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- Title
Pre-emptive ganciclovir treatment can play a role in restoration of hematopoiesis after allogeneic bone marrow transplantation.
- Authors
Choi, J H; Kim, D W; Cho, S G; Yoo, J H; Jeong, D C; Han, C W; Shin, W S; Min, W S; Kim, H K; Kim, C C; Kim, D J
- Abstract
We performed pre-emptive ganciclovir therapy on two allogeneic bone marrow transplant (BMT) recipients with myelosuppression associated with cytomegalovirus (CMV) antigenemia after successful engraftment. During the hypoplastic phase, the nucleated cells in the bone marrow and peripheral blood were revealed to be of donor origin by DNA fingerprinting. These two patients had CMV antigen in their peripheral leukocytes. Following the pre-emptive ganciclovir treatment, both of them showed gradual recovery of granulocytes and platelets. They are still alive with stable bone marrow function. From these results, we suppose that infection or reactivation of CMV can suppress bone marrow function after bone marrow transplantation, and the pre-emptive ganciclovir therapy based on the CMV antigenemia may be beneficial if bone marrow function deteriorates after engraftment.
- Subjects
BONE marrow transplantation; CYTOMEGALOVIRUS diseases; GANCICLOVIR
- Publication
Bone Marrow Transplantation, 1997, Vol 19, Issue 2, p187
- ISSN
0268-3369
- Publication type
Article
- DOI
10.1038/sj.bmt.1700631