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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">akusherstvo</journal-id><journal-title-group><journal-title xml:lang="en">Obstetrics, Gynecology and Reproduction</journal-title><trans-title-group xml:lang="ru"><trans-title>Акушерство, Гинекология и Репродукция</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2313-7347</issn><issn pub-type="epub">2500-3194</issn><publisher><publisher-name>IRBIS LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17749/2313-7347/ob.gyn.rep.2025.635</article-id><article-id custom-type="elpub" pub-id-type="custom">akusherstvo-2505</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASES</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>КЛИНИЧЕСКИЕ СЛУЧАИ</subject></subj-group></article-categories><title-group><article-title>Congenital human herpesvirus 6 infection in a full-term newborn: literature review and case report</article-title><trans-title-group xml:lang="ru"><trans-title>Врожденная инфекция у доношенного новорожденного ребенка, вызванная вирусом герпеса человека 6-го типа: обзор литературы и клинический случай</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1024-0230</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карпова</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Karpova</surname><given-names>A. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Карпова Анна Львовна - к.м.н. Scopus Author ID: 57197280474.</p><p>123423 Москва, ул. Саляма Адиля, д. 2/44; 123995 Москва, ул. Баррикадная, д. 2/1, корп. 1; 150000 Ярославль, ул. Революционная, д. 5</p></bio><bio xml:lang="en"><p>Anna L. Karpova - MD, PhD. Scopus Author ID: 57197280474.</p><p>2/44 Salyama Adilya Str., Moscow 123423; 2/1 bldg. 1, Barrikadnaya Str., Moscow 123993; 5 Revolutsionnaya Str., Yaroslavl 150000</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7040-9683</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Мостовой</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Mostovoi</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Мостовой Алексей Валерьевич - к.м.н. Scopus Author ID: 57201723894. Wos ResearcherID: AAR-7908-2021.</p><p>123423 Москва, ул. Саляма Адиля, д. 2/44; 123995 Москва, ул. Баррикадная, д. 2/1, корп. 1; 150000 Ярославль, ул. Революционная, д. 5</p></bio><bio xml:lang="en"><p>Aleksei V. Mostovoi - MD, PhD. Scopus Author ID: 57201723894. Wos ResearcherID: AAR-7908-2021.</p><p>2/44 Salyama Adilya Str., Moscow 123423; 2/1 bldg. 1, Barrikadnaya Str., Moscow 123993; 5 Revolutsionnaya Str., Yaroslavl 150000</p></bio><email xlink:type="simple">valmost@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7847-1679</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баранов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Baranov</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Баранов Андрей Анатольевич - д.м.н., проф. Scopus Author ID: 7201565006.</p><p>150000 Ярославль, ул. Революционная, д. 5</p></bio><bio xml:lang="en"><p>Andrey A. Baranov - MD, Dr Sci Med, Prof. Scopus Author ID: 7201565006.</p><p>5 Revolutsionnaya Str., Yaroslavl 150000</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0001-0210-4669</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Аникеева</surname><given-names>Л. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Anikeeva</surname><given-names>L. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Аникеева Любовь Алексеевна</p><p>123423 Москва, ул. Саляма Адиля, д. 2/44</p></bio><bio xml:lang="en"><p>Lyubov A. Anikeeva - MD.</p><p>2/44 Salyama Adilya Str., Moscow 123423</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-2222-2604</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клубничкина</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Klubnichkina</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клубничкина Екатерина Васильевна </p><p>123423 Москва, ул. Саляма Адиля, д. 2/44</p></bio><bio xml:lang="en"><p>Ekaterina V. Klubnichkina - MD.</p><p>2/44 Salyama Adilya Str., Moscow 123423</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1303-8318</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Заплатников</surname><given-names>А. Л.</given-names></name><name name-style="western" xml:lang="en"><surname>Zaplatnikov</surname><given-names>A. L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Заплатников Андрей Леонидович - д.