Skip to main content
Top
Published in: Clinical Oral Investigations 2/2012

01-04-2012 | Original Article

Salivary shedding of Epstein–Barr virus and cytomegalovirus in people infected or not by human immunodeficiency virus 1

Authors: Talita Ribeiro Tenório de França, Alessandra de Albuquerque Tavares Carvalho, Valder Barbosa Gomes, Luiz Alcino Gueiros, Stephen Ross Porter, Jair Carneiro Leao

Published in: Clinical Oral Investigations | Issue 2/2012

Login to get access

Abstract

The purpose of this study is to determine the frequency of EBV and CMV DNA detection in saliva of HIV infected and non-HIV individuals and their siblings. The study group comprised 240 individuals. Group 1 comprised of 40 HIV-infected patients, group 2 40 non-HIV individuals, group 3 two siblings for each patient from group 1 (n = 80), and group 4 two siblings for each individual from group 2 (n = 80). Non-stimulated whole saliva was collected, DNA was extracted, and amplification was performed using a nested PCR protocol. EBV and CMV DNA was detected in 7/40 (17.5%) and 5/40 (12.5%) individuals from group 1, 8/40 (20%) and 3/40 (7.5%) from group 2, 11/80 (13.8%) and 2/80 (2.5%) from group 3, and 8/80 (10%) and 1/80 (1.3%) from group 4, respectively. Five (71.4%) out of seven HIV/EBV coinfected individuals of group 1 had a relative also infected with EBV (OR = 11.25, CI [1.75–72.5], p = 0.011). Regarding group 2, among the eight non-HIV and EBV-infected individuals, three (37.5%) had a relative also positive to EBV (p = 0.320). No individual HIV/CMV coinfected had a relative CMV infected (p = 1.00). Also, only one non-HIV and CMV-infected individual had a relative also positive to CMV (p = 0.075). EBV and CMV DNA was detected mainly in those who had HIV viral load counts <400/mL (71%, p = 0.2 and 100%, p = 1, respectively) and those who had CD4 T cells counts between 200 and 400/mm3 (57%, p = 0.544 and 60%, p = 0.249, respectively). HIV-infected individuals and healthy controls showed a similar frequency of viral DNA detection. EBV DNA was significantly amplified in saliva of household members of HIV/EBV coinfected individuals.
Literature
1.
go back to reference Jenkins FJ, Rowe DT, Rinaldo CR Jr (2003) Herpesvirus infections in organ transplant recipients. Clin Diagn Lab Immunol 10:1–7PubMed Jenkins FJ, Rowe DT, Rinaldo CR Jr (2003) Herpesvirus infections in organ transplant recipients. Clin Diagn Lab Immunol 10:1–7PubMed
2.
go back to reference Flaitz CM, Nichols M, Hicks MJ (1996) Herpesviridae-associated persistent mucocutaneous ulcers in acquired immunodeficiency syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 81:433–441CrossRef Flaitz CM, Nichols M, Hicks MJ (1996) Herpesviridae-associated persistent mucocutaneous ulcers in acquired immunodeficiency syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Oral Endod 81:433–441CrossRef
3.
go back to reference Boppana SB, Rivera LB, Fowler KB, Mach M, Britt WJ (2001) Intrauterine transmission of cytomegalovirus to infants of women with preconceptional immunity. N Engl J Med 344:1366–1371PubMedCrossRef Boppana SB, Rivera LB, Fowler KB, Mach M, Britt WJ (2001) Intrauterine transmission of cytomegalovirus to infants of women with preconceptional immunity. N Engl J Med 344:1366–1371PubMedCrossRef
4.
go back to reference Ross SA, Fowler KB, Ashrith G, Stagno S, Britt WJ, Pass RF, Boppana SB (2006) Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity. J Pediatr 148:332–336PubMedCrossRef Ross SA, Fowler KB, Ashrith G, Stagno S, Britt WJ, Pass RF, Boppana SB (2006) Hearing loss in children with congenital cytomegalovirus infection born to mothers with preexisting immunity. J Pediatr 148:332–336PubMedCrossRef
5.
