Herpesvírus humano 6 e 7

Os herpesvírus humanos (HHV)-6 e HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 são vírus de DNA DNA A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine). DNA Types and Structure de cadeia dupla semelhantes, pertencentes à família Herpesviridae Herpesviridae A family of enveloped, linear, double-stranded DNA viruses infecting a wide variety of animals. Subfamilies, based on biological characteristics, include: alphaherpesvirinae; betaherpesvirinae; and gammaherpesvirinae. Herpes Simplex Virus 1 and 2. Os herpesvírus humanos são onipresentes e as infeções são frequentemente contraídas na infância. Tanto o HHV-6B como o HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 causam uma doença comum conhecida como roséola infantil (também conhecida como roséola ou 6ª doença). A roséola é uma doença autolimitada que se apresenta com febre alta, seguida de uma erupção maculopapular Maculopapular Dermatologic Examination de cor rosada difusa. O diagnóstico é clínico e o tratamento é apenas de suporte.

Last updated: Dec 15, 2025

Editorial responsibility: Stanley Oiseth, Lindsay Jones, Evelin Maza

Classificação

Fluxograma de classificação de vírus de DNA

Identificação de vírus de DNA:
Os vírus podem ser classificados de várias formas. Contudo, a maioria dos vírus possui um genoma formado por DNA ou RNA. Os vírus com genoma de DNA podem ainda ser caracterizados como de cadeia simples ou dupla. Os vírus com envelope são revestidos por uma camada fina de membrana celular, que geralmente é retirada da célula hospedeira. Os vírus sem envelope são apelidados de vírus “nus”. Alguns vírus com envelope traduzem DNA em RNA antes de serem incorporados no genoma da célula hospedeira.

Imagem por Lecturio. Licença: CC BY-NC-SA 4.0

Características Gerais e Epidemiologia

Principais características do HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 e HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7

  • Taxonomia:
    • Família: Herpesviridae Herpesviridae A family of enveloped, linear, double-stranded DNA viruses infecting a wide variety of animals. Subfamilies, based on biological characteristics, include: alphaherpesvirinae; betaherpesvirinae; and gammaherpesvirinae. Herpes Simplex Virus 1 and 2
    • Subfamília: Betaherpesvirinae Betaherpesvirinae A subfamily of herpesviridae characterized by a relatively long replication cycle. Genera include: cytomegalovirus; muromegalovirus; and roseolovirus. Cytomegalovirus
    • Género: Roseolovirus Roseolovirus A genus of the family herpesviridae, subfamily betaherpesvirinae, whose viruses have been isolated from lymphocytes. Herpesvirus 6, human is the type species. Human Herpesvirus 6 and 7
    • Espécies:
      • Betaherpesvírus humano 6A
      • Betaherpesvírus humano 6B
      • Betaherpesvírus humano 7
  • Vírus de DNA DNA A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine). DNA Types and Structure:
    • Linear
    • Cadeia dupla
  • Estrutura:
    • Núcleo de DNA DNA A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine). DNA Types and Structure
    • Constituído por uma cápside icosaédrica
    • Tegumento
    • Envelope lipídico com glicoproteínas “spike”
Herpesvírus humano 6

Micrografia eletrónica do vírus HHV-6

Imagem: “Electron micrograph of one of the HHV6 species” por Bernard Kramarsky. Licença: Domínio Público

Doenças associadas

A relevância clínica do HHV-6A não é totalmente conhecida.

  • Os vírus HHV-6B e HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 estão associados a:
    • Roséola infantil (também conhecida como exantema súbito, roséola ou 6ª doença)
    • Doença respiratória febril aguda
    • Convulsões febris
    • Síndromes de reativação em recetores de transplante:
      • Viremia Viremia The presence of viruses in the blood. Erythema Infectiosum
      • Encefalite
      • Pneumonia Pneumonia Pneumonia or pulmonary inflammation is an acute or chronic inflammation of lung tissue. Causes include infection with bacteria, viruses, or fungi. In more rare cases, pneumonia can also be caused through toxic triggers through inhalation of toxic substances, immunological processes, or in the course of radiotherapy. Pneumonia
      • Miocardite
      • Hepatite
    • Possível:
      • Pitiríase rósea
      • Líquen plano ( HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7)

Epidemiologia

  • HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7:
    • > 70% dos adultos são seropositivos.
    • A infeção ocorre frequentemente por volta dos 2 anos.
  • HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7:
    • > 95% dos adultos são seropositivos.
    • A infeção ocorre frequentemente na infância.