м.н., проф.</p><p>123995 Москва, ул. Баррикадная, д. 2/1, корп. 1</p></bio><bio xml:lang="en"><p>Andrey L. Zaplatnikov - MD, Dr Sci Med, Prof.</p><p>2/1 bldg. 1, Barrikadnaya Str., Moscow 123993</p></bio><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4252-4390</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Карпов</surname><given-names>Л. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Karpov</surname><given-names>L. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Карпов Леонид Николаевич </p><p>121552 Москва, Рублевское шоссе, д. 135</p></bio><bio xml:lang="en"><p>Leonid N. Karpov - MD.</p><p>135 Rublevskoe Shosse, Moscow 121552</p></bio><xref ref-type="aff" rid="aff-5"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ «Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы»; ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации; ФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vorokhobov City Clinical Hospital № 67, Moscow Healthcare Department; Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation; Yaroslavl State Medical University, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБОУ ВО «Ярославский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Yaroslavl State Medical University, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ГБУЗ «Городская клиническая больница № 67 имени Л.А. Ворохобова Департамента здравоохранения города Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Vorokhobov City Clinical Hospital № 67, Moscow Healthcare Department</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy of Continuous Professional Education, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А.Н. Бакулева» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Bakulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>12</day><month>11</month><year>2025</year></pub-date><volume>19</volume><issue>5</issue><fpage>801</fpage><lpage>811</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Karpova A.L., Mostovoi A.V., Baranov A.A., Anikeeva L.A., Klubnichkina E.V., Zaplatnikov A.L., Karpov L.N., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Карпова А.Л., Мостовой А.В., Баранов А.А., Аникеева Л.А., Клубничкина Е.В., Заплатников А.Л., Карпов Л.Н.</copyright-holder><copyright-holder xml:lang="en">Karpova A.L., Mostovoi A.V., Baranov A.A., Anikeeva L.A., Klubnichkina E.V., Zaplatnikov A.L., Karpov L.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.gynecology.su/jour/article/view/2505">https://www.gynecology.su/jour/article/view/2505</self-uri><abstract><p>Neonatal human herpesvirus type 6 (HHV-6) infection is an extremely rare disease. HHV-6 is a unique virus because it is able to integrate into human chromosomes to be further transmitted vertically from parent to offspring. In humans, HHV-6 is associated with a wide range of clinical manifestations and, in children, may present as roseola infantum, febrile seizures, aphthous stomatitis, mononucleosis-like syndrome, or fever of unknown origin. This article reports a rare case of congenital HHV-6 infection in a newborn. To date, both Russian and international publications provide very limited descriptions of such cases, which, in our opinion, reflects a significant knowledge gap among neonatologists regarding this condition. We discuss the clinical forms of HHV-6 infection in neonates, rare case presentations, and current approaches to diagnosis and treatment.</p></abstract><trans-abstract xml:lang="ru"><p>Инфекция, вызванная вирусом герпеса человека 6-го типа (ВГЧ-6) у новорожденных детей, встречается крайне редко. Уникальность ВГЧ-6 заключается в том, что это единственный вирус, который интегрируется в хромосомы человека и передается от родителей к потомству. ВГЧ-6 у человека может быть связан с широким спектром заболеваний, а у детей нередко протекает с развитием внезапной экзантемы, фебрильных приступов, афтозного стоматита, мононуклеозоподобного синдрома или лихорадки без очага инфекции. Предлагаем описание редкого клинического наблюдения врожденной инфекции ВГЧ-6 у новорожденного ребенка, поскольку описаний таких случаев как в отечественной, так и в зарубежной литературе крайне мало, что отражает, по нашему мнению, значительные пробелы в знаниях врачей-неонатологов в данном вопросе. Обсуждаются формы течения заболевания, редкие клинические наблюдения, а также методы диагностики и терапии ВГЧ-6.