go back to reference Doniger J, Muralidhar S, Rosenthal LJ (1999) Human cytomegalovirus and human herpesvirus 6 genes that transform and transactivate. Clin Microbiol Rev 12:367–382PubMed Doniger J, Muralidhar S, Rosenthal LJ (1999) Human cytomegalovirus and human herpesvirus 6 genes that transform and transactivate. Clin Microbiol Rev 12:367–382PubMed
6.
go back to reference Sitki-Green D, Edwards RH, Webster-Cyriaque J, Raab-Traub N (2002) Identification of Epstein–Barr virus strain variants in hairy leukoplakia and peripheral blood by use of a heteroduplex tracking assay. J Virol 76:9645–9656PubMedCrossRef Sitki-Green D, Edwards RH, Webster-Cyriaque J, Raab-Traub N (2002) Identification of Epstein–Barr virus strain variants in hairy leukoplakia and peripheral blood by use of a heteroduplex tracking assay. J Virol 76:9645–9656PubMedCrossRef
7.
go back to reference Nishiwaki M, Fujimuro M, Teishikata Y et al (2006) Epidemiology of Epstein–Barr virus, cytomegalovirus, and Kaposi's sarcoma-associated herpesvirus infections in peripheral blood leukocytes revealed by a multiplex PCR assay. J Med Virol 78:1635–1642PubMedCrossRef Nishiwaki M, Fujimuro M, Teishikata Y et al (2006) Epidemiology of Epstein–Barr virus, cytomegalovirus, and Kaposi's sarcoma-associated herpesvirus infections in peripheral blood leukocytes revealed by a multiplex PCR assay. J Med Virol 78:1635–1642PubMedCrossRef
8.
go back to reference Rafailidis PI, Mourtzoukou EG, Varbobitis IC, Falagas ME (2008) Severe cytomegalovirus infection in apparently immunocompetent patients: a systematic review. Virol J 5:47PubMedCrossRef Rafailidis PI, Mourtzoukou EG, Varbobitis IC, Falagas ME (2008) Severe cytomegalovirus infection in apparently immunocompetent patients: a systematic review. Virol J 5:47PubMedCrossRef
9.
go back to reference Hecker M, Qiu D, Marquardt K, Bein G, Hackstein H (2004) Continuous cytomegalovirus seroconversion in a large group of healthy blood donors. Vox Sang 86:41–44PubMedCrossRef Hecker M, Qiu D, Marquardt K, Bein G, Hackstein H (2004) Continuous cytomegalovirus seroconversion in a large group of healthy blood donors. Vox Sang 86:41–44PubMedCrossRef
10.
go back to reference Meier J, Lienicke U, Tschirch E, Kruger DH, Wauer RR, Prosch S (2005) Human cytomegalovirus reactivation during lactation and mother-to-child transmission in preterm infants. J Clin Microbiol 43:1318–1324PubMedCrossRef Meier J, Lienicke U, Tschirch E, Kruger DH, Wauer RR, Prosch S (2005) Human cytomegalovirus reactivation during lactation and mother-to-child transmission in preterm infants. J Clin Microbiol 43:1318–1324PubMedCrossRef
11.
go back to reference Mbulaiteye SM, Walters M, Engels EA et al (2006) High levels of Epstein–Barr virus DNA in saliva and peripheral blood from Ugandan mother–child pairs. J Infect Dis 193:422–426PubMedCrossRef Mbulaiteye SM, Walters M, Engels EA et al (2006) High levels of Epstein–Barr virus DNA in saliva and peripheral blood from Ugandan mother–child pairs. J Infect Dis 193:422–426PubMedCrossRef
12.
go back to reference Wilms IR, Best AIM, Adler SP (2008) Cytomegalovirus infections among African–Americans. BMC Infect Dis 8:1–6CrossRef Wilms IR, Best AIM, Adler SP (2008) Cytomegalovirus infections among African–Americans. BMC Infect Dis 8:1–6CrossRef
13.
