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Cytomegalovirus Ventriculoencephalitis in a Bone Marrow Transplant Recipient Receiving Antiviral Maintenance: Clinical and Molecular Evidence of Drug Resistance
Author(s) -
Susan K. Seo,
Anne D. Regan,
Tomáš Cihlář,
Deborah C. Lin,
Farid Boulad,
Diane George,
Vinod K. Prasad,
Timothy E. Kiehn,
Bruce Polsky
Publication year - 2001
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/323022
Subject(s) - foscarnet , medicine , ganciclovir , viremia , bone marrow transplant , cytomegalovirus retinitis , cytomegalovirus , retinitis , human cytomegalovirus , drug resistance , virology , bone marrow , viral disease , immunology , betaherpesvirinae , bone marrow transplantation , herpesviridae , virus , microbiology and biotechnology , biology
We describe a case of CMV ventriculoencephalitis in a severely immunocompromised bone marrow transplant recipient who was receiving combination therapy with ganciclovir and foscarnet for treatment of viremia and retinitis. Analysis of sequential viral isolates recovered from the patient's cerebrospinal fluid suggested that disease developed because of the presence of viral resistance and, possibly, low tissue penetration of antiviral agents.

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