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>изоляты типа А и В вируса герпеса человека 6-го типа</kwd><kwd>ВГЧ-6</kwd><kwd>новорожденный</kwd><kwd>вирусный энцефалит</kwd><kwd>противовирусная терапия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>human herpesvirus type 6 variants A and B</kwd><kwd>HHV-6</kwd><kwd>newborn</kwd><kwd>viral encephalitis</kwd><kwd>antiviral therapy</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы заявляют об отсутствии финансирования. Авторы благодарят научного сотрудника ФГБУ НИЦ эпидемиологии и микробиологии имени почетного академика Н.Ф. Гамалеи Минздрава России Башьяна Романа Евгеньевича и врача-инфекциониста ГБУЗ ГКБ № 67 им. Л.А. Ворохобова ДЗМ Погосяна Ашота Григорьевича за помощь в подготовке данного материала.</funding-statement><funding-statement xml:lang="en">The authors declare no funding. The authors express gratitude to Roman E. Bashyan, Research Fellow at the Gamaleya National Research Center for Epidemiology and Microbiology, and to Ashot G. Pogosyan, Infectious Disease Specialist at Vorokhobov City Clinical Hospital No. 67 for their assistance in manuscript preparation</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Мелёхина Е.В., Музыка А.Д., Калугина М.Ю. и др. Современные представления об инфекции, вызванной вирусом герпеса человека 6 типа. Архивъ внутренней медицины. 2016;6(1):13–9. https://doi.org/10.20514/2226-6704-2016-6-1-13-19.</mixed-citation><mixed-citation xml:lang="en">Melehina E.V., Muzyka A.D., Kalugina M.Yu. et al. Current concept of human herpesvirus type 6 infection. [Sovremennye predstavleniya ob infekcii, vyzvannoj virusom gerpesa cheloveka 6 tipa]. Arhiv" vnutrennej mediciny. 2016;6(1):13–9. (In Russ.). https://doi.org/10.20514/2226-6704-2016-6-1-13-19.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Oikawa J., Tanaka J., Yoshikawa T. et al. An immunocompetent child with chromosomally integrated human herpesvirus 6B accidentally identified during the care of Mycoplasma pneumoniae infection. J Infect Chemother. 2014;20(1):65–7. https://doi.org/10.1016/j.jiac.2013.07.004.</mixed-citation><mixed-citation xml:lang="en">Oikawa J., Tanaka J., Yoshikawa T. et al. An immunocompetent child with chromosomally integrated human herpesvirus 6B accidentally identified during the care of Mycoplasma pneumoniae infection. J Infect Chemother. 2014;20(1):65–7. https://doi.org/10.1016/j.jiac.2013.07.004.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">De Bolle L., Naesens L., De Clercq E. Update on human herpesvirus 6 biology, clinical features, and therapy. Clin Microbiol Rev. 2005;18(1):217–45. https://doi.org/10.1128/CMR.18.1.217-245.2005.</mixed-citation><mixed-citation xml:lang="en">De Bolle L., Naesens L., De Clercq E. Update on human herpesvirus 6 biology, clinical features, and therapy. Clin Microbiol Rev. 2005;18(1):217–45. https://doi.org/10.1128/CMR.18.1.217-245.2005.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Никольский М.А., Голубцова В.С. Хромосомно-интегрированный вирус герпеса человека 6 типа. Инфекция и иммунитет. 2015;5(1):7–14. https://doi.org/10.15789/2220-7619-2015-1-7-14.</mixed-citation><mixed-citation xml:lang="en">Nikolskiy M.A., Golubtsova V.S. Chromosomally integrated human herpesvirus type 6. [Hromosomno-integrirovannyj virus gerpesa cheloveka 6 tipa]. Infekciya i immunitet. 2015;5(1):7–14. (In Russ.). https://doi.org/10.15789/2220-7619-2015-1-7-14.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">King O., Al Khalili Y. Herpes virus type 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2025 Jan. 2023 Aug 8.</mixed-citation><mixed-citation xml:lang="en">King O., Al Khalili Y. Herpes virus type 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing, 2025 Jan. 2023 Aug 8.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Ganea O.A., Tilican C., Streinu-Cercel A. et al. Human herpesvirus 6 – a rare aetiologic agent for CNS infections in immunocompetent individuals or an underestimation? J Clin Med. 2024;13(16):4660. https://doi.org/10.3390/jcm13164660.</mixed-citation><mixed-citation xml:lang="en">Ganea O.A., Tilican C., Streinu-Cercel A. et al. Human herpesvirus 6 – a rare aetiologic agent for CNS infections in immunocompetent individuals or an underestimation? J Clin Med. 2024;13(16):4660. https://doi.org/10.3390/jcm13164660.