go back to reference Miller CS, Avdiushko SA, Kryscio RJ, Danaher RJ, Jacob RJ (2005) Effect of prophylactic valacyclovir on the presence of human herpesvirus DNA in saliva of healthy individuals after dental treatment. J Clin Microbiol 43:2173–2180PubMedCrossRef Miller CS, Avdiushko SA, Kryscio RJ, Danaher RJ, Jacob RJ (2005) Effect of prophylactic valacyclovir on the presence of human herpesvirus DNA in saliva of healthy individuals after dental treatment. J Clin Microbiol 43:2173–2180PubMedCrossRef
14.
go back to reference Sahin S, Saygun I, Kubar A, Slots J (2009) Periodontitis lesions are the main source of salivary cytomegalovirus. Oral Microbiol Immunol 24:340–342PubMedCrossRef Sahin S, Saygun I, Kubar A, Slots J (2009) Periodontitis lesions are the main source of salivary cytomegalovirus. Oral Microbiol Immunol 24:340–342PubMedCrossRef
16.
go back to reference Balfour HH Jr, Holman CJ, Hokanson KM et al (2005) A prospective clinical study of Epstein–Barr virus and host interactions EBV in oral diseases 241 during acute infectious mononucleosis. J Infect Dis 192:1505–1512PubMedCrossRef Balfour HH Jr, Holman CJ, Hokanson KM et al (2005) A prospective clinical study of Epstein–Barr virus and host interactions EBV in oral diseases 241 during acute infectious mononucleosis. J Infect Dis 192:1505–1512PubMedCrossRef
17.
go back to reference Fafi-Kremer S, Morand P, Brion JP et al (2005) Long-term shedding of infectious Epstein–Barr virus after infectious mononucleosis. J Infect Dis 15:985–989CrossRef Fafi-Kremer S, Morand P, Brion JP et al (2005) Long-term shedding of infectious Epstein–Barr virus after infectious mononucleosis. J Infect Dis 15:985–989CrossRef
18.
go back to reference Slots J, Saygun I, Sabeti M, Kubar A (2006) Epstein–Barr virus in oral diseases. J Periodontal Res 41:235–244PubMedCrossRef Slots J, Saygun I, Sabeti M, Kubar A (2006) Epstein–Barr virus in oral diseases. J Periodontal Res 41:235–244PubMedCrossRef
19.
go back to reference Bello C, Whitte H (1991) Cytomegalovirus infection in Gambian mothers and their babies. J Clin Pathol 44:366–369PubMedCrossRef Bello C, Whitte H (1991) Cytomegalovirus infection in Gambian mothers and their babies. J Clin Pathol 44:366–369PubMedCrossRef
20.
go back to reference Sharland M, Khare M, Bedford-Russell A (2002) Prevention of postnatal cytomegalovirus infection in preterm infants. Arch Dis Child Fetal Neonatal Ed 86:140CrossRef Sharland M, Khare M, Bedford-Russell A (2002) Prevention of postnatal cytomegalovirus infection in preterm infants. Arch Dis Child Fetal Neonatal Ed 86:140CrossRef
21.
go back to reference Dawson DR, Wang C, Danaher RJ, Lin Y, Kryscio RJ, Jacob RJ, Miller CS (2009) Salivary levels of Epstein–Barr virus DNA correlate with subgingival levels, not severity of periodontitis. Oral Dis 15:554–559PubMedCrossRef Dawson DR, Wang C, Danaher RJ, Lin Y, Kryscio RJ, Jacob RJ, Miller CS (2009) Salivary levels of Epstein–Barr virus DNA correlate with subgingival levels, not severity of periodontitis. Oral Dis 15:554–559PubMedCrossRef
22.
go back to reference Ikuta K, Satoh Y, Hoshikawa Y, Sairenji T (2000) Detection of Epstein–Barr virus in salivas and throat washings in healthy adults and children. Microbes Infect 2:115–120PubMedCrossRef Ikuta K, Satoh Y, Hoshikawa Y, Sairenji T (2000) Detection of Epstein–Barr virus in salivas and throat washings in healthy adults and children. Microbes Infect 2:115–120PubMedCrossRef
23.
