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Clinical case of curing a generalized adenovirus infection on the background of graft versus host reaction in a child after bone marrow transplantation from a haploidentical donor

https://doi.org/10.21682/2311-1267-2019-6-1-61-66

Abstract

Adenovirus infection is one of the causes of transplant-associated mortality after allogeneic hematopoietic stem cell transplantation. Fulminant liver failure with adenovirus infection is a diagnostic and therapeutic problem due to its aggressive clinical course and extremely poor prognosis, while modern methods of treating adenovirus infection are based on the use of virostatic drugs and virus-specific lymphocytes and are associated with severe side effects. The article presents a rare clinical case of elimination of disseminated adenoviral infection with fulminantly developing liver failure in a patient after allogeneic bone marrow transplantation from a haploidentical donor.

About the Authors

A. V. Mezentseva
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Hematologist Department of Bone Marrow Transplantation


E. V. Skorobogatova
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Dr. of Sci. (Med.), Head of Bone Marrow Transplantation Department


A. E. Burya
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Hematologist Department of Bone Marrow Transplantation


K. I. Kirgizov
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia; Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia
Russian Federation
Cand. of Sci. (Med.), Deputy Director of the Institute of Management and Translational Medicine Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Ministry of Health of Russia


V. V. Konstantinova
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Hematologist Department of Bone Marrow Transplantation


E. B. Machneva
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Cand. of Sci. (Med.), Hematologist Department of Bone Marrow Transplantation


E. A. Pristanskova
Russian Children’s Clinical Hospital of the N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia
Russian Federation
Head of the Department of Hematology and Chemotherapy № 1


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Review

For citations:


Mezentseva A.V., Skorobogatova E.V., Burya A.E., Kirgizov K.I., Konstantinova V.V., Machneva E.B., Pristanskova E.A. Clinical case of curing a generalized adenovirus infection on the background of graft versus host reaction in a child after bone marrow transplantation from a haploidentical donor. Russian Journal of Pediatric Hematology and Oncology. 2019;6(1):61-66. (In Russ.) https://doi.org/10.21682/2311-1267-2019-6-1-61-66

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ISSN 2311-1267 (Print)
ISSN 2413-5496 (Online)
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