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Мелёхина Е.В., Чугунова О.Л., Музыка А.Д. и др. Роль герпесвирусных инфекций в формировании патологии у детей. Особенности течения, диагностика и лечение инфекции, ассоциированной с вирусом герпеса человека 6 типа у детей. Методические рекомендации. М., 2014. 50 c.</mixed-citation><mixed-citation xml:lang="en">Melehina E.V., Chugunova O.L., Muzyka A.D. et al. The role of herpesvirus infections in the formation of pathology in children. Features of the course, diagnosis and treatment of infection associated with human herpes virus type 6 in children. Guidelines. [Rol' gerpesvirusnyh infekcij v formirovanii patologii u detej. Osobennosti techeniya, diagnostika i lechenie infekcii, associirovannoj s virusom gerpesa cheloveka 6 tipa u detej. Metodicheskie rekomendacii]. Moscow, 2014. 50 p. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Henderson T.A. Valacyclovir treatment of chronic fatigue in adolescents. Adv Mind Body Med. 2014;28(1):4–14.</mixed-citation><mixed-citation xml:lang="en">Henderson T.A. Valacyclovir treatment of chronic fatigue in adolescents. Adv Mind Body Med. 2014;28(1):4–14.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Jeulin H., Agrinier N., Guery M. et al. Human herpesvirus 6 infection after allogeneic stem cell transplantation: incidence, outcome, and factors associated with HHV-6 reactivation. Transplantation. 2013;95(10):1292–8. https://doi.org/10.1097/TP.0b013e318289958b.</mixed-citation><mixed-citation xml:lang="en">Jeulin H., Agrinier N., Guery M. et al. Human herpesvirus 6 infection after allogeneic stem cell transplantation: incidence, outcome, and factors associated with HHV-6 reactivation. Transplantation. 2013;95(10):1292–8. https://doi.org/10.1097/TP.0b013e318289958b.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">Harberts E., Yao K., Wohler J.E. et al. Human herpesvirus-6 entry into the central nervous system through the olfactory pathway. Proc Natl Acad Sci USA. 2011;108(33):13734–9. https://doi.org/10.1073/pnas.1105143108.</mixed-citation><mixed-citation xml:lang="en">Harberts E., Yao K., Wohler J.E. et al. Human herpesvirus-6 entry into the central nervous system through the olfactory pathway. Proc Natl Acad Sci USA. 2011;108(33):13734–9. https://doi.org/10.1073/pnas.1105143108.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Dunn N., Kharlamova N., Fogdell-Hahn A. The role of herpesvirus 6A and 6B in multiple sclerosis and epilepsy. Scand J Immunol. 2020;92(6):e12984. https://doi.org/10.1111/sji.12984.</mixed-citation><mixed-citation xml:lang="en">Dunn N., Kharlamova N., Fogdell-Hahn A. The role of herpesvirus 6A and 6B in multiple sclerosis and epilepsy. Scand J Immunol. 2020;92(6):e12984. https://doi.org/10.1111/sji.12984.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Libbey J.E., Cusick M.F., Fujinami R.S. Role of pathogens in multiple sclerosis. Int Rev Immunol. 2014;33(4):266–83. https://doi.org/10.3109/08830185.2013.823422.</mixed-citation><mixed-citation xml:lang="en">Libbey J.E., Cusick M.F., Fujinami R.S. Role of pathogens in multiple sclerosis. Int Rev Immunol. 2014;33(4):266–83. https://doi.org/10.3109/08830185.2013.823422.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Collin V., Flamand L. HHV-6A/B Integration and the pathogenesis associated with the reactivation of chromosomally integrated HHV-6A/B. Viruses. 2017;9(7):160. https://doi.org/10.3390/v9070160.</mixed-citation><mixed-citation xml:lang="en">Collin V., Flamand L. HHV-6A/B Integration and the pathogenesis associated with the reactivation of chromosomally integrated HHV-6A/B. Viruses. 2017;9(7):160. https://doi.org/10.3390/v9070160.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Morse S.A., Mietzner T.A., Miller S., Riedel S. Jawetz, Melnick &amp; Adelberg’s Medical Microbiology 28 E. McGraw-Hill Education, 2019. 880 p.</mixed-citation><mixed-citation xml:lang="en">Morse S.A., Mietzner T.A., Miller S., Riedel S. Jawetz, Melnick &amp; Adelberg’s Medical Microbiology 28 E. McGraw-Hill Education, 2019. 880 p.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Ablashi D., Agut H., Alvarez-Lafuente R. et al. Classification of HHV-6A and HHV-6B as distinct viruses. Arch Virol. 