CYTOMEGALOVIRUS POLYRADICULOPATHY CAUSED BY A GANCICLOVIR-RESISTANT STRAIN

被引:17
作者
TOKUMOTO, JIN
HOLLANDER, H
机构
[1] UNIV CALIF SAN FRANCISCO, AIDS CLIN, BOX 0378, SAN FRANCISCO, CA 94143 USA
[2] UNIV CALIF SAN FRANCISCO, DIV INFECT DIS, SAN FRANCISCO, CA 94143 USA
关键词
D O I
10.1093/clinids/17.5.854
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Polyradiculopathy caused by cytomegalovirus (CMV) is a rare but serious neurological disorder that occurs late in the course of HIV-1 infection and is potentially treatable with antimicrobial agents active against CMV. We describe a patient with CMV infection caused by a strain that was resistant to ganciclovir. This case demonstrates one potential mechanism of therapeutic failure and illustrates the potential pathogenicity of strains that are resistant to antiviral drugs.
引用
收藏
页码:854 / 856
页数:3
相关论文
共 21 条
[1]   CYTOMEGALOVIRUS POLYRADICULONEUROPATHY IN ACQUIRED-IMMUNE-DEFICIENCY-SYNDROME [J].
BEHAR, R ;
WILEY, C ;
MCCUTCHAN, JA .
NEUROLOGY, 1987, 37 (04) :557-561
[2]  
DEGANS J, 1990, J ACQ IMMUN DEF SYND, V3, P1155
[3]   THERAPY FOR CYTOMEGALOVIRUS POLYRADICULOMYELITIS IN PATIENTS WITH AIDS - TREATMENT WITH GANCICLOVIR [J].
DEGANS, J ;
PORTEGIES, P ;
TIESSENS, G ;
TROOST, D ;
DANNER, SA ;
LANGE, JMA .
AIDS, 1990, 4 (05) :421-425
[4]   MULTIPLE INFECTIONS BY CYTOMEGALOVIRUS IN PATIENTS WITH ACQUIRED IMMUNODEFICIENCY SYNDROME - DOCUMENTATION BY SOUTHERN BLOT HYBRIDIZATION [J].
DREW, WL ;
SWEET, ES ;
MINER, RC ;
MOCARSKI, ES .
JOURNAL OF INFECTIOUS DISEASES, 1984, 150 (06) :952-953
[5]   PREVALENCE OF RESISTANCE IN PATIENTS RECEIVING GANCICLOVIR FOR SERIOUS CYTOMEGALOVIRUS-INFECTION [J].
DREW, WL ;
MINER, RC ;
BUSCH, DF ;
FOLLANSBEE, SE ;
GULLETT, J ;
MEHALKO, SG ;
GORDON, SM ;
OWEN, WF ;
MATTHEWS, TR ;
BUHLES, WC ;
DEARMOND, B .
JOURNAL OF INFECTIOUS DISEASES, 1991, 163 (04) :716-719
[6]   PROGRESSIVE POLYRADICULOPATHY IN ACQUIRED-IMMUNE-DEFICIENCY-SYNDROME [J].
EIDELBERG, D ;
SOTREL, A ;
VOGEL, H ;
WALKER, P ;
KLEEFIELD, J ;
CRUMPACKER, CS .
NEUROLOGY, 1986, 36 (07) :912-916
[7]   PROGRESSIVE DISEASE DUE TO GANCICLOVIR-RESISTANT CYTOMEGALO-VIRUS IN IMMUNOCOMPROMISED PATIENTS [J].
ERICE, A ;
CHOU, S ;
BIRON, KK ;
STANAT, SC ;
BALFOUR, HH ;
JORDAN, MC .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (05) :289-293
[8]   HUMAN PHARMACOKINETICS OF THE ANTIVIRAL DRUG DHPG [J].
FLETCHER, C ;
SAWCHUK, R ;
CHINNOCK, B ;
DEMIRANDA, P ;
BALFOUR, HH .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1986, 40 (03) :281-286
[9]   GANCICLOVIR FOR LUMBOSACRAL POLYRADICULOPATHY IN AIDS [J].
FULLER, GN ;
GILL, SK ;
GUILOFF, RJ ;
KAPOOR, R ;
LUCAS, SB ;
SINCLAIR, E ;
SCARAVILLI, F ;
MILLER, RF .
LANCET, 1990, 335 (8680) :48-49
[10]  
GRAVELEAU P, 1989, LANCET, V2, P511