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A common cold virus
appears to be a major cause of heart transplant failure in children,
according to researchers at Baylor College of Medicine.
The discovery, reported
in the New England Journal of Medicine, centers on a germ known
as the adenovirus, which can cause colds, the common childhood
ailment pinkeye, and more rarely myocarditis, an inflammation
of heart tissues.
The researchers studied
553 biopsies from 149 transplant recipients, ages newborn to 18
years old, over a five-year period. They found that among children
who had an adenovirus infection of the new heart, the five-year
survival rate was 62 percent. Among those without the infection,
the survival rate was 96 percent.
Dr. Jeffrey
A. Towbin, a professor of pediatric cardiology at Baylor, said
the finding shows why many children suffer heart transplant failure
months and even years after surgery.
"The
infection isn't there at transplant, it wasn't there along the
way and suddenly it's there. It's likely to be due to an upper
respiratory illness," Towbin said.
He said the
discovery "should lead to a change in diagnostic testing
and treatment. It could also improve long-term survival."
Other
Sources: New England Journal of Medicine, Baylor
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