2014;159(5):863–70. https://doi.org/10.1007/s00705-013-1902-5.</mixed-citation><mixed-citation xml:lang="en">Ablashi D., Agut H., Alvarez-Lafuente R. et al. Classification of HHV-6A and HHV-6B as distinct viruses. Arch Virol. 2014;159(5):863–70. https://doi.org/10.1007/s00705-013-1902-5.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Lundström W., Gustafsson R. Human herpesvirus 6A is a risk factor for multiple sclerosis. Front Immunol. 2022;13:840753. https://doi.org/10.3389/fimmu.2022.840753.</mixed-citation><mixed-citation xml:lang="en">Lundström W., Gustafsson R. Human herpesvirus 6A is a risk factor for multiple sclerosis. Front Immunol. 2022;13:840753. https://doi.org/10.3389/fimmu.2022.840753.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Alvarez-Lafuente R., Martinez A., Garcia-Montojo M. et al. MHC2TA rs4774C and HHV-6A active replication in multiple sclerosis patients. Eur J Neurol. 2010;17(1):129–35. https://doi.org/10.1111/j.1468-1331.2009.02758.x.</mixed-citation><mixed-citation xml:lang="en">Alvarez-Lafuente R., Martinez A., Garcia-Montojo M. et al. MHC2TA rs4774C and HHV-6A active replication in multiple sclerosis patients. Eur J Neurol. 2010;17(1):129–35. https://doi.org/10.1111/j.1468-1331.2009.02758.x.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Jasirwan C., Furusawa Y., Tang H. et al. Human herpesvirus-6A gQ1 and gQ2 are critical for human CD46 usage. Microbiol Immunol. 2014;58(1):22–30. https://doi.org/10.1111/1348-0421.12110.</mixed-citation><mixed-citation xml:lang="en">Jasirwan C., Furusawa Y., Tang H. et al. Human herpesvirus-6A gQ1 and gQ2 are critical for human CD46 usage. Microbiol Immunol. 2014;58(1):22–30. https://doi.org/10.1111/1348-0421.12110.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Arbuckle J.H., Medveczky P.G. The molecular biology of human herpesvirus-6 latency and telomere integration. Microbes Infect. 2011;13(8–9):731–41. https://doi.org/10.1016/j.micinf.2011.03.006.</mixed-citation><mixed-citation xml:lang="en">Arbuckle J.H., Medveczky P.G. The molecular biology of human herpesvirus-6 latency and telomere integration. Microbes Infect. 2011;13(8–9):731–41. https://doi.org/10.1016/j.micinf.2011.03.006.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">Drago F., Broccolo F., Javor S. et al. Evidence of human herpesvirus-6 and -7 reactivation in miscarrying women with pityriasis rosea. J Am Acad Dermatol. 2014;71(1):198–9. https://doi.org/10.1016/j.jaad.2014.02.023.</mixed-citation><mixed-citation xml:lang="en">Drago F., Broccolo F., Javor S. et al. Evidence of human herpesvirus-6 and -7 reactivation in miscarrying women with pityriasis rosea. J Am Acad Dermatol. 2014;71(1):198–9. https://doi.org/10.1016/j.jaad.2014.02.023.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Hall C.B., Caserta M.T., Schnabel K. et al. Chromosomal integration of human herpesvirus 6 is the major mode of congenital human herpesvirus 6 infection. Pediatrics. 2008;122(3):513–20. https://doi.org/10.1542/peds.2007-2838.</mixed-citation><mixed-citation xml:lang="en">Hall C.B., Caserta M.T., Schnabel K. et al. Chromosomal integration of human herpesvirus 6 is the major mode of congenital human herpesvirus 6 infection. Pediatrics. 2008;122(3):513–20. https://doi.org/10.1542/peds.2007-2838.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Hill J.A., Boeckh M.J., Sedlak R.H. et al. Human herpesvirus 6 can be detected in cerebrospinal fluid without associated symptoms after allogeneic hematopoietic cell transplantation. J Clin Virol. 2014;61(2):289–92. https://doi.org/10.1016/j.jcv.2014.07.001.</mixed-citation><mixed-citation xml:lang="en">Hill J.A., Boeckh M.J., Sedlak R.H. et al. Human herpesvirus 6 can be detected in cerebrospinal fluid without associated symptoms after allogeneic hematopoietic cell transplantation. J Clin Virol. 2014;61(2):289–92. https://doi.org/10.1016/j.jcv.2014.07.001.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Ogata M., Satou T., Kadota J. et al. Human herpesvirus 6 (HHV-6) reactivation and HHV-6 encephalitis after allogeneic hematopoietic cell transplantation: a multicenter, prospective study. Clin Infect Dis. 2013;57(5):671–81. https://doi.org/10.1093/cid/cit358.