Analysis of cerebral toxoplasmosis in a series of 170 allogeneic hematopoietic stem cell transplant patients

被引:46
作者
Hakko, E. [1 ]
Ozkan, H. A. [1 ]
Karaman, K. [1 ]
Gulbas, Z. [1 ]
机构
[1] Anadolu Med Ctr, TR-41400 Gebze, Kocaeli, Turkey
关键词
cerebral toxoplasmosis; allogeneic transplantation; cranial MRI; PCR; treatment; prophylaxis; Toxoplasma gondii; BONE-MARROW-TRANSPLANTATION; GONDII INFECTION; RECIPIENTS; DIAGNOSIS; SEROPOSITIVITY; ENCEPHALITIS; PREVENTION; EXPERIENCE; PROVINCE; BLOOD;
D O I
10.1111/tid.12138
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
IntroductionCerebral toxoplasmosis is a rare but fatal complication in hematopoietic stem cell transplant patients, which mostly is caused by reactivation of latent disease. MethodsIn this study, we report an analysis of cerebral toxoplasmosis in a series of 170 allogeneic stem cell transplant patients during a 30-month period at our institution. ResultsAmong these allogeneic stem cell transplant patients, 5 were diagnosed with cerebral toxoplasmosis by brain magnetic resonance imaging and polymerase chain reaction of Toxoplasma gondii DNA. The incidence of cerebral toxoplasmosis was found to be 2.94%. ConclusionMortality rate is known to be very high in cerebral toxoplasmosis; therefore, it is life saving to diagnose the disease in the early stages and start treatment promptly, especially in high-endemic countries like Turkey.
引用
收藏
页码:575 / 580
页数:6
相关论文
共 29 条
[11]  
Kuk Salih, 2007, Turkiye Parazitoloji Dergisi, V31, P1
[12]   Eccentric Target Sign in Cerebral Toxoplasmosis: Neuropathological Correlate to the Imaging Feature [J].
Kumar, G. G. Sharath ;
Mahadevan, A. ;
Guruprasad, A. S. ;
Kovoor, Jerry M. E. ;
Satishchandra, P. ;
Nath, Avindra ;
Ranga, Udaykumar ;
Shankar, S. K. .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2010, 31 (06) :1469-1472
[13]   Toxoplasmosis after hematopoietic stem cell transplantation [J].
Martino, R ;
Maertens, J ;
Bretagne, S ;
Rovira, M ;
Deconinck, E ;
Ullmann, AJ ;
Held, T ;
Cordonnier, C .
CLINICAL INFECTIOUS DISEASES, 2000, 31 (05) :1188-1194
[14]   Early detection of Toxoplasma infection by molecular monitoring of Toxoplasma gondii in peripheral blood samples after allogeneic stem cell transplantation [J].
Martino, R ;
Bretagne, S ;
Einsele, H ;
Maertens, J ;
Ullmann, AJ ;
Parody, R ;
Schumacher, U ;
Pautas, C ;
Theunissen, K ;
Schindel, C ;
Muñoz, C ;
Margall, N ;
Cordonnier, C .
CLINICAL INFECTIOUS DISEASES, 2005, 40 (01) :67-78
[15]   Toxoplasmosis after hematopoietic stem transplantation. Report of a 5-year survey from the Infectious Diseases Working Party of the European Group for Blood and Marrow Transplantation [J].
Martino, R ;
Bretagne, S ;
Rovira, M ;
Ullmann, AJ ;
Maertens, J ;
Held, T ;
Deconinck, E ;
Cordonnier, C .
BONE MARROW TRANSPLANTATION, 2000, 25 (10) :1111-1114
[16]   Opportunistic CNS infection after bone marrow transplantation [J].
Maschke, M ;
Dietrich, U ;
Prumbaum, M ;
Kastrup, O ;
Turowski, B ;
Schaefer, UW ;
Diener, HC .
BONE MARROW TRANSPLANTATION, 1999, 23 (11) :1167-1176
[17]   Toxoplasmosis encephalitis following severe graft-vs.-host disease after allogeneic hematopoietic stem cell transplantation: 17 yr experience in Fukuoka BMT group [J].
Matsuo, Yayoi ;
Takeishi, Shoichiro ;
Miyamoto, Toshihiro ;
Nonami, Atsushi ;
Kikushige, Yoshikane ;
Kunisaki, Yuya ;
Kamezaki, Kenjiro ;
Tu, Liping ;
Hisaeda, Hajime ;
Takenaka, Katsuto ;
Harada, Naoki ;
Kamimura, Tomohiko ;
Ohno, Yuju ;
Eto, Tetsuya ;
Teshima, Takanori ;
Gondo, Hisashi ;
Harada, Mine ;
Nagafuji, Koji .
EUROPEAN JOURNAL OF HAEMATOLOGY, 2007, 79 (04) :317-321
[18]   Myeloablative Conditioning Predisposes Patients for Toxoplasma gondii Reactivation after Allogeneic Stem Cell Transplantation [J].
Meers, Stef ;
Lagrou, Katrien ;
Theunissen, Koen ;
Dierickx, Daan ;
Delforge, Michel ;
Devos, Timothy ;
Janssens, Ann ;
Meersseman, Wouter ;
Verhoef, Gregor ;
Van Eldere, Johan ;
Maertens, Johan .
CLINICAL INFECTIOUS DISEASES, 2010, 50 (08) :1127-1134
[19]   Toxoplasmosis in bone marrow transplantation: a report of two cases and systematic review of the literature [J].
Mele, A ;
Paterson, PJ ;
Prentice, HG ;
Leoni, P ;
Kibbler, CC .
BONE MARROW TRANSPLANTATION, 2002, 29 (08) :691-698
[20]   Imaging characteristics of toxoplasmosis encephalitis after bone marrow transplantation: report of two cases and review of the literature [J].
Mueller-Mang, C ;
Mang, TG ;
Kalhs, P ;
Thurnher, MM .
NEURORADIOLOGY, 2006, 48 (02) :84-89