原创力文档relationship between non-hodgkin’s lymphoma and blood levels of epstein-barr virus in children in north-western tanzania a case control study非霍奇金淋巴瘤和血液之间的关系的巴尔病毒水平孩子在坦桑尼亚西北部一个病例对照研究.pdfVIP
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relationship between non-hodgkin’s lymphoma and blood levels of epstein-barr virus in children in north-western tanzania a case control study非霍奇金淋巴瘤和血液之间的关系的巴尔病毒水平孩子在坦桑尼亚西北部一个病例对照研究
Kabyemera et al. BMC Pediatrics 2013, 13:4
/1471-2431/13/4
RESEARCH ARTICLE Open Access
Relationship between Non-Hodgkin’s lymphoma
and blood levels of Epstein-Barr Virus in children
in north-western Tanzania: a case control study
1* 2 3 4 4 5
Rogatus Kabyemera , Nestory Masalu , Peter Rambau , Erasmus Kamugisha , Benson Kidenya , Anita De Rossi ,
Maria Raffaella Petrara5 and Damas Mwizamuholya1
Abstract
Background: Non-Hodgkin’s Lymphomas (NHL) are common in African children, with endemic Burkitt’s lymphoma
(BL) being the most common subtype. While the role of Epstein-Barr Virus (EBV) in endemic BL is known, no data
are available about clinical presentations of NHL subtypes and their relationship to Human Immunodeficiency Virus
(HIV) infection and Epstein Barr Virus (EBV) load in peripheral blood of children in north-western, Tanzania.
Methods: A matched case control study of NHL subtypes was performed in children under 15 years of age and
their respective controls admitted to Bugando Medical Centre, Sengerema and Shirati district designated hospitals
in north-western, Tanzania, between September 2010 and April 2011. Peripheral blood samples were collected on
Whatman 903 filter papers and EBV DNA levels were estimated by multiplex real-time PCR. Clinical and laboratory
data were collected using a structured data collection tool and analysed using chi-square, Fisher and Wilcoxon rank
sum tests where appropriate. The association between NHL and detection of EBV in peripheral blood was assessed
using conditional logistic regression model and presented as odds ratios (OR) and 95% confidence intervals (CI).
Results: A total of 35 NHL cases and 70 controls matched for age and sex were enrolle
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