</mixed-citation><mixed-citation xml:lang="en">Ogata M., Satou T., Kadota J. et al. Human herpesvirus 6 (HHV-6) reactivation and HHV-6 encephalitis after allogeneic hematopoietic cell transplantation: a multicenter, prospective study. Clin Infect Dis. 2013;57(5):671–81. https://doi.org/10.1093/cid/cit358.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Mori T., Tanaka-Taya K., Satoh H. et al. Transmission of chromosomally integrated human herpesvirsus 6 (HHV-6) variant A from a parent to children leading to misdiagnosis of active HHV-6 infection. Transpl Infect Dis. 2009;11(6):503–6. https://doi.org/10.1111/j.1399-3062.2009.00430.x.</mixed-citation><mixed-citation xml:lang="en">Mori T., Tanaka-Taya K., Satoh H. et al. Transmission of chromosomally integrated human herpesvirsus 6 (HHV-6) variant A from a parent to children leading to misdiagnosis of active HHV-6 infection. Transpl Infect Dis. 2009;11(6):503–6. https://doi.org/10.1111/j.1399-3062.2009.00430.x.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Pandey U., Greninger A.L., Levin G.R. et al. Pathogen or bystander: clinical significance of detecting human herpesvirus 6 in pediatric cerebrospinal fluid. J Clin Microbiol. 2020;58(5):e00313–20. https://doi.org/10.1128/JCM.00313-20.</mixed-citation><mixed-citation xml:lang="en">Pandey U., Greninger A.L., Levin G.R. et al. Pathogen or bystander: clinical significance of detecting human herpesvirus 6 in pediatric cerebrospinal fluid. J Clin Microbiol. 2020;58(5):e00313–20. https://doi.org/10.1128/JCM.00313-20.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Hudnall S.D., Chen T., Allison P. et al. Herpesvirus prevalence and viral load in healthy blood donors by quantitative real-time polymerase chain reaction. Transfusion. 2008;48(6):1180–7. https://doi.org/10.1111/j.1537-2995.2008.01685.x.</mixed-citation><mixed-citation xml:lang="en">Hudnall S.D., Chen T., Allison P. et al. Herpesvirus prevalence and viral load in healthy blood donors by quantitative real-time polymerase chain reaction. Transfusion. 2008;48(6):1180–7. https://doi.org/10.1111/j.1537-2995.2008.01685.x.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Leong H.N., Tuke P.W., Tedder R.S. et al. The prevalence of chromosomally integrated human herpesvirus 6 genomes in the blood of UK blood donors. J Med Virol. 2007;79(1):45–51. https://doi.org/10.1002/jmv.20760.</mixed-citation><mixed-citation xml:lang="en">Leong H.N., Tuke P.W., Tedder R.S. et al. The prevalence of chromosomally integrated human herpesvirus 6 genomes in the blood of UK blood donors. J Med Virol. 2007;79(1):45–51. https://doi.org/10.1002/jmv.20760.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Pellett P.E., Ablashi D.V., Ambros P.F. et al. Chromosomally integrated human herpesvirus 6: questions and answers. Rev Med Virol. 2012;22(3):144–55. https://doi.org/10.1002/rmv.715.</mixed-citation><mixed-citation xml:lang="en">Pellett P.E., Ablashi D.V., Ambros P.F. et al. Chromosomally integrated human herpesvirus 6: questions and answers. Rev Med Virol. 2012;22(3):144–55. https://doi.org/10.1002/rmv.715.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Morissette G., Flamand L. Herpesviruses and chromosomal integration. J Virol. 2010;84(23):12100–9. https://doi.org/10.1128/JVI.01169-10.</mixed-citation><mixed-citation xml:lang="en">Morissette G., Flamand L. Herpesviruses and chromosomal integration. J Virol. 2010;84(23):12100–9. https://doi.org/10.1128/JVI.01169-10.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Домонова Э.А., Сильвейстрова О.Ю., Шипулина О.Ю. и др. Способ выявления и лабораторного подтверждения наследуемого хромосомно-интегрируемого вируса герпеса человека 6А/В. Патент РФ 2739997 С1 от 30.12.2020. Бюл. № 1. 16 с. Режим доступа: https://patents.s3.yandex.net/RU2739997C1_20201230.pdf. [Дата обращения: 15.03.2025].</mixed-citation><mixed-citation xml:lang="en">Domonova E.A., Silvejstrova O.Yu., Shipulina O.Yu. et al. Method for detecting and laboratory confirmation of inherited chromosomally-integrating human herpes virus 6A/B. Patent RF 2739997 C1 dated of 30.12.2020. Bull. No. 1. 16 p. (In Russ.). Available at: https://patents.s3.yandex.net/RU2739997C1_20201230.pdf. [Accessed: 15.03.2025].</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Luppi M., Marasca R., Barozzi P. et al. Three cases of human herpesvirus-6 latent infection: Integration of viral genome in peripheral blood mononuclear cell DNA. J Med Virol. 