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腺病毒感染表现为孤立性中枢神经系统疾病,两名干细胞移植后的儿童无可检测的病毒血症。

Adenoviral infection presenting as an isolated central nervous system disease without detectable viremia in two children after stem cell transplantation.

机构信息

Unité d'immunologie, Hématologie et Rhumatologie Pédiatriques, Hôpital Necker Enfants malades, 149 rue de Sèvres, 75015 Paris, France.

出版信息

J Clin Microbiol. 2011 Jun;49(6):2361-4. doi: 10.1128/JCM.00080-11. Epub 2011 Apr 13.

DOI:10.1128/JCM.00080-11
PMID:21490187
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3122733/
Abstract

We report two cases of adenoviral meningoencephalitis in children following allogeneic stem cell transplantation. These cases showed four similarities: isolated neurological involvement, infiltrating hyperintensities next to the third ventricle on the cerebral magnetic resonance image, the absence of concomitant detectable adenoviral viremia, and a severe clinical outcome.

摘要

我们报告了两例异基因干细胞移植后儿童腺病毒脑膜脑炎。这些病例有四个共同点:孤立性神经受累、脑磁共振成像上第三脑室旁浸润性高信号、无同时可检测到的腺病毒血症以及严重的临床结局。

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Monitoring of adenovirus load in stool by real-time PCR permits early detection of impending invasive infection in patients after allogeneic stem cell transplantation.实时 PCR 监测粪便中的腺病毒载量可使异基因干细胞移植后患者在即将发生侵袭性感染时及早发现。
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