Temporal and Spatial Compartmentalization of Drug-Resistant Cytomegalovirus (CMV) in a Child with CMV Meningoencephalitis: Implications for Sampling in Molecular Diagnosis
Author(s) -
Pierre Frange,
David Boutolleau,
Marianne LeruezVille,
Fabien Touzot,
Guilhem Cros,
Sébastien Héritier,
Despina Moshous,
Bénédicte Neven,
Alain Fischer,
Stéphane Blanche
Publication year - 2013
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.02411-13
Subject(s) - cytomegalovirus , meningoencephalitis , virology , betaherpesvirinae , biology , herpesviridae , human cytomegalovirus , immunology , drug resistance , viral disease , virus , microbiology and biotechnology
We describe a case of antiviral-resistant cytomegalovirus meningoencephalitis occurring after hematopoietic stem cell transplantation. Antiviral-resistant cytomegalovirus was identified in blood 16 months earlier. However, wild-type cytomegalovirus was evidenced in blood when the meningoencephalitis was diagnosed. Treatment of meningoencephalitis should be adapted to all previously identified resistance mutations in any compartment.
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