1993;40(1):44–52. https://doi.org/10.1002/jmv.1890400110.</mixed-citation><mixed-citation xml:lang="en">Luppi M., Marasca R., Barozzi P. et al. Three cases of human herpesvirus-6 latent infection: Integration of viral genome in peripheral blood mononuclear cell DNA. J Med Virol. 1993;40(1):44–52. https://doi.org/10.1002/jmv.1890400110.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Pugni L., Pietrasanta C., Ronchi A. et al. Inherited chromosomally integrated human herpesvirus 6: an unexpected finding in a septic neonate. Pediatr Infect Dis J. 2021;40(1):74–5. https://doi.org/10.1097/INF.0000000000002905.</mixed-citation><mixed-citation xml:lang="en">Pugni L., Pietrasanta C., Ronchi A. et al. Inherited chromosomally integrated human herpesvirus 6: an unexpected finding in a septic neonate. Pediatr Infect Dis J. 2021;40(1):74–5. https://doi.org/10.1097/INF.0000000000002905.</mixed-citation></citation-alternatives></ref><ref id="cit33"><label>33</label><citation-alternatives><mixed-citation xml:lang="ru">Kim F., Reichman V., Hooven T.A. Human herpesvirus-6 meningitis in a premature infant with fevers: a case and literature review. Clin Med Insights Case Rep. 2020;13:1179547620912952. https://doi.org/10.1177/1179547620912952.</mixed-citation><mixed-citation xml:lang="en">Kim F., Reichman V., Hooven T.A. Human herpesvirus-6 meningitis in a premature infant with fevers: a case and literature review. Clin Med Insights Case Rep. 2020;13:1179547620912952. https://doi.org/10.1177/1179547620912952.</mixed-citation></citation-alternatives></ref><ref id="cit34"><label>34</label><citation-alternatives><mixed-citation xml:lang="ru">Bounaadja L., Piret J., Goyette N., Boivin G. Analysis of HHV-6 mutations in solid organ transplant recipients at the onset of cytomegalovirus disease and following treatment with intravenous ganciclovir or oral valganciclovir. J Clin Virol. 2013;58(1):279–82. https://doi.org/10.1016/j.jcv.2013.06.024.</mixed-citation><mixed-citation xml:lang="en">Bounaadja L., Piret J., Goyette N., Boivin G. Analysis of HHV-6 mutations in solid organ transplant recipients at the onset of cytomegalovirus disease and following treatment with intravenous ganciclovir or oral valganciclovir. J Clin Virol. 2013;58(1):279–82. https://doi.org/10.1016/j.jcv.2013.06.024.</mixed-citation></citation-alternatives></ref><ref id="cit35"><label>35</label><citation-alternatives><mixed-citation xml:lang="ru">Piret J., Boivin G. Antiviral drug resistance in herpesviruses other than cytomegalovirus. Rev Med Virol. 2014;24(3):186.218. https://doi.org/10.1002/rmv.1787.</mixed-citation><mixed-citation xml:lang="en">Piret J., Boivin G. Antiviral drug resistance in herpesviruses other than cytomegalovirus. Rev Med Virol. 2014;24(3):186.218. https://doi.org/10.1002/rmv.1787.</mixed-citation></citation-alternatives></ref><ref id="cit36"><label>36</label><citation-alternatives><mixed-citation xml:lang="ru">Pöhlmann C., Schetelig J., Reuner U. et al. Cidofovir and foscarnet for treatment of human herpesvirus 6 encephalitis in a neutropenic stem cell transplant recipient. Clin Infect Dis. 2007;44(12):e118–20. https://doi.org/10.1086/518282.</mixed-citation><mixed-citation xml:lang="en">Pöhlmann C., Schetelig J., Reuner U. et al. Cidofovir and foscarnet for treatment of human herpesvirus 6 encephalitis in a neutropenic stem cell transplant recipient. Clin Infect Dis. 2007;44(12):e118–20. https://doi.org/10.1086/518282.</mixed-citation></citation-alternatives></ref><ref id="cit37"><label>37</label><citation-alternatives><mixed-citation xml:lang="ru">Hennus M.P., van Montfrans J.M., van Vught A.J. et al. Life-threatening human herpes virus-6 infection in early childhood: presenting symptom of a primary immunodeficiency? Pediatr Crit Care Med. 2009;10(2):e16–8. https://doi.org/10.1097/PCC.0b013e31819bb956.</mixed-citation><mixed-citation xml:lang="en">Hennus M.P., van Montfrans J.M., van Vught A.J. et al. Life-threatening human herpes virus-6 infection in early childhood: presenting symptom of a primary immunodeficiency? Pediatr Crit Care Med. 2009;10(2):e16–8. https://doi.org/10.1097/PCC.0b013e31819bb956.