go back to reference Adjei AA, Armah HB, Gbagbo F, Boamah I, Adu-Gyamfi C, Asare I (2008) Seroprevalence of HHV-8, CMV, and EBV among the general population in Ghana, West Africa. BMC Infect Dis 8:1–8CrossRef Adjei AA, Armah HB, Gbagbo F, Boamah I, Adu-Gyamfi C, Asare I (2008) Seroprevalence of HHV-8, CMV, and EBV among the general population in Ghana, West Africa. BMC Infect Dis 8:1–8CrossRef
24.
go back to reference Ammatuna P, Campisi G, Giovannelli L, Giambelluca D, Alaimo C, Mancuso S, Margiotta V (2001) Presence of Epstein–Barr virus, cytomegalovirus and human papillomavirus in normal oral mucosa of HIV-infected and renal transplant patients. Oral Dis 7:34–40PubMed Ammatuna P, Campisi G, Giovannelli L, Giambelluca D, Alaimo C, Mancuso S, Margiotta V (2001) Presence of Epstein–Barr virus, cytomegalovirus and human papillomavirus in normal oral mucosa of HIV-infected and renal transplant patients. Oral Dis 7:34–40PubMed
25.
go back to reference Wada K, Kubota N, Ito Y et al (2007) Simultaneous quantification of Epstein–Barr virus, cytomegalovirus, and human herpesvirus 6 DNA in samples from transplant recipients by multiplex real-time PCR assay. J Clin Microbiol 45:1426–1432PubMedCrossRef Wada K, Kubota N, Ito Y et al (2007) Simultaneous quantification of Epstein–Barr virus, cytomegalovirus, and human herpesvirus 6 DNA in samples from transplant recipients by multiplex real-time PCR assay. J Clin Microbiol 45:1426–1432PubMedCrossRef
27.
go back to reference Leão JC (1999) Studies into the in vivo interactions between human immunodeficiency virus and human herpesvirus 8. Dissertation, Eastman Dental Institute for Oral Health Care Sciences Leão JC (1999) Studies into the in vivo interactions between human immunodeficiency virus and human herpesvirus 8. Dissertation, Eastman Dental Institute for Oral Health Care Sciences
28.
go back to reference Tafreshi NK, Sadeghizadeha M, Amini-Bavil-Olyaeeb S, Ahadi AM, Jahanzadc I, Roostaeed MH (2005) Development of a multiplex nested consensus PCR for detection and identification of major human herpesviruses in CNS infections. J Clin Virol 32:318–324PubMedCrossRef Tafreshi NK, Sadeghizadeha M, Amini-Bavil-Olyaeeb S, Ahadi AM, Jahanzadc I, Roostaeed MH (2005) Development of a multiplex nested consensus PCR for detection and identification of major human herpesviruses in CNS infections. J Clin Virol 32:318–324PubMedCrossRef
29.
go back to reference Druce J, Catton M, Chibo D et al (2002) Utility of a multiplex PCR assay for detecting herpesvirus DNA in clinical samples. J Clin Microbiol 40:1728–1732PubMedCrossRef Druce J, Catton M, Chibo D et al (2002) Utility of a multiplex PCR assay for detecting herpesvirus DNA in clinical samples. J Clin Microbiol 40:1728–1732PubMedCrossRef
30.
go back to reference Kunimoto M, Tamura S, Tabata T, Yoshie O (1992) One-step typing of Epstein–Barr virus by polymerase chain reaction. Predominance of type 1 virus in Japan. J Gen Virol 73:455–461PubMedCrossRef Kunimoto M, Tamura S, Tabata T, Yoshie O (1992) One-step typing of Epstein–Barr virus by polymerase chain reaction. Predominance of type 1 virus in Japan. J Gen Virol 73:455–461PubMedCrossRef
31.