Patogénese

Reservatório

Os seres humanos são o reservatório de HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 e HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7.

Transmissão

HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 e HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 são transmitidos através do contacto com a saliva Saliva The clear, viscous fluid secreted by the salivary glands and mucous glands of the mouth. It contains mucins, water, organic salts, and ptyalin. Salivary Glands: Anatomy.

Fisiopatologia

  • A replicação ocorre nos linfócitos T.
  • A entrada viral processa-se através de:
    • HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7: recetor CD46
    • HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7: recetor CD4
  • O DNA DNA A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine). DNA Types and Structure viral é libertado no nucleoplasma → produção de proteínas virais e replicação
  • Replicação lítica → morte celular
  • A infeção persistente ocorre nas glândulas salivares.
  • Fase latente:
    • HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7: ocorre em monócitos
    • HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7: ocorre em linfócitos T

Apresentação Clínica

As infeções por herpesvírus humano-6 são maioritariamente ligeiras e ocorrem durante a infância. A maioria das infeções por HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 são assintomáticas.

Roséola infantil

  • Febre alta:
    • Dura aproximadamente 3 a 5 dias
    • Resolve espontaneamente
  • “Rash” cutâneo:
    • Início:
      • Acompanha a resolução da febre
      • Dura aproximadamente 1 a 2 dias
    • Características do exantema:
    • Não pruriginoso
    • Distribuição:
      • Começa no pescoço e tronco
      • Estende-se para o rosto e extremidades
  • Outras manifestações associadas:
    • Conjuntivite
    • Pálpebras edemaciadas
    • Otite média
    • Manchas de Nagayama (pápulas uvulopalatoglossais eritematosas)
    • Rinorreia
    • Tosse
    • Diarreia
    • Vómitos
    • Protusão da fontanela
    • Linfadenopatia:
      • Cervical
      • Retroauricular
      • Occipital Occipital Part of the back and base of the cranium that encloses the foramen magnum. Skull: Anatomy

Diagnóstico e Tratamento

Diagnóstico

O diagnóstico é clínico e raramente há indicação para realização de exames, exceto em casos de doença grave em indivíduos imunodeprimidos (por exemplo, encefalite, miocardite).

  • PCR PCR Polymerase chain reaction (PCR) is a technique that amplifies DNA fragments exponentially for analysis. The process is highly specific, allowing for the targeting of specific genomic sequences, even with minuscule sample amounts. The PCR cycles multiple times through 3 phases: denaturation of the template DNA, annealing of a specific primer to the individual DNA strands, and synthesis/elongation of new DNA molecules. Polymerase Chain Reaction (PCR) para detetar o DNA DNA A deoxyribonucleotide polymer that is the primary genetic material of all cells. Eukaryotic and prokaryotic organisms normally contain DNA in a double-stranded state, yet several important biological processes transiently involve single-stranded regions. DNA, which consists of a polysugar-phosphate backbone possessing projections of purines (adenine and guanine) and pyrimidines (thymine and cytosine), forms a double helix that is held together by hydrogen bonds between these purines and pyrimidines (adenine to thymine and guanine to cytosine). DNA Types and Structure viral
  • Serologia
    • Imunofluorescência indireta
    • ELISA ELISA An immunoassay utilizing an antibody labeled with an enzyme marker such as horseradish peroxidase. While either the enzyme or the antibody is bound to an immunosorbent substrate, they both retain their biologic activity; the change in enzyme activity as a result of the enzyme-antibody-antigen reaction is proportional to the concentration of the antigen and can be measured spectrophotometrically or with the naked eye. Many variations of the method have been developed. St. Louis Encephalitis Virus

Tratamento

O tratamento por norma não é necessário,uma vez que os sintomas são autolimitados. os pacientes com doença grave podem ser tratados com:

