Recurrent varicella-zoster virus infections in apparently immunocompetent children

Pediatr Infect Dis J. 1991 Aug;10(8):569-75. doi: 10.1097/00006454-199108000-00004.

Abstract

Fourteen generally healthy children (5 females, 9 males, ages 18 months to 13 years) who have developed 2 to 5 attacks of chickenpox are described. Herpes zoster also occurred in 2 of 14 children. No case of chickenpox was severe or associated with complications. General studies of immunoglobulins, specific antibodies to immunization agents, complement and lymphocyte subpopulation number and function indicated that 1 of 14 had low serum IgA and 3 of 14 lacked antibody to 1 (n = 2) or 2 (n = 1) immunization agents. Varicella-zoster virus (VZV)-specific immune studies showed that the children developed VZV-antibody titers by enzyme-linked immunosorbent assay of 1:640 to 1:10 240. By immunoblot assay all appeared to develop a normal spectrum of antibodies to individual VZV proteins. All but one developed VZV cellular immune responses with stimulation indices ranging from 3.6 to 174. Sequential follow-up of 8 patients revealed 1 who became seronegative and 2 who lost VZV cell-mediated immune responses. Chickenpox may recur more frequently than is generally recognized. General and VZV-specific immune investigations are unlikely to indicate a reason.

Publication types

  • Case Reports

MeSH terms

  • Antibodies, Viral / blood*
  • Chickenpox / immunology*
  • Child
  • Child, Preschool
  • Complement System Proteins / analysis
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immune Tolerance / immunology*
  • Immunoblotting
  • Immunoglobulin G / analysis
  • Immunoglobulin M / analysis
  • Leukocyte Count
  • Lymphocytes
  • Male
  • Recurrence

Substances

  • Antibodies, Viral
  • Immunoglobulin G
  • Immunoglobulin M
  • Complement System Proteins