Post-transplant lymphoproliferative disorder: case report and review of susceptibility to EBV in the Scottish adult renal transplant pool

被引:0
作者
Selvarajah, Viknesh [1 ]
Lake, Katie [1 ]
Robertson, Sue [1 ]
Carman, William [2 ]
Isles, Chris [1 ]
机构
[1] Dumfries & Galloway Royal Infirm, Dept Renal Med, Dumfries DG1 4AP, Scotland
[2] Gartnavel Royal Hosp, West Scotland Specialist Virol Lab, Glasgow G12 0ZA, Lanark, Scotland
来源
CLINICAL KIDNEY JOURNAL | 2009年 / 2卷 / 01期
关键词
EBV; CMV; PTLD; renal; transplantation;
D O I
10.1093/ndtplus/sfn180
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report a case of high-grade non-Hodgkin's lymphoma following Epstein-Barr virus (EBV) infection in a 38-year-old renal transplant recipient who was successfully treated with rituximab and remains alive 6 years later with reasonable graft function. We subsequently undertook a survey showing that 1.8% of the Scottish adult transplant pool are susceptible to EBV infection. Though a vaccine for EBV is currently not yet available, routine screening of potential renal transplant recipients for EBV should help identify those at increased risk of post-transplant lymhoproliferative disorder (PTLD), while tailoring of immunosuppression and antiviral prophylaxis with Ganciclovir may help reduce the emergence of this potentially life-threatening disease.
引用
收藏
页码:52 / 54
页数:3
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