  • Ganciclovir Ganciclovir An acyclovir analog that is a potent inhibitor of the herpesvirus family including cytomegalovirus. Ganciclovir is used to treat complications from aids-associated cytomegalovirus infections. Antivirals for Herpes Virus
  • Cidofovir Cidofovir An acyclic nucleoside phosphonate that acts as a competitive inhibitor of viral DNA polymerases. It is used in the treatment of retinitis caused by cytomegalovirus infections and may also be useful for treating herpesvirus infections. Antivirals for Herpes Virus
  • Foscarnet Foscarnet An antiviral agent used in the treatment of cytomegalovirus retinitis. Foscarnet also shows activity against human herpesviruses and HIV. Antivirals for Herpes Virus
  • Nota: Os estudos relacionados com esta terapêutica são limitados.

Comparação de Herpesvírus

A tabela abaixo compara os 9 herpesvírus considerados endémicos em humanos; existem 115 espécies diferentes de herpesvírus no total, agrupadas em 3 famílias:

  • Alfa (infeta células epiteliais e produz infeção latente em neurónios pós-mitóticos)
  • Beta (infetar e produz infeção latente em vários tipos de células)
  • Gama (produz infeção latente, sobretudo em células linfóides)
Tabela: Comparação dos 9 herpesvírus considerados endémicos em humanos
HHV Nome comum Principais células-alvo Local de latência Apresentação clínica*
1
(grupo alfa)
HSV-1 Células mucoepiteliais Gânglios da raiz dorsal
  • Gengivoestomatite
  • Queratite
  • Panarício herpético
  • Encefalite
  • Hepatite
  • Esofagite
  • Pneumonia Pneumonia Pneumonia or pulmonary inflammation is an acute or chronic inflammation of lung tissue. Causes include infection with bacteria, viruses, or fungi. In more rare cases, pneumonia can also be caused through toxic triggers through inhalation of toxic substances, immunological processes, or in the course of radiotherapy. Pneumonia
2
(grupo alfa)
HSV-2
  • Herpes genital
  • Meningite
  • Proctite
3
(grupo alfa)
VZV
  • Varicela
  • Herpes Zoster Herpes Zoster Varicella-zoster virus (VZV) is a linear, double-stranded DNA virus in the Herpesviridae family. Shingles (also known as herpes zoster) is more common in adults and occurs due to the reactivation of VZV. Varicella-Zoster Virus/Chickenpox (Zona)
4
(grupo gama)
EBV EBV Epstein-barr virus (EBV) is a linear, double-stranded DNA virus belonging to the herpesviridae family. This highly prevalent virus is mostly transmitted through contact with oropharyngeal secretions from an infected individual. The virus can infect epithelial cells and B lymphocytes, where it can undergo lytic replication or latency. Epstein-Barr Virus
  • Células epiteliais
  • Células B
Células B de memória
  • Mononucleose infeciosa
  • Linfoma de Hodgkin
  • Linfoma de Burkitt
  • Leucoplasia pilosa oral
  • Carcinoma gástrico associado ao EBV EBV Epstein-barr virus (EBV) is a linear, double-stranded DNA virus belonging to the herpesviridae family. This highly prevalent virus is mostly transmitted through contact with oropharyngeal secretions from an infected individual. The virus can infect epithelial cells and B lymphocytes, where it can undergo lytic replication or latency. Epstein-Barr Virus
5
(grupo beta)
CMV
  • Monócitos
  • Linfócitos
  • Células epiteliais
Células progenitoras hematopoiéticas da medula óssea
  • Mononucleose por CMV
  • Retinite por CMV
  • Colite por CMV
  • Encefalite por CMV
6A, 6B
(grupo beta)
HHV-6 HHV-6 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 células T Monócitos Roséola
7
(grupo beta)
HHV-7 HHV-7 Human herpesvirus (HHV)-6 and HHV-7 are similar double-stranded DNA viruses belonging to the Herpesviridae family. Human herpesviruses are ubiquitous and infections are commonly contracted during childhood. Human Herpesvirus 6 and 7 células T
8
(grupo gama)
Herpesvírus associado ao sarcoma de Kaposi Kaposi A multicentric, malignant neoplastic vascular proliferation characterized by the development of bluish-red cutaneous nodules, usually on the lower extremities, most often on the toes or feet, and slowly increasing in size and number and spreading to more proximal areas. The tumors have endothelium-lined channels and vascular spaces admixed with variably sized aggregates of spindle-shaped cells, and often remain confined to the skin and subcutaneous tissue, but widespread visceral involvement may occur. Hhv-8 is the suspected cause. There is also a high incidence in AIDS patients. AIDS-defining Conditions
  • Linfócitos
  • Células epiteliais
células B Sarcoma de Kaposi Kaposi A multicentric, malignant neoplastic vascular proliferation characterized by the development of bluish-red cutaneous nodules, usually on the lower extremities, most often on the toes or feet, and slowly increasing in size and number and spreading to more proximal areas. The tumors have endothelium-lined channels and vascular spaces admixed with variably sized aggregates of spindle-shaped cells, and often remain confined to the skin and subcutaneous tissue, but widespread visceral involvement may occur. Hhv-8 is the suspected cause. There is also a high incidence in AIDS patients. AIDS-defining Conditions
* Na coluna da “apresentação clínica”, encontram-se a negrito as doenças definidoras de SIDA.
CMV: citomegalovírus
EBV: vírus Epstein-Barr
HHV: Herpesvírus humano
HSV: vírus do herpes simplex
KSHV: herpesvírus associado ao sarcoma de Kaposi
VZV: vírus varicela-zoster

