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Therapy of Herpes Virus Infections in Children

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Hot Topics in Infection and Immunity in Children IV

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 609))

Rapid advances have been achieved in the therapy of herpes virus infections of children over the past 25 years. Following the demonstration that vidarabine was an efficacious treatment for neonatal herpes simplex virus (HSV) infections, herpes simplex encephalitis, and varicella zoster virus (VZV) infections of children, significant advances were achieved with the development of second generation anti-viral drugs. The second generation anti-viral drug, namely acyclovir, and, subsequently, valacyclovir and famciclovir, now provide both efficacious as well as safe anti-viral therapy for a variety of herpes virus infections. More recently, the demonstration that ganciclovir proved efficacious for the treatment of congenital cytomegalovirus (CMV) infections provides impetus for improving therapeutics for the most common congenital infection of humans. The therapeutic advances achieved in the management of neonatal HSV infection, herpes simplex encephalitis, VZV infections of the normal and immunocompromised host, and congenital CMV infection will be summarized in this review.

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References

  • Adler SP. (1985). The molecular epidemiology of cytomegalovirus transmission among children attending a day care center. J Infect Dis, 152:760–768.

    PubMed  CAS  Google Scholar 

  • Alpert G, Mazeron MC, and Colimon R, et al. (1985). Rapid detection of human cytomegalovirus in the urine of humans. J Infect Dis, 152:631–633.

    PubMed  CAS  Google Scholar 

  • American Academy of Pediatrics. (2003). Herpes simplex. In Pickering LK (eds.), Red Book: Report of the Committee on Infectious Diseases, 26th ed. Elk Grove Village, IL, American Academy of Pediatrics, pp. 344–353.

    Google Scholar 

  • Anderson NE, Powell KF, and Croxson MC. (1993). A polymerase chain reaction assay of cerebrospinal fluid in patients with suspected herpes simplex encephalitis. J Neurol Neurosurg Psychiatry, 56:520–525.

    Article  PubMed  CAS  Google Scholar 

  • Aurelius E, Johansson B, and Skoldenberg B, et al. (1991). Rapid diagnosis of herpes simplex encephalitis by nested polymerase chain reaction assay of cerebrospinal fluid. Lancet, 337:189–192.

    Article  PubMed  CAS  Google Scholar 

  • Aurelius E, Johansson B, and Skoldenberg B, et al. (1993). Encephalitis in immunocompetent patients due to herpes simplex virus type 1 or 2 as determined by type-specific polymerase chain reaction and antibody assays of cerebrospinal fluid. J Med Virol, 39:179–186.

    Article  PubMed  CAS  Google Scholar 

  • Balfour HH Jr., Bean B, and Laskin O, et al. (1983). Acyclovir halts progression of herpes zoster in immunocompromised patients. N Engl J Med, 308:1448–1453.

    PubMed  Google Scholar 

  • Barbi M, Binda S, and Primache V, et al. (1998). Use of Guthrie cards for the early diagnosis of neonatal herpes simplex virus disease. Pediatr Infect Dis J, 17:251–252.

    Article  PubMed  CAS  Google Scholar 

  • Boppana SB, Pass RF, and Britt WJ, et al. (1992). Symptomatic congenital cytomegalovirus infection: neonatal morbidity and mortality. Pediatr Infect Dis J, 11:93–99.

    PubMed  CAS  Google Scholar 

  • Brown ZA, Vontver LA, and Benedetti J, et al. (1987). Effects on infants of a first episode of genital herpes during pregnancy. N Engl J Med, 317:1246–1251.

    PubMed  CAS  Google Scholar 

  • Brown ZA, Benedetti J, and Ashley R, et al. (1991). Neonatal herpes simplex virus infection in relation to asymptomatic maternal infection at the time of labor. N Engl J Med, 324: 1247–1252.

    PubMed  CAS  Google Scholar 

  • Brown ZA, Wald A, and Morrow RA, et al. (2003). Effect of serologic status and cesarean delivery on transmission rates of herpes simplex virus from mother to infant. JAMA, 289:203–209.