</mixed-citation></citation-alternatives></ref><ref id="cit38"><label>38</label><citation-alternatives><mixed-citation xml:lang="ru">Kharbat A.F., Lakshmi-Narasimhan M., Bhaskaran S., Parat S. Incidental detection of human herpesvirus-6 in cerebrospinal fluid analysis: to treat or not to treat? Cureus. 2022;14(6):e25629. https://doi.org/10.7759/cureus.25629.</mixed-citation><mixed-citation xml:lang="en">Kharbat A.F., Lakshmi-Narasimhan M., Bhaskaran S., Parat S. Incidental detection of human herpesvirus-6 in cerebrospinal fluid analysis: to treat or not to treat? Cureus. 2022;14(6):e25629. https://doi.org/10.7759/cureus.25629.</mixed-citation></citation-alternatives></ref><ref id="cit39"><label>39</label><citation-alternatives><mixed-citation xml:lang="ru">Najima Y., Ohashi K., Ando M. et al. Salt-wasting nephropathy induced by foscarnet treatment for HHV-6 encephalitis in a hematopoietic stem cell transplant. Rinsho Ketsueki. 2008;49(1):40–5. (In Japanese).</mixed-citation><mixed-citation xml:lang="en">Najima Y., Ohashi K., Ando M. et al. Salt-wasting nephropathy induced by foscarnet treatment for HHV-6 encephalitis in a hematopoietic stem cell transplant. Rinsho Ketsueki. 2008;49(1):40–5. (In Japanese).</mixed-citation></citation-alternatives></ref><ref id="cit40"><label>40</label><citation-alternatives><mixed-citation xml:lang="ru">Вашура Л.В., Савенкова М.С. Герпес 6-го типа (эпидемиология, диагностика, клиника). Лечащий врач. 2014;(11):18–25.</mixed-citation><mixed-citation xml:lang="en">Vashura L.V., Savenkova M.S. Herpes of the 6th type (epidemiology, diagnosis, clinical variations of the disease). [Gerpes 6-go tipa (epidemiologiya, diagnostika, klinika)]. Lechashchij vrach. 2014;(11):18–25. (In Russ.).</mixed-citation></citation-alternatives></ref><ref id="cit41"><label>41</label><citation-alternatives><mixed-citation xml:lang="ru">Caserta M.T., Hall C.B., Canfield R.L. et al. Early developmental outcomes of children with congenital HHV-6 infection. Pediatrics. 2014;134(6):1111–8. https://doi.org/10.1542/peds.2014-0886.</mixed-citation><mixed-citation xml:lang="en">Caserta M.T., Hall C.B., Canfield R.L. et al. Early developmental outcomes of children with congenital HHV-6 infection. Pediatrics. 2014;134(6):1111–8. https://doi.org/10.1542/peds.2014-0886.</mixed-citation></citation-alternatives></ref><ref id="cit42"><label>42</label><citation-alternatives><mixed-citation xml:lang="ru">Sevilla-Acosta F., Araya-Amador J., Ulate-Campos A. Human herpesvirus 6 associated encephalitis with fulminant brain edema in a previously healthy child. Cureus. 2020;12(5):e8018. https://doi.org/10.7759/cureus.8018.</mixed-citation><mixed-citation xml:lang="en">Sevilla-Acosta F., Araya-Amador J., Ulate-Campos A. Human herpesvirus 6 associated encephalitis with fulminant brain edema in a previously healthy child. Cureus. 2020;12(5):e8018. https://doi.org/10.7759/cureus.8018.</mixed-citation></citation-alternatives></ref><ref id="cit43"><label>43</label><citation-alternatives><mixed-citation xml:lang="ru">Жетишев Р.А., Архестова Д.Р., Пачева О.А. и др. Энцефалит вирусной этиологии (вирус герпеса человека 6-го типа) после COVID-19 у ребенка: клинический случай. Вопросы современной педиатрии. 2023;22(3):263–70. https://doi.org/10.15690/vsp.v22i3.2588.</mixed-citation><mixed-citation xml:lang="en">Zhetishev R.A., Arkhestova D.R., Pacheva O.A., et al. Viral encephalitis (human herpes virus type 6) after COVID-19 in a child: clinical case. [Encefalit virusnoj etiologii (virus gerpesa cheloveka 6-go tipa) posle COVID-19 u rebenka: klinicheskij sluchaj]. Voprosy sovremennoj pediatrii. 2023;22(3):263–70. (In Russ.). https://doi.org/10.15690/vsp.v22i3.2588.</mixed-citation></citation-alternatives></ref><ref id="cit44"><label>44</label><citation-alternatives><mixed-citation xml:lang="ru">Eliassen E., Hemond C.C., Santoro J.D. HHV-6-associated neurological disease in children: epidemiologic, clinical, diagnostic, and treatment considerations. Pediatr Neurol. 2020;105:10–20. https://doi.org/10.1016/j.pediatrneurol.2019.10.004.</mixed-citation><mixed-citation xml:lang="en">Eliassen E., Hemond C.C., Santoro J.D. HHV-6-associated neurological disease in children: epidemiologic, clinical, diagnostic, and treatment considerations. Pediatr Neurol. 2020;105:10–20. https://doi.org/10.1016/j.pediatrneurol.2019.10.004.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
