Disseminated adenovirus infections after allogeneic hematopoietic stem cell transplantation: incidence, risk factors and outcome |
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Authors: | Robin Marie Marque-Juillet Stéphanie Scieux Catherine Peffault de Latour Régis Ferry Christèle Rocha Vanderson Molina Jean-Michel Bergeron Anne Devergie Agnès Gluckman Eliane Ribaud Patricia Socié Gérard |
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Affiliation: | Service d'Hématologie, Greffe, Paris, France. |
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Abstract: | We analyzed the factors and outcome of patients with disseminated adenovirus infection (dAdV) after allogeneic hematopoeitic stem cell transplantation (HSCT). Thirty patients with dAdV were identified among 620 allogeneic HSCT recipients. Primary diseases were leukemia (n=17), Fanconi anemia (n=12) or others (n=1). Source of stem cells was unrelated in 28 and related in 2 patients. The graft consisted of peripheral blood (n=3), bone marrow (n=12) and unrelated cord-blood (UCB, n=15). Risk factors for dAdV in unrelated HSCT recipients were previous Fanconi disease (p=0.03) and GVHD (p=0.02) in children, and cord blood source of stem cells (p=0.029) and GVHD (0.024) in adults. |
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