    Article  PubMed  Google Scholar 

  • Conboy TJ, Pass RF, and Stagno S, et al. (1987). Early clinical manifestations and intellectual outcome in children with symptomatic congenital cytomegalovirus infection. J Pediatr, 111:343–348.

    Article  PubMed  CAS  Google Scholar 

  • Corey L, and Wald A. (1999). Genital herpes. In Wasserheit JN, (eds.), Sexually Transmitted Diseases, third edn. McGraw-Hill, New York, NY, pp. 285–312.

    Google Scholar 

  • Dahle AJ, Fowler KB, and Wright JD, et al. (2000). Longitudinal investigations of hearing disorders in children with congenital cytomegalovirus. J Am Acad Audiol, 11:283–290.

    PubMed  CAS  Google Scholar 

  • DeBiasi RL and Tyler KL. (1999). Polymerase chain reaction in the diagnosis and management of central nervous system infections. Arch Neurol, 56:1215–1219.

    Article  PubMed  CAS  Google Scholar 

  • Demmler GJ. (1990). Infectious Diseases Society of America and Centers for Disease Control: summary of a workshop on surveillance for congenital cytomegalovirus disease. Rev Infect Dis, 13:315–329.

    Google Scholar 

  • Demmler GJ, Buffone GJ, and Schimbor CM, et al. (1988). Detection of cytomegalovirus in urine from newborns by using polymerase chain reaction DNA amplification. J Infect Dis, 158:1177–1337.

    PubMed  CAS  Google Scholar 

  • Diamond C, Mohan K, and Hobson A, et al. (1999). Viremia in neonatal herpes simplex virus infections. Pediatr Infect Dis J, 18:487–489.

    Article  PubMed  CAS  Google Scholar 

  • Dunkle LM, Arvin A, and Whitley RJ et al. (1991). A controlled trial of acyclovir for chickenpox in normal children. N Engl J Med, 325:1539–1544.

    PubMed  CAS  Google Scholar 

  • Fodor PA, Levin MJ, and Weinberg A, et al. (1998). Atypical herpes simplex virus encephalitis diagnosed by PCR amplification of viral DNA from CSF. Neurology, 51:554–559.

    PubMed  CAS  Google Scholar 

  • Fowler KB, McCollister FP, and Dahle AJ, et al. (1997). Progressive and fluctuating sensorineural hearing loss in children with asymptomatic congenital cytomegalovirus infection. J Pediatr, 130:624–630.

    Article  PubMed  CAS  Google Scholar 

  • Gleaves CA, Smith TF, and Shuster EA, et al. (1984). Rapid detection of cytomegalovirus in MRC-5 cells inoculated with urine specimens by using low-speed centrifugation and monoclonal antibody to early antigen. J Clin Microbiol, 19:917–919.

    PubMed  CAS  Google Scholar 

  • Harris S, Ahlfors K, and Ivarsson SA, et al. (1984). Congenital cytomegalovirus infection and sensorineural hearing loss. Ear Hear, 5:352–355.

    Article  PubMed  CAS  Google Scholar 

  • Hutto C, Ricks R, and Garvie M, et al. (1985). Epidemiology of cytomegalovirus infections in young children: day care vs. home care. Pediatr Infect Dis, 4:149–152.

    Article  PubMed  CAS  Google Scholar 

  • Johnson RT, Olson LC, and Buescher EL, (1968). Herpes simplex virus infections of the nervous system: problems in laboratory diagnosis. Arch Neurol, 18:260–264.

    PubMed  CAS  Google Scholar 

  • Kimberlin DW, Kern ER, and Sidwell RW, et al. (1995). Models of antiviral resistance. Antiviral Res, 26:415–422.

    Article  PubMed  CAS  Google Scholar 

  • Kimberlin DW, Lakeman FD, and Arvin AM, et al. (1996). Application of the polymerase chain reaction to the diagnosis and management of neonatal herpes simplex virus disease. J Infect Dis, 174:1162–1167.

    PubMed  CAS  Google Scholar 

  • Kimberlin DW, Lin CY, and Jacobs RF, et al. (2001a). Natural history of neonatal herpes simplex virus infections in the acyclovir era. Pediatrics, 108:223–229.

