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
相关论文
共 10 条
  • [1] ANDERSON KC, 1990, BLOOD, V76, P235
  • [2] DIGIUSTO D, 1994, BLOOD, V84, P421
  • [3] EINSELE H, 1993, BLOOD, V82, P1672
  • [4] CYTOMEGALOVIRUS (CMV) ANTIGENEMIA FOR RAPID DIAGNOSIS AND MONITORING OF CMV-ASSOCIATED DISEASE AFTER BONE-MARROW TRANSPLANTATION
    GONDO, H
    MINEMATSU, T
    HARADA, M
    AKASHI, K
    HAYASHI, S
    TANIGUCHI, S
    YAMASAKI, K
    SHIBUYA, T
    TAKAMATSU, Y
    TESHIMA, T
    ETO, T
    NAGAFUJI, K
    MIZUNO, S
    HOSODA, K
    MORI, R
    MINAMISHIMA, Y
    NIHO, Y
    [J]. BRITISH JOURNAL OF HAEMATOLOGY, 1994, 86 (01) : 130 - 137
  • [5] Greer John P., 1993, P2082
  • [6] HERTENSTEIN B, 1995, BONE MARROW TRANSPL, V15, P387
  • [7] MACKALL CL, 1993, BLOOD, V82, P2585
  • [8] NOGA SJ, 1997, GRAFTVERSUSHOST DIS, P717
  • [9] PARKMAN R, 1994, BONE MARROW TRANSPL, P504
  • [10] TESHIMA T, 1992, BONE MARROW TRANSPL, V10, P215