Hepatitis C virus in multiple episodes of acute hepatitis in polytransfused thalassaemic children.

ME Lai, AP Mazzoleni, F Argiolu… - Lancet (London …, 1994 - europepmc.org
ME Lai, AP Mazzoleni, F Argiolu, S De Virgilis, A Balestrieri, RH Purcell, A Cao, P Farci
Lancet (London, England), 1994europepmc.org
We investigated the course of distinct episodes of acute non-A, non-B (NANB) hepatitis in
three polytransfused thalassaemic children. In each case, the first episode was associated
with the appearance of serum hepatitis C virus (HCV) RNA and anti-HCV seroconversion.
The second episode was accompanied by the reappearance of HCV viraemia, which in two
patients was due to reinfection with a different HCV strain and in the third could be the result
of either reactivation of primary infection or reinfection with a new but closely related strain …
We investigated the course of distinct episodes of acute non-A, non-B (NANB) hepatitis in three polytransfused thalassaemic children. In each case, the first episode was associated with the appearance of serum hepatitis C virus (HCV) RNA and anti-HCV seroconversion. The second episode was accompanied by the reappearance of HCV viraemia, which in two patients was due to reinfection with a different HCV strain and in the third could be the result of either reactivation of primary infection or reinfection with a new but closely related strain. Thus HCV infection may not induce protective immunity, which has implications for vaccine development.
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