Reduction of serum prostate-specific antigen levels following varicella-zoster infection and valaciclovir treatment in prostate cancer

Eur Urol. 2009 Aug;56(2):392-4. doi: 10.1016/j.eururo.2009.02.025. Epub 2009 Feb 28.

Abstract

We present two prostate cancer patients, including one with a castration-resistant cancer whose rising serum prostate-specific antigen (PSA) levels showed a remarkable drop after a reactivated varicella-zoster virus infection treated with valaciclovir. In one patient, we found a temporary decrease in serum PSA lasting for at least 4 mo. In the patient with castration-resistant prostate cancer, serum PSA decreased to <0.01 microg/l and has remained undetectable since.

Publication types

  • Case Reports

MeSH terms

  • Acyclovir / analogs & derivatives*
  • Acyclovir / pharmacology
  • Acyclovir / therapeutic use
  • Aged
  • Antiviral Agents / pharmacology
  • Antiviral Agents / therapeutic use*
  • Herpes Zoster / complications*
  • Herpes Zoster / drug therapy*
  • Humans
  • Male
  • Prostate-Specific Antigen / blood*
  • Prostate-Specific Antigen / drug effects
  • Prostatic Neoplasms / blood*
  • Prostatic Neoplasms / complications*
  • Valacyclovir
  • Valine / analogs & derivatives*
  • Valine / pharmacology
  • Valine / therapeutic use

Substances

  • Antiviral Agents
  • Prostate-Specific Antigen
  • Valine
  • Valacyclovir
  • Acyclovir