    Article  PubMed  CAS  Google Scholar 

  • Kimberlin DW, Lin CY, and Jacobs RF, et al. (2001b). Safety and efficacy of high-dose intravenous acyclovir in the management of neonatal herpes simplex virus infections. Pediatrics, 108:230–238.

    Article  PubMed  CAS  Google Scholar 

  • Kimberlin DW, Lin CY, and Sanchez PJ et al. (2003). Effect of ganciclovir therapy on hearing in symptomatic congenital cytomegalovirus disease involving the central nervous system: a randomized, controlled trial. J Pediatr, 143:16–25.

    Article  PubMed  CAS  Google Scholar 

  • Kimura H, Futamura M, Kito H, et al. (1991). Detection of viral DNA in neonatal herpes simplex infections: frequent and prolonged presence in serum and cerebrospinal fluid. J Infect Dis, 164:289–293.

    PubMed  CAS  Google Scholar 

  • Kimura H, Ito Y, Futamura M, et al. (2002). Quantitation of viral load in neonatal herpes simplex virus infection and comparison between type 1 and type 2. J Clin Virol, 67:349–353.

    Google Scholar 

  • Kost RG, Hill EL, and Tigges M, et al. (1993). Brief report: recurrent acyclovir resistant genital herpes in an immunocompetent host. N Eng J Med, 329:1777–1781.

    Article  CAS  Google Scholar 

  • Lakeman FD, Whitley RJ, for the National Institute of Allergy and Infectious Diseases Collaborative Antiviral Study Group. (1995). Diagnosis of herpes simplex encephalitis: application of polymerase chain reaction to cerebrospinal fluid from brain biopsied patients and correlation with disease. J Infect Dis, 172: 857–863.

    Google Scholar 

  • Lewensohn-Fuchs I, Osterwall P, and Forsgren M, et al. (2003). Detection of herpes simplex virus DNA in dried blood spots making a retrospective diagnosis possible. J. Clin Virol, 26:39–48.

    Article  PubMed  Google Scholar 

  • Littler E, Stuart AD, and Chee MS. (1992). Human cytomegalovirus UL97 open reading frame encodes a protein that phosphorylates the antiviral nucleoside analogue ganciclovir. Nature, 358:160–162.

    Article  PubMed  CAS  Google Scholar 

  • Longson M. (1984). The general nature of viral encephalitis in the United Kingdom. In Ellis LS (eds.), Viral Diseases of the Central Nervous System. Bailliere Tindall, London, pp. 19–31.

    Google Scholar 

  • Malm G, Forsgren M. (1999). Neonatal herpes simplex virus infections: HSV DNA in cerebrospinal fluid and serum. Arch Dis Childhood Fetal Neonatal Ed, 81:F24–F29.

    Article  CAS  Google Scholar 

  • Murph JR, Bale JF, and Perlman S. et al. (1985). The prevalence of cytomegalovirus infection in a Midwest day care center. Pediatr Res, 19:205A.

    Article  Google Scholar 

  • Nahmias AJ, Josey WE, and Naib ZM, et al. (1971). Perinatal risk associated with maternal genital herpes simplex virus infection. Am J Obstet Gynecol, 110:825–837.

    PubMed  CAS  Google Scholar 

  • Nahmias AJ, Whitley RJ, and Visintine AN, et al. (1982). Herpes simplex encephalitis: laboratory evaluations and their diagnostic significance. J Infect Dis, 145:829–836.

    PubMed  CAS  Google Scholar 

  • Nyerges G, Meszner Z, and Gyormati E et al. (1988). Acyclovir prevents dissemination of varicella in immunocompromised children. J Infect Dis, 157:309–313.

    PubMed  CAS  Google Scholar 

  • Oliver S, Cloud G, Sánchez P, Demmler G, Dankner W, Shelton M, Jacobs R, Vaudry W, Pass R, Soong S, Whitley R, and Kimberlin D. (2006). Effect of Ganciclovir (GCV) Therapy on Neurodevelopmental Outcomes in Symptomatic Congenital Cytomegalovirus (CMV) Infections Involving the Central Nervous System(CNS): A Randomized, Controlled Study. Society for Pediatric Research (SPR). San Francisco, CA, April 29, Abstract #752908.

