology
  • Time Factors
  • Viral Load
  • Virus Shedding*

Substances

  • DNA, Viral