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阿昔洛韦联合血浆置换治疗骨髓移植后播散性水痘-带状疱疹病毒感染

[Acyclovir combined with plasma exchange for disseminated varicella-zoster virus infection after bone marrow transplantation].

作者信息

Lee Chunyong, Koike Michiaki, Oshimi Kazuo, Terakura Seitarou, Kodera Yositaka

机构信息

Department of Hematology, Juntendo University, Shizuoka Hospital.

出版信息

Rinsho Ketsueki. 2006 Mar;47(3):210-3.

PMID:16629486
Abstract

In 2001, a 45-year-old man with severe aplastic anemia received a bone marrow transplantation from his HLA-identical sister, 2.5 years after which he developed severe liver dysfunction together with abdominal pain, disturbance of consciousness and generalized vesicles. Disseminated varicella-zoster virus infection was diagnosed by the detection of VZV DNA. Acyclovir and plasma exchange rapidly controlled his VZV-related symptoms and signs. Disseminated VZV infection is often fatal, but acyclovir and plasma exchange may be useful for such infection by reducing the circulating viral load.

摘要

2001年,一名45岁的严重再生障碍性贫血患者接受了来自其HLA配型相同的姐姐的骨髓移植,2.5年后,他出现了严重的肝功能障碍,伴有腹痛、意识障碍和全身性水疱。通过检测水痘带状疱疹病毒(VZV)DNA诊断为播散性水痘带状疱疹病毒感染。阿昔洛韦和血浆置换迅速控制了他与VZV相关的症状和体征。播散性VZV感染通常是致命的,但阿昔洛韦和血浆置换可能通过降低循环病毒载量对这种感染有用。

相似文献

1
[Acyclovir combined with plasma exchange for disseminated varicella-zoster virus infection after bone marrow transplantation].阿昔洛韦联合血浆置换治疗骨髓移植后播散性水痘-带状疱疹病毒感染
Rinsho Ketsueki. 2006 Mar;47(3):210-3.
2
[Acute abdomina pain as a presenting symptom of varicella-zoster virus infection in an allogeneic bone marrow transplant].[急性腹痛作为异基因骨髓移植中水痘-带状疱疹病毒感染的首发症状]
Rinsho Ketsueki. 1998 Jan;39(1):53-8.
3
Long-term acyclovir prophylaxis for prevention of varicella zoster virus infection after autologous blood stem cell transplantation in patients with acute leukemia.长期使用阿昔洛韦预防急性白血病患者自体造血干细胞移植后水痘带状疱疹病毒感染。
Bone Marrow Transplant. 1992 Dec;10(6):495-8.
4
Varicella zoster meningoencephalitis following treatment for dermatomal zoster in an alloBMT patient.一名异基因骨髓移植患者在接受皮节带状疱疹治疗后发生水痘带状疱疹性脑膜炎。
Bone Marrow Transplant. 2000 Oct;26(7):795-6. doi: 10.1038/sj.bmt.1702599.
5
Early-second-trimester use of acyclovir in treating herpes zoster in a bone marrow transplant patient. A case report.孕中期早期使用阿昔洛韦治疗骨髓移植患者带状疱疹。病例报告。
J Reprod Med. 1992 Mar;37(3):280-2.
6
Varicella zoster infection after bone marrow transplantation: incidence, risk factors and complications.骨髓移植后的水痘带状疱疹感染:发病率、危险因素及并发症
Bone Marrow Transplant. 1994 Mar;13(3):277-83.
7
Acute abdomen without cutaneous signs of varicella zoster virus infection as a late complication of allogeneic bone marrow transplantation: importance of empiric therapy with acyclovir.急性腹痛作为异基因骨髓移植的晚期并发症,无水痘带状疱疹病毒感染的皮肤体征:阿昔洛韦经验性治疗的重要性。
Bone Marrow Transplant. 2000 May;25(9):1003-5. doi: 10.1038/sj.bmt.1702340.
8
Factors influencing varicella zoster virus infection after allogeneic peripheral blood stem cell transplantation: low-dose acyclovir prophylaxis and pre-transplant diagnosis of lymphoproliferative disorders.异基因外周血干细胞移植后影响水痘带状疱疹病毒感染的因素:低剂量阿昔洛韦预防及移植前淋巴增殖性疾病的诊断
Transpl Infect Dis. 2008 Apr;10(2):90-8. doi: 10.1111/j.1399-3062.2007.00247.x. Epub 2007 Jul 1.
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Two cases of varicella zoster virus meningitis found in pediatric patients after bone marrow transplantation despite valaciclovir prophylaxis and without skin lesions.
J Med Virol. 2006 Apr;78(4):514-6. doi: 10.1002/jmv.20570.
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[Varicella-zoster virus meningoencephalitis without skin manifestation in an allogeneic bone marrow transplantation patient successfully treated with aciclovir].[一名接受异基因骨髓移植的患者发生无皮肤表现的水痘-带状疱疹病毒脑膜脑炎,经阿昔洛韦成功治疗]
Rinsho Ketsueki. 2007 Nov;48(11):1511-3.

引用本文的文献

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Efficacy of plasma exchange with a high dose of acyclovir for disseminated varicella infection.大剂量阿昔洛韦联合血浆置换治疗播散性水痘感染的疗效。
CEN Case Rep. 2020 Feb;9(1):15-18. doi: 10.1007/s13730-019-00415-2. Epub 2019 Sep 13.