Role of defective thymic function in onset of ganciclovir-resistant cytomegalovirus after cord blood transplantation

Clin Vaccine Immunol. 2012 Dec;19(12):1994-8. doi: 10.1128/CVI.00407-12. Epub 2012 Oct 10.

Abstract

A case of recurrent cytomegalovirus reactivations in a cytomegalovirus-seropositive woman who received allogeneic cord blood transplantation is described. Thirteen months posttransplantation, her CD3(+) T cell count was extremely low whereas natural killer cells represented 66% of her total lymphocytes. She showed defective thymic function that might contribute to the onset of valganciclovir resistance.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Antiviral Agents / pharmacology*
  • Cord Blood Stem Cell Transplantation / adverse effects*
  • Cytomegalovirus Infections / immunology*
  • Cytomegalovirus Infections / virology
  • Drug Resistance, Viral*
  • Female
  • Ganciclovir / pharmacology*
  • Humans
  • Killer Cells, Natural / immunology
  • T-Lymphocyte Subsets / immunology
  • Thymus Gland / physiology*

Substances

  • Antiviral Agents
  • Ganciclovir