Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1990 Aug;43(8):633–637. doi: 10.1136/jcp.43.8.633

Virus infections in bone marrow transplant recipients: a three year prospective study.

C E Taylor 1, L Sviland 1, A D Pearson 1, M Dobb 1, M M Reid 1, J Kernahan 1, A W Craft 1, P J Hamilton 1, S Proctor 1
PMCID: PMC502642  PMID: 2401731

Abstract

Over three years 81 consecutive bone marrow transplant recipients (32 allogeneic and 49 autologous) who received prophylaxis with acyclovir, were studied for symptomatic virus infection. Thirty nine infections were documented in a total of 28 patients. Thirty two infections were mild, five were moderately severe, and two were severe. Cytomegalovirus infection occurred in only six allogeneic recipients. Herpes simplex virus and varicella zoster virus infections occurred infrequently. Seven patients who were considered at the time of death to have died due to an infectious cause were studied virologically at necropsy. In only one patient was a virus infection thought to have been the cause of death. Prophylaxis with acyclovir may have influenced the rate and clinical prominence of herpes virus infections. In this study viruses were considered to have had a relatively minor role in causing morbidity and mortality.

Full text

PDF
633

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arthur R. R., Shah K. V., Baust S. J., Santos G. W., Saral R. Association of BK viruria with hemorrhagic cystitis in recipients of bone marrow transplants. N Engl J Med. 1986 Jul 24;315(4):230–234. doi: 10.1056/NEJM198607243150405. [DOI] [PubMed] [Google Scholar]
  2. Arthur R. R., Shah K. V., Charache P., Saral R. BK and JC virus infections in recipients of bone marrow transplants. J Infect Dis. 1988 Sep;158(3):563–569. doi: 10.1093/infdis/158.3.563. [DOI] [PubMed] [Google Scholar]
  3. Atkinson K., Meyers J. D., Storb R., Prentice R. L., Thomas E. D. Varicella-zoster virus infection after marrow transplantation for aplastic anemia or leukemia. Transplantation. 1980;29(1):47–50. doi: 10.1097/00007890-198001000-00010. [DOI] [PubMed] [Google Scholar]
  4. Bacigalupo A., Hows J., Gluckman E., Nissen C., Marsh J., Van Lint M. T., Congiu M., De Planque M. M., Ernst P., McCann S. Bone marrow transplantation (BMT) versus immunosuppression for the treatment of severe aplastic anaemia (SAA): a report of the EBMT SAA working party. Br J Haematol. 1988 Oct;70(2):177–182. doi: 10.1111/j.1365-2141.1988.tb02460.x. [DOI] [PubMed] [Google Scholar]
  5. Balfour H. H., Jr, Chace B. A., Stapleton J. T., Simmons R. L., Fryd D. S. A randomized, placebo-controlled trial of oral acyclovir for the prevention of cytomegalovirus disease in recipients of renal allografts. N Engl J Med. 1989 May 25;320(21):1381–1387. doi: 10.1056/NEJM198905253202105. [DOI] [PubMed] [Google Scholar]
  6. Engelhard D., Marks M. I., Good R. A. Infections in bone marrow transplant recipients. J Pediatr. 1986 Mar;108(3):335–346. doi: 10.1016/s0022-3476(86)80870-8. [DOI] [PubMed] [Google Scholar]
  7. Gratama J. W., Middeldorp J. M., Sinnige L. G., van der Meer J. W., D'Amaro J., Jansen J., Zwaan F. E., Brand A., de Gast G. C., The T. H. Cytomegalovirus immunity in allogeneic marrow grafting. Transplantation. 1985 Nov;40(5):510–514. doi: 10.1097/00007890-198511000-00008. [DOI] [PubMed] [Google Scholar]
