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Sequential respiratory syncytial virus cytomegalovirus pneumonia following bone marrow transplantation
Authors:Joseph Kapelushnik  Dan Engelhard  Jayesh Mehta  Reuven Or  Yuval Brandstetter  Elie Picard  Gabriel Cividalli  Arnon Nagler
Abstract:A 6-month-old child with familial hemophagocytic lymphohistiocytosis (FHL) experienced early sequential pneumonia due to respiratory syncytial virus (RSV) and cytomegalovirus (CMV) following bone marrow transplantation (BMT). The patient was deficient in natural killer (NK) cell activity (as found frequently in patients with FHL), and this risk factor may have played a major role in the concomitant infection by the two viral pathogens. Rapid diagnostic methods for both viruses are essential and early specific treatment may serve to ameliorate RSV- and CMV-induced lung injury in these life-threatening infections. © 1995 Wiley-Liss, Inc.
Keywords:bone marrow transplantation  cytomegalovirus  familial hemophagocytic lymphohistiocytosis  interstitial pneumonia  respiratory syncytial virus
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