    Google Scholar 

  • Pass RF. (2001). Cytomegalovirus. In Knipe DM, and Howley PM (eds): Fields Virology (ed 4). Lippincott Williams & Wilkins, Philadelphia, PA, pp. 2675–2705.

    Google Scholar 

  • Prober CG, Kirk LE, and Keeney RE, et al. (1982). Acyclovir therapy of chickenpox in immuno-suppressed children-a collaborative study. J Pediatr, 101:622–625.

    Article  PubMed  CAS  Google Scholar 

  • Puchhammer-Stockl E, Heinz FX, and Kundi M, et al. (1993). Evaluation of the polymerase chain reaction for diagnosis of herpes simplex virus encephalitis. J Clin Microbiol, 31: 146–148.

    PubMed  CAS  Google Scholar 

  • Rivera LB, Boppana SB, and Fowler KB, et al. (2002). Predictors of hearing loss in children with symptomatic congenital cytomegalovirus infection. Pediatrics, 110:762–767.

    Article  PubMed  Google Scholar 

  • Rowley A, Lakeman F, and Whitley R, et al. (1990). Rapid detection of herpes simplex virus DNA in cerebrospinal fluid of patients with herpes simplex encephalitis. Lancet, 335:440–441.

    Article  PubMed  CAS  Google Scholar 

  • Sakrauski A, Weber B Kessler HH, et al. (1994). Comparison of two hybridization assays for the rapid detection of PCR amplified HSV genome sequences from cerebrospinal fluid. J Virol Methods, 50:175–184.

    Article  PubMed  CAS  Google Scholar 

  • Schlesinger Y, Storch GA. (1994). Herpes simplex meningitis in infancy. Pediatr Infect Dis, 13:141–144.

    CAS  Google Scholar 

  • Shoji H, Koga M, and Kusuhara T, et al. (1994). Differentiation of herpes simplex virus 1 and 2 in cerebrospinal fluid of patients with HSV encephalitis and meningitis by stringent hybridization of PCR-amplified DNAs. J Neurol, 241:526–530.

    Article  PubMed  CAS  Google Scholar 

  • Skoldenberg B, Forsgren M, Alestig K, et al. (1984). Acyclovir versus vidarabine in herpes simplex encephalitis: a randomized multicenter study in consecutive Swedish patients. Lancet, 2:707–711.

    Article  PubMed  CAS  Google Scholar 

  • Stagno S, Pass RF, and Dworkin ME, et al. (1982). Congenital cytomegalovirus infection: The relative importance of primary and recurrent maternal infection. N Engl J Med, 306:945–949.

    PubMed  CAS  Google Scholar 

  • Sullivan V, Talarico CL, and Stanat SC, et al. (1992). A protein kinase homolog controls phosphorylation of ganciclovir in human cytomegalovirus-infected cells. Nature, 358:162–164.

    Article  PubMed  CAS  Google Scholar 

  • Trang JM, Kidd L, and Gruber W, et al., and the NIAID Collaborative Antiviral Study Group. (1993). Linear single-dose pharmacokinetics of ganciclovir in newborns with congenital cytomegalovirus infections. Clin Pharmacol Ther, 53:15–21.

    PubMed  CAS  Google Scholar 

  • Troendle-Atkins J, Demmler GJ, and Buffone GJ. (1993). Rapid diagnosis of herpes simplex virus encephalitis by using the polymerase chain reaction. J Pediatr, 123:376–380.

    Article  PubMed  CAS  Google Scholar 

  • VanLandingham KE, Marsteller HB, and Ross GW, et al. (1988). Relapse of herpes simplex encephalitis after conventional acyclovir therapy. JAMA, 259:1051–1053.

    Article  PubMed  CAS  Google Scholar 

  • Wallace MR, Bowler WA, and Murray NB. (1992). Treatment of adult varicella with oral acyclovir. A randomized, placebo-controlled trial. Ann Intern Med, 117:358–363.

