Volume 100, Issue 2 pp. 348-350

Early viral complications following CD34-selected autologous peripheral blood stem cell transplantation for non-Hodgkin's lymphoma

Toshihiro Miyamoto

Toshihiro Miyamoto

First Department of Internal Medicine,

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Hisashi Gondo

Hisashi Gondo

First Department of Internal Medicine,

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Yasushi Miyoshi

Yasushi Miyoshi

First Department of Internal Medicine,

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Hirokazu Shigematsu

Hirokazu Shigematsu

First Department of Internal Medicine,

Blood Transfusion Service, Faculty of Medicine, Kyushu University, Fukuoka,

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Toshio Minematsu

Toshio Minematsu

Department of Microbiology, Miyazaki Medical College, Miyazaki, Japan

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Katsuto Takenaka

Katsuto Takenaka

First Department of Internal Medicine,

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Kazuki Tanimoto

Kazuki Tanimoto

First Department of Internal Medicine,

Blood Transfusion Service, Faculty of Medicine, Kyushu University, Fukuoka,

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Takahiko Horiuchi

Takahiko Horiuchi

First Department of Internal Medicine,

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Yoshinobu Asano

Yoshinobu Asano

First Department of Internal Medicine,

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Shoichi Inaba

Shoichi Inaba

Blood Transfusion Service, Faculty of Medicine, Kyushu University, Fukuoka,

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Yoichi Minamishima

Yoichi Minamishima

Department of Microbiology, Miyazaki Medical College, Miyazaki, Japan

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Yoshiyuki Niho

Yoshiyuki Niho

First Department of Internal Medicine,

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First published: 25 December 2001
Citations: 38
Dr ToshihiroMiyamoto Department of Internal Medicine, Hamanomachi Hospital, 3-5-27 Maizuru, Chuo-ku, Fukuoka 810, Japan.

Abstract

A patient with non-Hodgkin's lymphoma who received a CD34-selected autologous peripheral blood stem cell transplant (PBSCT) developed cytomegalovirus retinitis, adenovirus-associated haemorrhagic cystitis (HC) and fatal herpes simplex virus pneumonia. Depletion of mature T cells from the graft and a persistent decrease in CD4+ lymphocytes following PBSCT may have predisposed this patient to such viral infections. Infusion of cryopreserved autologous PBSC (containing mature T cells) was effective for adenovirus-associated HC. Immunosuppression and resultant viral infections may affect patients receiving CD34-selected autologous transplantation.

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