  8. Guyotat D., Gibert R., Chomel J., Archimbaud E., Bossard S., Maupas J., Fiere D., Aymard M. Incidence and prognosis of cytomegalovirus infections following allogenic bone marrow transplantation. J Med Virol. 1987 Dec;23(4):393–399. doi: 10.1002/jmv.1890230412. [DOI] [PubMed] [Google Scholar]
  9. Locksley R. M., Flournoy N., Sullivan K. M., Meyers J. D. Infection with varicella-zoster virus after marrow transplantation. J Infect Dis. 1985 Dec;152(6):1172–1181. doi: 10.1093/infdis/152.6.1172. [DOI] [PubMed] [Google Scholar]
  10. Meyers J. D., Flournoy N., Thomas E. D. Infection with herpes simplex virus and cell-mediated immunity after marrow transplant. J Infect Dis. 1980 Sep;142(3):338–346. doi: 10.1093/infdis/142.3.338. [DOI] [PubMed] [Google Scholar]
  11. Meyers J. D., Flournoy N., Thomas E. D. Risk factors for cytomegalovirus infection after human marrow transplantation. J Infect Dis. 1986 Mar;153(3):478–488. doi: 10.1093/infdis/153.3.478. [DOI] [PubMed] [Google Scholar]
  12. Meyers J. D., Reed E. C., Shepp D. H., Thornquist M., Dandliker P. S., Vicary C. A., Flournoy N., Kirk L. E., Kersey J. H., Thomas E. D. Acyclovir for prevention of cytomegalovirus infection and disease after allogeneic marrow transplantation. N Engl J Med. 1988 Jan 14;318(2):70–75. doi: 10.1056/NEJM198801143180202. [DOI] [PubMed] [Google Scholar]
  13. O'Reilly R. J. Allogenic bone marrow transplantation: current status and future directions. Blood. 1983 Nov;62(5):941–964. [PubMed] [Google Scholar]
  14. Panjwani D. D., Ball M. G., Berry N. J., Wimperis J. Z., Blacklock H. A., Prentice H. G., Hoffbrand A. V., Griffiths P. D. Virological and serological diagnosis of cytomegalovirus infection in bone marrow allograft recipients. J Med Virol. 1985 Aug;16(4):357–365. doi: 10.1002/jmv.1890160409. [DOI] [PubMed] [Google Scholar]
  15. Pecego R., Hill R., Appelbaum F. R., Amos D., Buckner C. D., Fefer A., Thomas E. D. Interstitial pneumonitis following autologous bone marrow transplantation. Transplantation. 1986 Nov;42(5):515–517. doi: 10.1097/00007890-198611000-00015. [DOI] [PubMed] [Google Scholar]
  16. Saral R., Burns W. H., Laskin O. L., Santos G. W., Lietman P. S. Acyclovir prophylaxis of herpes-simplex-virus infections. N Engl J Med. 1981 Jul 9;305(2):63–67. doi: 10.1056/NEJM198107093050202. [DOI] [PubMed] [Google Scholar]
  17. Sturdy P. M., McQuillin J., Gardner P. S. A comparative study of methods for the diagnosis of respiratory virus infections in childhood. J Hyg (Lond) 1969 Dec;67(4):659–670. doi: 10.1017/s002217240004211x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Thomas E. D. Karnofsky Memorial Lecture. Marrow transplantation for malignant diseases. J Clin Oncol. 1983 Sep;1(9):517–531. doi: 10.1200/JCO.1983.1.9.517. [DOI] [PubMed] [Google Scholar]
  19. Vilmer E., Mazeron M. C., Rabian C., Azogui O., Devergie A., Perol Y., Gluckman E. Clinical significance of cytomegalovirus viremia in bone marrow transplantation. Transplantation. 1985 Jul;40(1):30–35. doi: 10.1097/00007890-198507000-00007. [DOI] [PubMed] [Google Scholar]
  20. Watson J. G. Problems of infection after bone marrow transplantation. J Clin Pathol. 1983 Jun;36(6):683–692. doi: 10.1136/jcp.36.6.683. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES