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Cytomegalovirus in Pediatric Hematopoietic Stem Cell Transplantation: A Case-Based Panel Discussion of Current Challenges
Author(s) -
Lara DanzigerIsakov,
Janet A. Englund,
Michael Green,
Klara M. PosfayBarbe,
Danielle M. Zerr
Publication year - 2018
Publication title -
journal of the pediatric infectious diseases society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.269
H-Index - 31
eISSN - 2048-7207
pISSN - 2048-7193
DOI - 10.1093/jpids/piy104
Subject(s) - medicine , cytomegalovirus , hematopoietic stem cell transplantation , transplantation , intensive care medicine , stem cell , hematopoietic cell , immunology , haematopoiesis , human immunodeficiency virus (hiv) , herpesviridae , viral disease , biology , genetics
Cytomegalovirus (CMV) remains a significant contributor to morbidity and death after pediatric solid and stem cell transplantation. Decisions regarding prevention and treatment often lack pediatric-specific data to drive decision making. We present here a case-based discussion around some of these specific topics and focus on approaches to CMV prevention, post-CMV secondary prophylaxis options, and identification and treatment of resistant CMV infection, including emerging antiviral agents and the use of cytotoxic CMV-specific T-cells, in the setting of pediatric hematopoietic stem cell transplantation.

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