go back to reference Falk KI, Zou JZ, Lucht E, Linde A, Ernberg I (1997) Direct identification by PCR of EBV types and variants in clinical samples. J Med Virol 51:355–363PubMedCrossRef Falk KI, Zou JZ, Lucht E, Linde A, Ernberg I (1997) Direct identification by PCR of EBV types and variants in clinical samples. J Med Virol 51:355–363PubMedCrossRef
32.
go back to reference Lucht E, Brytting M, Bjerregaard L, Julander I, Linde A (1998) Shedding of cytomegalovirus and herpesviruses 6, 7, and 8 in saliva of human immunodeficiency virus type 1-infected patients and healthy controls. Clin Infect Dis 27:137–141PubMedCrossRef Lucht E, Brytting M, Bjerregaard L, Julander I, Linde A (1998) Shedding of cytomegalovirus and herpesviruses 6, 7, and 8 in saliva of human immunodeficiency virus type 1-infected patients and healthy controls. Clin Infect Dis 27:137–141PubMedCrossRef
33.
go back to reference Idesawa M, Sugano N, Ikeda K et al (2004) Detection of Epstein–Barr virus in saliva by real-time PCR. Oral Microbiol Immunol 19:230–232PubMedCrossRef Idesawa M, Sugano N, Ikeda K et al (2004) Detection of Epstein–Barr virus in saliva by real-time PCR. Oral Microbiol Immunol 19:230–232PubMedCrossRef
34.
go back to reference Rasti N, Falk KI, Donati D et al (2005) Circulating Epstein–Barr virus in children living in malaria-endemic areas. Scand J Immunol 61(5):461–465PubMedCrossRef Rasti N, Falk KI, Donati D et al (2005) Circulating Epstein–Barr virus in children living in malaria-endemic areas. Scand J Immunol 61(5):461–465PubMedCrossRef
35.
go back to reference Miller CS, Berger JR, Mootoor Y, Avdiushko SA, Zhu H, Kryscio RJ (2006) High prevalence of multiple human herpesviruses in saliva from human immunodeficiency virus-infected persons in the era of highly active antiretroviral therapy. J Clin Microbiol 44:2409–2415PubMedCrossRef Miller CS, Berger JR, Mootoor Y, Avdiushko SA, Zhu H, Kryscio RJ (2006) High prevalence of multiple human herpesviruses in saliva from human immunodeficiency virus-infected persons in the era of highly active antiretroviral therapy. J Clin Microbiol 44:2409–2415PubMedCrossRef
36.
go back to reference Yamamoto AY, Mussi-Pinhata MM, Marin LJ, Brito RM, Oliveira PFC, Coelho TB (2006) Is saliva as reliable as urine for detection of cytomegalovirus DNA for neonatal screening of congenital CMV infection? J Clin Virol 36:228–230PubMedCrossRef Yamamoto AY, Mussi-Pinhata MM, Marin LJ, Brito RM, Oliveira PFC, Coelho TB (2006) Is saliva as reliable as urine for detection of cytomegalovirus DNA for neonatal screening of congenital CMV infection? J Clin Virol 36:228–230PubMedCrossRef
37.
go back to reference Watanabe AS, Correia-Silva JF, Horta MCR, Costa JE, Gomez RS (2007) EBV-1 and HCMV in aggressive periodontitis in Brazilian patients. Braz Oral Res 21:336–341PubMedCrossRef Watanabe AS, Correia-Silva JF, Horta MCR, Costa JE, Gomez RS (2007) EBV-1 and HCMV in aggressive periodontitis in Brazilian patients. Braz Oral Res 21:336–341PubMedCrossRef
38.
go back to reference Rosenthal LS, Fowler KB, Boppana SB et al (2009) Cytomegalovirus shedding and delayed sensorineural hearing loss results from longitudinal follow-up of children with congenital infection. Pediatr Infect Dis J 28:515–520PubMedCrossRef Rosenthal LS, Fowler KB, Boppana SB et al (2009) Cytomegalovirus shedding and delayed sensorineural hearing loss results from longitudinal follow-up of children with congenital infection. Pediatr Infect Dis J 28:515–520PubMedCrossRef
39.
