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Epidemiology and Transmission of Kaposi's Sarcoma-Associated Herpesvirus.
[primary effusion lymphoma]
This
review
summarizes
the
current
knowledge
pertaining
to
Kaposi
sarcoma
-associated
herpesvirus
(
KSHV
)
epidemiology
and
transmission
.
Since
the
identification
of
KSHV
twenty
years
ago
,
it
is
now
known
to
be
associated
with
Kaposi
's
sarcoma
(
KS
)
,
primary
effusion
lymphoma
,
and
multicentric
Castleman
's
disease
.
Many
studies
have
been
conducted
to
understand
its
epidemiology
and
pathogenesis
and
their
results
clearly
show
that
the
worldwide
distribution
of
KSHV
is
uneven
.
Some
geographical
areas
,
such
as
sub-
Saharan
Africa
,
the
Mediterranean
region
and
the
Xinjiang
region
of
China
,
are
endemic
areas
,
but
Western
Europe
and
United
States
have
a
low
prevalence
in
the
general
population
.
This
makes
it
imperative
to
understand
the
risk
factors
associated
with
acquisition
of
infection
.
KSHV
can
be
transmitted
via
sexual
contact
and
non-sexual
routes
,
such
as
transfusion
of
contaminated
blood
and
tissues
transplants
,
or
via
saliva
contact
.
There
is
now
a
general
consensus
that
salivary
transmission
is
the
main
route
of
transmission
,
especially
in
children
residing
in
endemic
areas
.
Therefore
,
there
is
a
need
to
better
understand
the
sources
of
transmission
to
young
children
.
Additionally
,
lack
of
animal
models
to
study
transmission
,
gold
standard
serological
assay
and
the
lack
of
emphasis
on
endemic
KS
research
has
hampered
the
efforts
to
further
delineate
KSHV
transmission
in
order
to
design
effective
prevention
strategies
.
Diseases
Validation
Diseases presenting
"gold standard serological assay"
symptom
primary effusion lymphoma
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