TY - JOUR
T1 - Cytomegalovirus infection and non-neutropenic fever after autologous stem cell transplantation
T2 - High rates of reactivation in patients with multiple myeloma and lymphoma
AU - Fassas, Athanasios
AU - Bolaños-Meade, J.
AU - Buddharaju, L. N.
AU - Rapoport, A.
AU - Cottler-Fox, M.
AU - Chen, T.
AU - Lovchik, J. C.
AU - Cross, A.
AU - Tricot, G.
PY - 2001
Y1 - 2001
N2 - In a retrospective study, we examined the association between cytomegalovirus (CMV) infection and non-neutropenic fever immediately following autologous peripheral blood stem cell transplantation for a variety of haematological malignancies and solid tumours. Sixty non-neutropenic febrile episodes (41 in CMV-seropositive and 19 in CMV-seronegative patients) were evaluated. CMV reactivation, documented by CMV antigenaemia, was detected in 16 out of 41 (39%) seropositive patients compared with 0 out of 19 seronegative patients. In 12 of these 16 patients, CMV infection was considered the sole cause of fever. Thirteen patients had maximum antigenaemia levels > 5 cells/slide. Specific antiviral treatment led to the resolution of the fever in all, but two, patients, who developed fatal CMV pneumonia. Patients with multiple myeloma and lymphoma, possibly owing to a combination of disease-related characteristics and prior immuno-suppressire treatment, had high rates of CMV reactivation and may require more frequent diagnostic evaluation and prompt therapeutic intervention.
AB - In a retrospective study, we examined the association between cytomegalovirus (CMV) infection and non-neutropenic fever immediately following autologous peripheral blood stem cell transplantation for a variety of haematological malignancies and solid tumours. Sixty non-neutropenic febrile episodes (41 in CMV-seropositive and 19 in CMV-seronegative patients) were evaluated. CMV reactivation, documented by CMV antigenaemia, was detected in 16 out of 41 (39%) seropositive patients compared with 0 out of 19 seronegative patients. In 12 of these 16 patients, CMV infection was considered the sole cause of fever. Thirteen patients had maximum antigenaemia levels > 5 cells/slide. Specific antiviral treatment led to the resolution of the fever in all, but two, patients, who developed fatal CMV pneumonia. Patients with multiple myeloma and lymphoma, possibly owing to a combination of disease-related characteristics and prior immuno-suppressire treatment, had high rates of CMV reactivation and may require more frequent diagnostic evaluation and prompt therapeutic intervention.
KW - Autologous stem cell transplantation
KW - Cytomegalovirus
KW - Lymphoma
KW - Multiple myeloma
KW - Non-neutropenic fever
UR - http://www.scopus.com/inward/record.url?scp=0035130799&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0035130799&partnerID=8YFLogxK
U2 - 10.1046/j.1365-2141.2001.02487.x
DO - 10.1046/j.1365-2141.2001.02487.x
M3 - Article
C2 - 11167810
AN - SCOPUS:0035130799
SN - 0007-1048
VL - 112
SP - 237
EP - 241
JO - British journal of haematology
JF - British journal of haematology
IS - 1
ER -