Management of multidrug-resistant CMV infection in immunocompromised patients: case report of a heart-transplant recipient and review of the literature

被引:9
作者
Deback, Claire [1 ,2 ]
Burrel, Sonia [3 ,4 ]
Varnous, Shaida [5 ]
Carcelain, Guislaine [3 ,6 ]
Conan, Francoise [4 ]
Ait-Arkoub, Zaina [4 ]
Autran, Brigitte [3 ,6 ]
Gandjbakhch, Iradj [5 ]
Agut, Henri [3 ,4 ]
Boutolleau, David [3 ,4 ]
机构
[1] INSERM, UMR S996, Villejuif, France
[2] Hop Univ Paris Sud, AP HP, Serv Virol, Villejuif, France
[3] Univ Paris 06, Sorbonne Univ, CIMI Paris, CR7,INSERM,U1135, Paris, France
[4] Hop Univ Pitie Salpetriere Charles Foix, AP HP, Serv Virol, Paris, France
[5] Hop Univ Pitie Salpetriere Charles Foix, AP HP, Serv Transplantat Thorac, Paris, France
[6] Hop Univ Pitie Salpetriere Charles Foix, AP HP, Dept Immunol, Paris, France
关键词
SYSTEMICALLY ADMINISTERED LEFLUNOMIDE; CYTOMEGALOVIRUS DISEASE; COMPOUND AIC246; REPLICATION; RETINITIS; THERAPY;
D O I
10.3851/IMP2818
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Cytomegalovirus (CMV) remains a leading cause of morbidity after solid organ transplantation. The efficiency of antivirals for the treatment of CMV infections may be hampered because of the emergence of CMV resistance to antivirals. The development of CMV multidrug resistance, which remains uncommon but does occur, constitutes a clinically challenging complication and may contribute to difficult therapeutic management and adverse clinical outcome. We report here the observation of the emergence of a multidrug-resistant CMV infection in a hearttransplant recipient and review the literature on similar cases to identify the potential strategies for the successful management of CMV multidrug resistance among immunocompromised patients.
引用
收藏
页码:249 / 254
页数:6
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