Comparação de Erupções Cutâneas Comuns na Infância

Tabela: Comparação de erupções cutâneas comuns na infância
Número Outros nomes para a doença Etiologia Descrição
1ª doença
  • Sarampo
  • Rubéola
  • Sarampo de 14 dias
  • “Morbilli”
Morbillivirus Morbillivirus A genus of the family paramyxoviridae (subfamily paramyxovirinae) where the virions of most members have hemagglutinin but not neuraminidase activity. All members produce both cytoplasmic and intranuclear inclusion bodies. Measles virus is the type species. Measles Virus do sarampo
  • Tosse, rinorreia, conjuntivite
  • Manchas de Koplik (máculas branco-azuladas com um halo vermelho) na membrana bucal
  • A erupção maculopapular Maculopapular Dermatologic Examination começa na face e atrás das orelhas → estende-se para o tronco / extremidades
2ª doença
  • Febre da escarlatina
  • Escarlatina
Streptococcus Streptococcus Streptococcus is one of the two medically important genera of gram-positive cocci, the other being Staphylococcus. Streptococci are identified as different species on blood agar on the basis of their hemolytic pattern and sensitivity to optochin and bacitracin. There are many pathogenic species of streptococci, including S. pyogenes, S. agalactiae, S. pneumoniae, and the viridans streptococci. Streptococcus pyogenes
  • Erupção maculopapular do tipo “lixa”, que começa no pescoço e região inguinal → estende-se para o tronco / extremidades
  • Áreas escuras e hiperpigmentadas, especialmente em rugas da pele, chamadas linhas de Pastia
  • Língua em morango : membrana branca revestida através da qual se projetam papilas vermelhas e edemaciadas
3ª doença
  • Rubéola
  • Sarampo alemão
  • Sarampo de 3 dias
Vírus da rubéola
  • Assintomática em 50% dos casos
  • Erupção macular fina na face (atrás das orelhas) → estende-se para o pescoço, tronco e extremidades (poupa as palmas das mãos / plantas dos pés)
  • Manchas de Forscheimer : Máculas vermelhas pontuais e petéquias sobre o palato mole Mole Nevi (singular nevus), also known as “moles,” are benign neoplasms of the skin. Nevus is a non-specific medical term because it encompasses both congenital and acquired lesions, hyper- and hypopigmented lesions, and raised or flat lesions. Nevus/Nevi/úvula.
  • Linfadenopatia generalizada dolorosa
4ª doença
  • Síndrome da pele escaldada estafilocócica
  • Doença de Filatow-Dukes
  • Doença de Ritter
Devido às estirpes de Staphylococcus aureus Staphylococcus aureus Potentially pathogenic bacteria found in nasal membranes, skin, hair follicles, and perineum of warm-blooded animals. They may cause a wide range of infections and intoxications. Brain Abscess que produzem toxina epidermolítica (esfoliativa)
  • Supõe-se que a 4ª doença é um diagnóstico equivocado e, portanto, inexistente.
  • Atualmente, o termo foi abandonado na década de 1960, sendo usado apenas para trivialidades médicas.
  • Começa com uma erupção eritematosa difusa, que geralmente começa em redor da boca → bolhas com líquido ou bolhas cutâneas → rutura e descamação
  • Sinal de Nikolsky : Ao aplicar pressão sobre a pele com um dedo observa-se a descamação das camadas superiores.
5ª doença Eritema infecioso Eritrovírus ou parvovírus B19 (primata eritroparvovírus 1)
  • Eritema facial (erupção nas bochechas) com pápulas eritematosas na região das bochechas
  • Começa na face → estende-se para as extremidades → estende-se para o tronco / nádegas
  • Inicialmente confluente e posteriormente semelhante a uma rede à medida que se propaga
6ª doença
  • Exantema súbito
  • Roséola infantil
  • Erupção rosa em bebés
  • Febre de 3 dias
Herpesvírus humano 6B ou 7
  • Início súbito de febre alta
  • Manchas de Nagayama: manchas papulares no palato mole Mole Nevi (singular nevus), also known as “moles,” are benign neoplasms of the skin. Nevus is a non-specific medical term because it encompasses both congenital and acquired lesions, hyper- and hypopigmented lesions, and raised or flat lesions. Nevus/Nevi / úvula
  • A erupção começa quando a febre desaparece (o termo “exantema súbito” descreve o aparecimento repentino da erupção após a febre começar a diminuir).
  • Numerosas máculas cor rosa, em forma de amêndoa, no tronco e pescoço → às vezes estendem-se para o rosto / extremidades

