Volume 23, Issue 3 e13525
CASE REPORT AND REVIEW OF THE LITERATURE

Kaposi sarcoma in a child after hematopoietic stem cell transplantation: Should pre-transplant HHV-8 screening be considered in recipients from high prevalence areas?

Lorena Valero-Arrese

Corresponding Author

Lorena Valero-Arrese

Department of Pediatric Hematology and Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain

Correspondence

Lorena Valero Arrese MD, Department of Pediatric Hematology and Oncology, Hospital Universitari Vall d´Hebron, 08035, Barcelona, Spain.

Email: [email protected]

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María Isabel Benítez-Carabante

María Isabel Benítez-Carabante

Department of Pediatric Hematology and Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain

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Elena Soques Vallejo

Elena Soques Vallejo

Department of Pediatric Hematology and Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain

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Isabel Roca

Isabel Roca

Department of Nuclear Medicine, Hospital Universitari Vall d´Hebron, Barcelona, Spain

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Alexandra Navarro Jiménez

Alexandra Navarro Jiménez

Department of Anatomical Pathology, Hospital Universitari Vall d´Hebron, Barcelona, Spain

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Cristina Díaz-de-Heredia

Cristina Díaz-de-Heredia

Department of Pediatric Hematology and Oncology, Hospital Universitari Vall d'Hebron, Barcelona, Spain

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First published: 24 November 2020
Citations: 6

Abstract

Kaposi sarcoma (KS) is an angioproliferative disease associated with human herpesvirus 8 (HHV-8). We report the case of a 10-year-old male from a high HHV-8 prevalence area, diagnosed with severe aplastic anemia who underwent an upfront hematopoietic stem cell transplantation (HSCT). Five months after transplant, the patient was diagnosed with KS with skin, mucosae, lymph nodes and lung involvement. After withdrawal of immunosuppression the patient achieved complete remission without requiring further treatments. KS may occur after HSCT in patients from high HHV-8 prevalence areas. Considering that, we propose that screening of HHV-8 by antibody testing could be considered in HSCT donors/recipients from these areas.

CONFLICT OF INTEREST

The authors declare that they have no conflicts of interest related to this study.

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