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10.1161/STROKEAHA.117.018272

http://scihub22266oqcxt.onion/10.1161/STROKEAHA.117.018272
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suck abstract from ncbi


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pmid28864597      Stroke 2017 ; 48 (10): 2875-2877
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  • Parvovirus B19 Infection in Children With Arterial Ischemic Stroke #MMPMID28864597
  • Fullerton HJ; Luna JM; Wintermark M; Hills NK; Tokarz R; Li Y; Glaser C; DeVeber GA; Lipkin WI; Elkind MSV
  • Stroke 2017[Oct]; 48 (10): 2875-2877 PMID28864597show ga
  • BACKGROUND AND PURPOSE: Case-control studies suggest that acute infection transiently increases the risk of childhood arterial ischemic stroke. We hypothesized that an unbiased pathogen discovery approach utilizing MassTag-polymerase chain reaction would identify pathogens in the blood of childhood arterial ischemic stroke cases. METHODS: The multicenter international VIPS study (Vascular Effects of Infection in Pediatric Stroke) enrolled arterial ischemic stroke cases, and stroke-free controls, aged 29 days through 18 years. Parental interview included questions on recent infections. In this pilot study, we used MassTag-polymerase chain reaction to test the plasma of the first 161 cases and 34 controls enrolled for a panel of 28 common bacterial and viral pathogens. RESULTS: Pathogen DNA was detected in no controls and 14 cases (8.7%): parvovirus B19 (n=10), herpesvirus 6 (n=2), adenovirus (n=1), and rhinovirus 6C (n=1). Parvovirus B19 infection was confirmed by serologies in all 10; infection was subclinical in 8. Four cases with parvovirus B19 had underlying congenital heart disease, whereas another 5 had a distinct arteriopathy involving a long-segment stenosis of the distal internal carotid and proximal middle cerebral arteries. CONCLUSIONS: Using MassTag-polymerase chain reaction, we detected parvovirus B19-a virus known to infect erythrocytes and endothelial cells-in some cases of childhood arterial ischemic stroke. This approach can generate new, testable hypotheses about childhood stroke pathogenesis.
  • |*Parvovirus B19, Human/isolation & purification[MESH]
  • |Adolescent[MESH]
  • |Brain Ischemia/diagnosis/*epidemiology/virology[MESH]
  • |Case-Control Studies[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Male[MESH]
  • |Parvoviridae Infections/diagnosis/*epidemiology[MESH]
  • |Pilot Projects[MESH]


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