| |
|
|
|
|
|
|
|||
|
N Yoneda, E Tatsumi, M Kawanishi, K Teshigawara, S Masuda, Y Yamamura, A Inui, G Yoshino, M Oimomi and S Baba
Department of Laboratory Medicine, Kobe University School of Medicine,
Japan.
Epstein-Barr virus (EBV) DNA was detected in polyclonal T cells that
proliferated transiently in a 21-year-old male (referred to as H.J.) who
underwent an apparently benign lymphocytosis (white blood cells, 31 x
10(6)/microL; lymphocyte, 79%) with fever, tonsillar swelling,
lymphadenopathy, and hepatosplenomegaly. The symptoms and signs subsided
mostly within a month of hospitalization. The major population of the
lymphocytes at admission was positive for CD3, CD8 (4/8 ratio, 0.16), WT31,
and DR antigen. Eight percent of the leukocytes were too blastoid to be
classified as atypical lymphocytes of infectious mononucleosis (IM). The
blastoid lymphocytes and the duration and degree of the lymphocytosis and
hypergammaglobulinemia appeared inconsistent with IM, whereas the EBV
serology indicated either EBV primary infection or a secondary alteration
of normal seropositive EBV immunity. The genomic analysis of T-cell
receptor beta chain in the peripheral blood mononuclear cells (PBMC) at
admission with a C beta probe did not show a monoclonal rearrangement. EBV
genome was detected in these cells, using the BamHI W and K probe, but not
in the cells after discharge. Analysis of the EBV terminal repeat
junctional sequence, using Xho I fragment of the latent membrane protein
(LMP) probe binding with the terminus, did not show monoclonal or
oligoclonal populations. EBV-associated nuclear antigen (EBNA) was detected
in 36% of the PBMC at admission, but not in the later cells. These EBNA-
positive cells were found to form rosette with sheep erythrocytes. The PBMC
of six acute IM patients contained neither EBV DNA nor EBNA- positive
cells. The observations in this case show a unique type of EBV infection in
T cells that has not been previously reported.
This article has been cited by other articles:
| |||||||||||
| Copyright © 1990 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||