Human herpesvirus 7 (HHV-7) was isolated from peripheral blood mononuc
lear cells of two infants with typical exanthem subitum. The HindIII-,
BamHI-, and EcoRI-digested DNA patterns of the isolated viruses were
very similar to that of the prototype HHV-7 (RK strain), but different
from that of human herpesvirus 6 (HHV-6). During the convalescent per
iod of the first patient, the titer of antibody to HHV-7 rose from <1:
10 to 1:320 by an immunofluorescence antibody test, whereas the titer
of antibody to HHV-6 remained <1:10. In the second patient, who had tw
o independent episodes of exanthem subitum during 2 months, both HHV-6
and HHV-7 were sequentially isolated; seroconversion to HHV-6 occurre
d during the first episode and to HHV-7 during the second episode. In
addition, sera from another 15 children who had episodes of exanthem s
ubitum were serologically tested for antibodies to HHV-6 and HHV-7 by
immunofluorescence antibody test. Five of seven patients had seroconve
rsion to HHV-7 just after having typical signs and symptoms of exanthe
m subitum. These results suggest that HHV-7 is one of the causative ag
ents of exanthem subitum.