RESUMO
The seroprevalence of antibodies against cytomegalovirus (CMV), human herpesvirus 6 (HHV-6) and human T cell leukemia virus type 1 (HTLV-1), determined by ELISA and by fluorescence in 54 renal transplanted patients, was 96.2%, 88.8% and 11.1%, respectively. These values are relatively high when compared with the results obtained for healthy individuals of the same age groups from Recife, Northeastern Brazil. Active CMV infection was detected by the presence of IgM antibodies and/or virus isolation in 13 (24%) patients. Kidney rejection and renal dysfunction were observed in 11 of these 13 patients, whereas 3 of 6 HTLV-1 antibody-positive individuals presented these complications. All HTLV-1 positive patients were also positive to IgG CMV and HHV-6 antibodies. The importance of the three viruses in this clinical condition is suggested by the high seropositivity rates compared with the healthy population. The group may also represent a potential source of HTLV-1 infection in this non-endemic area.
Assuntos
Infecções por Citomegalovirus/epidemiologia , Infecções por HTLV-I/epidemiologia , Infecções por Herpesviridae/epidemiologia , Herpesvirus Humano 6/isolamento & purificação , Transplante de Rim , Adolescente , Adulto , Anticorpos Antivirais/sangue , Brasil/epidemiologia , Ensaio de Imunoadsorção Enzimática , Imunofluorescência , Herpesvirus Humano 6/imunologia , Humanos , Pessoa de Meia-Idade , PrevalênciaRESUMO
The seroprevalence of antibodies against cytomegalovirus (CMV), human herpesvirus 6 (HHV-6) and human T cell leukemia virus type 1 (HTLV-1), determined by ELISA and by fluorescence in 54 renal transplanted patients, was 96.2 per cent , 88.8 per cent and 11.1 per cent , respectively. These values are relatively high when compared with the results obtained for healthy individuals of the same age groups from Recife, Northeastern Brazil. Active CMV infection was detected by the presence of IgM antibodies and/or virus isolation in 13 (24 per cent ) patients. Kidney rejection and renal dysfunction were observed in 11 of these 13 patients, whereas 3 of 6 HTLV-1 antibody-positive individuals presented these complications. All HTLV-1 positive patients were also positive to IgG CMV and HHV-6 antibodies. The importance of the three viruses in this clinical condition is suggested by the high seropositivity rates compared with the healthy population. The group may also represent a potential source of HTLV-1 infection in this non-endemic area
Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Infecções por Citomegalovirus/epidemiologia , Herpesvirus Humano 6/isolamento & purificação , Infecções por Herpesviridae/epidemiologia , Infecções por HTLV-I/epidemiologia , Transplante de Rim , Anticorpos Antivirais/sangue , Brasil/epidemiologia , Ensaio de Imunoadsorção Enzimática , Imunofluorescência , Herpesvirus Humano 6/imunologia , PrevalênciaRESUMO
To assess the incidence of operative complications, mortality, and accuracy of vagotomy in transabdominal vagotomy, 733 cases were reviewed. Statistics are compared with those of other authors. A loose comparison of patients operated on by resident surgeons versus those operated on by attending surgeons is also made. Our preference for immediate microscopic examination of vagotomy specimens is stressed. One unusual complication is described.