    PubMed  CAS  Google Scholar 

  • Wang HS, Kuo MF, and Huang SC, et al. (1994). Choreoathetosis as an initial sign of relapsing of herpes simplex encephalitis. Pediatr Neurol, 11:341–345.

    Article  PubMed  CAS  Google Scholar 

  • Warren WP, Balcarek KB, and Smith R, et al. (1992). Comparison of rapid methods of detection of cytomegalovirus in saliva with virus isolation in tissue culture. J Clin Microbiol, 30:786–789.

    PubMed  CAS  Google Scholar 

  • Whitley RJ, Yeager A, and Kartus P, et al. (1983). Neonatal herpes simplex virus infection: follow-up evaluation of vidarabine therapy. Pediatrics, 72:778–785.

    PubMed  CAS  Google Scholar 

  • Whitley RJ, Soong S-J, and Dolin R, et al. (1977). Adenine arabinoside therapy of biopsy-proved herpes simplex encephalitis: National Institute of Allergy and Infectious Diseases Collaborative Antiviral Study. N Engl J Med, 297:289–294.

    Article  PubMed  CAS  Google Scholar 

  • Whitley RJ, Nahmias AJ, and Soong SJ, et al. (1980). Vidarabine therapy of neonatal herpes simplex virus infection. Pediatrics, 66:495–501.

    PubMed  CAS  Google Scholar 

  • Whitley RJ, Soong S-J, and Hirsch MS, et al. (1981). Herpes simplex encephalitis: vidarabine therapy and diagnostic problems. N Engl J Med, 304:313–318.

    Article  PubMed  CAS  Google Scholar 

  • Whitley RJ, Yeager A, and Kartus P, et al. (1983). Neonatal herpes simplex virus infection: follow-up evaluation of vidarabine therapy. Pediatrics, 72:778–785.

    PubMed  CAS  Google Scholar 

  • Whitley RJ, Alford CA Jr, and Hirsch MS, et al. (1986). Vidarabine versus acyclovir therapy in herpes simplex encephalitis. N Engl J Med, 314:144–149.

    PubMed  CAS  Google Scholar 

  • Whitley R, Arvin A, and Prober C, et al. (1991a). A controlled trial comparing vidarabine with acyclovir in neonatal herpes simplex virus infection. N Engl J Med, 324:444–449.

    PubMed  CAS  Google Scholar 

  • Whitley R, Arvin A, and Prober C, et al. (1991b). Predictors of morbidity and mortality in neonates with herpes simplex virus infections. N Engl J Med, 324:450–454.

    PubMed  CAS  Google Scholar 

  • Whitley RJ, Cloud G, Gruber W, et al., and the NIAID Collaborative Antiviral Study Group. (1997). Ganciclovir treatment of symptomatic congenital cytomegalovirus infection: results of a phase II study. J Infect Dis, 175:1080–1086.

    Article  PubMed  CAS  Google Scholar 

  • Whitley RMD, Davis E Pharm D, MS, and Suppapanya N. Incidence of neonatal herpes simplex virus infections in a managed-care population. Submitted to American Journal of Public Health.

    Google Scholar 

  • Williamson WD, Desmond MM, and LaFevers N, et al. (1982). Symptomatic congenital cytomegalovirus. Disorders of language, learning and hearing. Am J Dis Child, 136:902–905.

    PubMed  CAS  Google Scholar 

  • Williamson WD, Demmler GJ, and Percy AK, et al. (1992). Progressive hearing loss in infants with asymptomatic congenital cytomegalovirus infection. Pediatrics, 90:862–866.

    PubMed  CAS  Google Scholar 

  • Zhou XJ, Gruber W, and Demmler G, et al., and the NIAID Collaborative Antiviral Study Group. (1996). Population pharmacokinetics of ganciclovir in newborns with congenital cytomegalovirus infections. Antimicrob Agents Chemother, 40:2202–2205.

    PubMed  CAS  Google Scholar 

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Whitley, R.J. (2008). Therapy of Herpes Virus Infections in Children. In: Finn, A., Pollard, A.J. (eds) Hot Topics in Infection and Immunity in Children IV. Advances in Experimental Medicine and Biology, vol 609. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73960-1_16

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