Referências

  1. Tremblay, C. (2024). Virology, pathogenesis, and epidemiology of human herpesvirus 6 infection. In Bond, S. (Ed.), UpToDate. Retrieved November 18, 2025, from https://www.uptodate.com/contents/virology-pathogenesis-and-epidemiology-of-human-herpesvirus-6-infection
  2. Tremblay, C., Brady, M.T. (2024). Human herpesvirus 6 infection in children: Clinical manifestations, diagnosis, and treatment. In Torchia, M.M. (Ed.), UpToDate. Retrieved November 18, 2025, from https://www.uptodate.com/contents/human-herpesvirus-6-infection-in-children-clinical-manifestations-diagnosis-and-treatment
  3. Tremblay, C. (2025). Clinical manifestations, diagnosis, and treatment of human herpesvirus 6 infection in adults. In Bond, S. (Ed.), UpToDate. Retrieved November 18, 2025, from https://www.uptodate.com/contents/clinical-manifestations-diagnosis-and-treatment-of-human-herpesvirus-6-infection-in-adults
  4. Tremblay, C. (2025). Human herpesvirus 7 infection. In Bond, S. (Ed.), UpToDate. Retrieved November 18, 2025, from https://www.uptodate.com/contents/human-herpesvirus-7-infection
  5. Tesini, B.L. (2023). Roseola infantum. [online] MSD Manual Professional Version. Retrieved November 18, 2025, from https://www.msdmanuals.com/professional/pediatrics/miscellaneous-viral-infections-in-infants-and-children/roseola-infantum
  6. King, O., Al Khalili, Y. (2025). Herpes virus type 6. [online] StatPearls. Retrieved November 18, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK540998/
  7. Mullins, T.B., Krishnamurthy, K. (2023). Roseola infantum. [online] StatPearls. Retrieved November 18, 2025, from https://www.ncbi.nlm.nih.gov/books/NBK448190/
  8. Kiley, J.L., Blyth, D.M. (2024). Human herpesvirus 6 (HHV-6) infection. In Chandrasekar, P.H. (Ed.), Medscape. Retrieved November 18, 2025, from https://emedicine.medscape.com/article/219019-overview
  9. Wolz, M.M., Sciallis, G.F., Pittelkow, M.K. (2012). Human herpesviruses 6, 7, and 8 from a dermatologic perspective. In Mayo Clinical Proceedings. 87(10):1004-1014. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538396/

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