CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION

Due to its negative impact in the outcome of stem cell transplant (SCT) and solid organ transplant patients (SOT) CMV has been called “the troll of transplantation”. One of the greatest advances in the management of SCT has been the introduction of the preemptive strategy. Since its introduction, th...

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Main Author: Rafael de la Camara
Format: Article
Language:English
Published: PAGEPress Publications 2016-06-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://www.mjhid.org/index.php/mjhid/article/view/2606
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author Rafael de la Camara
author_facet Rafael de la Camara
author_sort Rafael de la Camara
collection DOAJ
description Due to its negative impact in the outcome of stem cell transplant (SCT) and solid organ transplant patients (SOT) CMV has been called “the troll of transplantation”. One of the greatest advances in the management of SCT has been the introduction of the preemptive strategy. Since its introduction, the incidence of the viremia, as expected, remains unchanged but there has been a marked decline in the incidence of early CMV disease. But in spite of the advances in prevention of CMV disease, CMV is still today an important cause of morbidity and mortality. Late CMV disease is still occurring in a significant proportion of patients and the so-called indirect effects of CMV are causing significant morbidity and mortality. Fortunately, there have been several advances in the development of new antivirals, adoptive immunotherapy and DNA-CMV vaccines that might transform the management of CMV in the near future.
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institution Kabale University
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publishDate 2016-06-01
publisher PAGEPress Publications
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series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj-art-594d1b2e6fca4694adf0bcc4e62b21e02025-01-02T06:45:25ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062016-06-0180e2016031e201603110.4084/mjhid.2016.0311618CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATIONRafael de la Camara0> Hospital de la Princesa > C/Diego de León nº 62 > Madrid 28006 > Spain > > JRCAMARA@telefonica.netDue to its negative impact in the outcome of stem cell transplant (SCT) and solid organ transplant patients (SOT) CMV has been called “the troll of transplantation”. One of the greatest advances in the management of SCT has been the introduction of the preemptive strategy. Since its introduction, the incidence of the viremia, as expected, remains unchanged but there has been a marked decline in the incidence of early CMV disease. But in spite of the advances in prevention of CMV disease, CMV is still today an important cause of morbidity and mortality. Late CMV disease is still occurring in a significant proportion of patients and the so-called indirect effects of CMV are causing significant morbidity and mortality. Fortunately, there have been several advances in the development of new antivirals, adoptive immunotherapy and DNA-CMV vaccines that might transform the management of CMV in the near future.http://www.mjhid.org/index.php/mjhid/article/view/2606Hematopoietic Stem Cell TransplantationCytomegalic Infection
spellingShingle Rafael de la Camara
CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
Mediterranean Journal of Hematology and Infectious Diseases
Hematopoietic Stem Cell Transplantation
Cytomegalic Infection
title CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
title_full CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
title_fullStr CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
title_full_unstemmed CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
title_short CMV IN HEMATOPOIETIC STEM CELL TRANSPLANTATION
title_sort cmv in hematopoietic stem cell transplantation
topic Hematopoietic Stem Cell Transplantation
Cytomegalic Infection
url http://www.mjhid.org/index.php/mjhid/article/view/2606
work_keys_str_mv AT rafaeldelacamara cmvinhematopoieticstemcelltransplantation