go back to reference Mabruk MJEMF, Flint S, Toner R et al (1994) In situ hybridization and the polymerase chain reaction (PCR) in the analysis of biopsies and exfoliative cytology specimens for definitive diagnosis of oral hairy leukoplakia (OHL). J Oral Pathol Med 23:302–308PubMedCrossRef Mabruk MJEMF, Flint S, Toner R et al (1994) In situ hybridization and the polymerase chain reaction (PCR) in the analysis of biopsies and exfoliative cytology specimens for definitive diagnosis of oral hairy leukoplakia (OHL). J Oral Pathol Med 23:302–308PubMedCrossRef
40.
go back to reference LaDuca JR, Love JL, Abbott LZ, Dube S, Freidman-Kien AE, Poiesz BJ (1998) Detection of human herpesvirus 8 DNA sequences in tissues and bodily fluids. J Infect Dis 178:1610–1615PubMedCrossRef LaDuca JR, Love JL, Abbott LZ, Dube S, Freidman-Kien AE, Poiesz BJ (1998) Detection of human herpesvirus 8 DNA sequences in tissues and bodily fluids. J Infect Dis 178:1610–1615PubMedCrossRef
41.
go back to reference Clementi M (2000) Quantitative molecular analysis of virus expression and replication. J Clin Microbiol 38:2030–2036PubMed Clementi M (2000) Quantitative molecular analysis of virus expression and replication. J Clin Microbiol 38:2030–2036PubMed
42.
go back to reference Johnson G, Nelson S, Petric M, Tellier R (2000) Comprehensive PCR-based assay for detection and species identification of human herpesvirus. J Clin Microbiol 38(9):3274–3279PubMed Johnson G, Nelson S, Petric M, Tellier R (2000) Comprehensive PCR-based assay for detection and species identification of human herpesvirus. J Clin Microbiol 38(9):3274–3279PubMed
43.
go back to reference Tanaka N, Kimura H, Iida K et al (2000) Quantitative analysis of cytomegalovirus load using a real-time PCR assay. J Med Virol 60:455–462PubMedCrossRef Tanaka N, Kimura H, Iida K et al (2000) Quantitative analysis of cytomegalovirus load using a real-time PCR assay. J Med Virol 60:455–462PubMedCrossRef
44.
go back to reference Hara S, Kimura H, Hoshino Y et al (2002) Detection of herpesvirus DNA in the serum of immunocompetent children. Microbiol Immunol 46:177–180PubMed Hara S, Kimura H, Hoshino Y et al (2002) Detection of herpesvirus DNA in the serum of immunocompetent children. Microbiol Immunol 46:177–180PubMed
45.
go back to reference Kubar A, Saygun I, Özdemir A, Yapar M, Slots J (2005) Real-time polymerase chain reaction quantification of human cytomegalovirus and Epstein–Barr virus in periodontal pockets and the adjacent gingiva of periodontitis lesions. J Periodontal Res 40:97–104PubMedCrossRef Kubar A, Saygun I, Özdemir A, Yapar M, Slots J (2005) Real-time polymerase chain reaction quantification of human cytomegalovirus and Epstein–Barr virus in periodontal pockets and the adjacent gingiva of periodontitis lesions. J Periodontal Res 40:97–104PubMedCrossRef
46.
go back to reference Tanaka T, Kazuhiro K, Hidenori S, Shigeaki N, Kenichi F, Kenji S (2009) Rapid and simultaneous detection of 6 types of human herpes virus (herpes simplex virus, varicella-zoster virus, Epstein–Barr virus, cytomegalovirus, human herpes virus 6A/B, and human herpes virus 7) by multiplex PCR assay. Biomed Res 30:279–285PubMedCrossRef Tanaka T, Kazuhiro K, Hidenori S, Shigeaki N, Kenichi F, Kenji S (2009) Rapid and simultaneous detection of 6 types of human herpes virus (herpes simplex virus, varicella-zoster virus, Epstein–Barr virus, cytomegalovirus, human herpes virus 6A/B, and human herpes virus 7) by multiplex PCR assay. Biomed Res 30:279–285PubMedCrossRef
47.
