Intravenous palivizumab in respiratory syncytial virus infection after hematopoietic stem cell transplant in children

Pediatr Blood Cancer. 2017 Dec;64(12). doi: 10.1002/pbc.26667. Epub 2017 Jun 9.

Abstract

Respiratory syncytial virus (RSV) infection can cause lower respiratory tract disease and mortality in pediatric hematopoietic stem cell transplant (HSCT) recipients. We report two children who underwent HSCT and developed RSV infection simultaneously at the Bone Marrow Transplant Unit. The treatment with intravenous palivizumab was provided and sequential viral loads were measured in nasopharyngeal (NP) and whole blood samples. To our knowledge, this is the first report where RSV loads were measured in parallel (NP and blood), before and after palivizumab, in correlation with a favorable clinical outcome in both cases.

Keywords: children; hematopoietic stem cell transplant; palivizumab; respiratory syncytial virus.

MeSH terms

  • Adolescent
  • Antiviral Agents / administration & dosage
  • Antiviral Agents / therapeutic use*
  • Child
  • Combined Modality Therapy
  • Female
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Injections, Intravenous
  • Male
  • Palivizumab / administration & dosage
  • Palivizumab / therapeutic use*
  • Respiratory Syncytial Virus Infections / therapy*

Substances

  • Antiviral Agents
  • Palivizumab