Management of Adenovirus in Children after Allogeneic Hematopoietic Stem Cell Transplantation
Author(s) -
Winnie Ip,
Waseem Qasim
Publication year - 2013
Publication title -
advances in hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.371
H-Index - 31
eISSN - 1687-9112
pISSN - 1687-9104
DOI - 10.1155/2013/176418
Subject(s) - medicine , hematopoietic stem cell transplantation , stem cell , haematopoiesis , transplantation , disease , immunology , incidence (geometry) , adoptive cell transfer , intensive care medicine , t cell , immune system , genetics , physics , optics , biology
Adenovirus (ADV) can cause significant morbidity and mortality in children following haematopoietic stem cell transplantation (HSCT), with an incidence of up to 27% and notable associated morbidity and mortality. T-cell depleted grafts and severe lymphopenia are major risk factors for the development of adenovirus disease after HSCT. Current antiviral treatments are at best virostatic and may have significant side effects. Adoptive transfer of donor-derived virus-specific T cells has been shown to be an effective strategy for the prevention and treatment of ADV infection after HSCT. Here we review progress in the field and present a pathway for the management of adenovirus in the posttransplant setting.
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