go back to reference Imbronito AV, Grande SR, Freitas NM, Okuda O, Lotufo RF, Nunes FD (2008) Detection of Epstein–Barr virus and human cytomegalovirus in blood and oral samples: comparison of three sampling methods. J Oral Sci 50:25–31PubMedCrossRef Imbronito AV, Grande SR, Freitas NM, Okuda O, Lotufo RF, Nunes FD (2008) Detection of Epstein–Barr virus and human cytomegalovirus in blood and oral samples: comparison of three sampling methods. J Oral Sci 50:25–31PubMedCrossRef
48.
go back to reference Chang CM, Yu KJ, Mbulaiteye SM, Hildesheim A, Bhatia K (2009) The extent of genetic diversity of Epstein–Barr virus and its geographic and disease patterns: a need for reappraisal. Virus Res 143(2):209–221PubMedCrossRef Chang CM, Yu KJ, Mbulaiteye SM, Hildesheim A, Bhatia K (2009) The extent of genetic diversity of Epstein–Barr virus and its geographic and disease patterns: a need for reappraisal. Virus Res 143(2):209–221PubMedCrossRef
49.
go back to reference Miller CS, Cunningham LL, Lindroth JE, Avdiushko SA (2004) The efficacy of valacyclovir in preventing recurrent herpes simplex virus infections associated with dental procedures. J Am Dent Assoc 135:1311–1318PubMed Miller CS, Cunningham LL, Lindroth JE, Avdiushko SA (2004) The efficacy of valacyclovir in preventing recurrent herpes simplex virus infections associated with dental procedures. J Am Dent Assoc 135:1311–1318PubMed
50.
go back to reference Mbulaiteye SM, Biggar RJ, Pfeiffer RM et al (2005) Water, socioeconomic factors, and human herpesvirus 8 infection in Ugandan children and their mothers. J Acquir Immune Defic Syndr 38:474–479PubMedCrossRef Mbulaiteye SM, Biggar RJ, Pfeiffer RM et al (2005) Water, socioeconomic factors, and human herpesvirus 8 infection in Ugandan children and their mothers. J Acquir Immune Defic Syndr 38:474–479PubMedCrossRef
51.
go back to reference Ammatuna P, Capone F, Giambelluca D, Pizzo I, D'Alia G, Margiotta V (1998) Detection of Epstein–Barr virus (EBV) DNA and antigens in oral mucosa of renal transplant patients without clinical evidence of oral hairy leukoplakia (OHL). J Oral Pathol Med 27:420–427PubMedCrossRef Ammatuna P, Capone F, Giambelluca D, Pizzo I, D'Alia G, Margiotta V (1998) Detection of Epstein–Barr virus (EBV) DNA and antigens in oral mucosa of renal transplant patients without clinical evidence of oral hairy leukoplakia (OHL). J Oral Pathol Med 27:420–427PubMedCrossRef
52.
go back to reference Gulley ML (2001) Molecular diagnosis of Epstein–Barr virus related diseases. J Mol Diagnostics 3:1–10CrossRef Gulley ML (2001) Molecular diagnosis of Epstein–Barr virus related diseases. J Mol Diagnostics 3:1–10CrossRef
Metadata
Title
Salivary shedding of Epstein–Barr virus and cytomegalovirus in people infected or not by human immunodeficiency virus 1
Authors
Talita Ribeiro Tenório de França
Alessandra de Albuquerque Tavares Carvalho
Valder Barbosa Gomes
Luiz Alcino Gueiros
Stephen Ross Porter
Jair Carneiro Leao
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Clinical Oral Investigations / Issue 2/2012
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-011-0548-5

Other articles of this Issue 2/2012

Clinical Oral Investigations 2/2012 Go to the issue