Early viral complications following CD34-selected autologous peripheral blood stem cell transplantation for non-Hodgkin's lymphoma

被引:37
作者
Miyamoto, T
Gondo, H
Miyoshi, Y
Shigematsu, H
Minematsu, T
Takenaka, K
Tanimoto, K
Horiuchi, T
Asano, Y
Inaba, S
Minamishima, Y
Niho, Y
机构
[1] Kyushu Univ, Fac Med, Blood Transfus Serv, Fukuoka 812, Japan
[2] Kyushu Univ, Fac Med, Dept Internal Med 1, Fukuoka 812, Japan
[3] Miyazaki Med Coll, Dept Microbiol, Miyazaki 88916, Japan
关键词
CD34(+) cells; stem cell transplantation; immunodeficiency; viral infection;
D O I
10.1046/j.1365-2141.1998.00572.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A patient with non-Hodgkin's lymphoma who received a CD34-selected autologous peripheral blood stem cell transplant (PBSCT) developed cytomegalovirus retinitis, adenovirus-associated haemorrhagic cystitis (HC) and fatal herpes simplex virus pneumonia. Depletion of mature T cells from the graft and a persistent decrease in CD4(+) lymphocytes following PBSCT may have predisposed this patient to such viral infections. Infusion of cryopreserved autologous PBSC (containing mature T cells) was effective for adenovirus-associated HC. Immunosuppression and resultant viral infections may affect patients receiving CD34-selected autologous transplantation.
引用
收藏
页码:348 / 350
页数:3
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