Urinary excretion of ganciclovir contributes to improvement of adenovirus-associated hemorrhagic cystitis after allogeneic bone marrow transplantation

Pediatr Transplant. 2009 Aug;13(5):632-5. doi: 10.1111/j.1399-3046.2008.01027.x. Epub 2008 Oct 7.

Abstract

A nine-yr-old girl developed AdV-associated HC after bone marrow transplantation. Intravenous GCV markedly reduced urinary AdV DNA loads and improved clinical findings. This appeared to result partly from a high concentration of GCV in urine. GCV may be effective for AdV-induced HC without definitive disseminated infection.

Publication types

  • Case Reports

MeSH terms

  • Adenoviridae / metabolism*
  • Adenoviridae Infections / diagnosis
  • Adenoviridae Infections / urine
  • Bone Marrow Transplantation / adverse effects*
  • Cell Line, Tumor
  • Child
  • Cystitis / drug therapy*
  • Cystitis / virology
  • Female
  • Ganciclovir / therapeutic use
  • Ganciclovir / urine*
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Leukemia, Myeloid, Acute / therapy*
  • Risk Factors
  • Transplantation, Homologous

Substances

  • Immunosuppressive Agents
  • Ganciclovir