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Duration of viremia in hepatitis A virus infection.
Abstract
The duration of viremia and time course for development of IgM antibodies were determined prospectively in natural and experimental hepatitis A virus (HAV) infection. Serial serum samples from HAV-infected men (n=13) and experimentally infected chimpanzees (n=5) were examined by nested reverse-transcriptase polymerase chain reaction analysis to detect HAV RNA and by ELISA to detect IgM antibodies to HAV. Among infected humans, HAV RNA was detected an average of 17 days before the alanine aminotransferase peak, and viremia persisted for an average of 79 days after the liver enzyme peak. The average duration of viremia was 95 days (range, 36-391 days). Results were similar in chimpanzees. In addition, HAV RNA was detected in serum of humans and chimpanzees several days before IgM antibodies to HAV were detected. These results indicate that adults with HAV infection are viremic for as long as 30 days before the onset of symptoms and that the duration of viremia may be longer than previously described.
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Although viremia occurs early during infection and can persist for weeks after symptom onset, bloodborne transmission of HAV is uncommon.
“Although viremia occurs early during infection and can persist for weeks after symptom onset, bloodborne transmission of HAV is uncommon (1299).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [1299]
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Metadata
- Authors
- Bower, W. A., Nainan, O. V., Han, X., & Margolis, H. S.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Bower, William A.
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-07
- Volume
- 182
- Issue
- 1
- Pages
- 12-17
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2126614988
- Semantic Scholar
- 5239198b858bf4148b5fac205d3e90f60410ce57
- Cited by
- 232
- References
- 30
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 3 · 2017: 8 · 2016: 5 · 2015: 9 · 2014: 6 · 2013: 14 · 2012: 13
- FWCI
- 7.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis Viruses Studies and Epidemiology
- Health Sciences › Medicine › Epidemiology › Hepatitis B Virus Studies
- Health Sciences › Medicine › Infectious Diseases › Viral gastroenteritis research and epidemiology
- Keywords
- hepatitis A virus, IgM, chimpanzees, experimental infection, natural infection, alanine aminotransferase, infection course
- MeSH terms
- Animals, Pan troglodytes, Disease Models, Animal, Enzyme-Linked Immunosorbent Assay, Hepatitis A, Hepatovirus, Humans, Immunoglobulin M, Male, Retrospective Studies, RNA, Viral, Time Factors, Viremia, Polymerase Chain Reaction
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