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Congenital cytomegalovirus infection and Wiskott-Aldrich syndrome successfully treated with unrelated cord blood transplantation
Authors:Almagor Yotam  Revel-Vilk Shoshana  Averbuch Diana  Mechoulam Hadas  Engelhard Dan  Resnick Igor B  Weintraub Michael  Stepensky Polina
Affiliation:Department of Pediatrics, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Abstract:We report a successful umbilical cord blood transplantation (UCBT) in an 8-month male with Wiskott-Aldrich syndrome (WAS) and congenital cytomegalovirus (CMV) infection. The child presented at 3 months of age with symptomatic thrombocytopenia and CMV infection. Despite appropriate antiviral treatment no rise in the platelet count was observed. Genetic analysis confirmed the diagnosis of WAS. The clinical course was complicated by severe CMV retinitis with bilateral retinal hemorrhages and renal vasculitis. He underwent unrelated UCBT resulting in a rapid resolution of autoimmunity and thrombocytopenia.
Keywords:cord blood transplantation  cytomegalovirus infection  Wiskott–Aldrich syndrome
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