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. 2012 Jan 7;18(1):84–89. doi: 10.3748/wjg.v18.i1.84

Table 2.

Treatment for graft-vs-host disease and outcome

Case Immunosuppression and supportive therapy Time of death Cause of death
1 Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 3 d), then CsA and mycophenolate mofetil + G-CSF (0.075 mg, bid, for 11 d) + antibiotics (imipenem/cilastatin sodium, azithromycin, moxifloxacin, meropenem and teicoplanin) + anti-fungal (fluconazole) POD 34 MOF and sepsis
2 Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 2 d), then withdrawal (POD 29) of immunosuppressant + G-CSF (0.075 mg, bid, for 9 d) + IVIG (20 g, qd, for 9 d) + broad spectrum antibiotics (cefuroxime, ceftriaxone and imipenem/cilastatin) + anti-fungal (fluconazole) POD 38 Gastrointestinal bleeding
3 Increased immunosuppressant (methylprednisolone 500 mg, qd, for 2 d), then withdrawal (POD 29) of immunosuppressant + thymosin α1 (Zadaxin 1.6 mg, qd, for 7 d) + G-CSF (0.075 mg, bid, for 7 d) + broad spectrum antibiotics (cefminox) POD 35 Gastrointestinal bleeding and sepsis
4 Increased immunosuppressant (methylprednisolone 500 mg, iv, qd, for 2 d), then withdrawal (POD 30) of immunosuppressant + IVIG (20 g, qd, for 7 d) + thymosin α1 (Zadaxin 1.6 mg, qd, for 7 d) + G-CSF (0.075 mg, bid, for 5 d) + broad spectrum antibiotics (cefminox, cefoperazone/sulbactam) POD 36 Gastrointestinal bleeding and sepsis

CsA: Cyclosporine A; G-CSF: Granulocyte colony-stimulating factor; IVIG: Intravenous immunoglobulin therapy; MOF: Multiple organ failure; POD: Post-operation day.