Systemic viral infection in children receiving chemotherapy for acute leukemia

Pediatr Blood Cancer. 2020 Dec;67(12):e28673. doi: 10.1002/pbc.28673. Epub 2020 Sep 12.

Abstract

Systemic viral diseases frequently occur in allogeneic hematopoietic stem cell transplantation, but data in children receiving chemotherapy for acute leukemia are scarce. We therefore collected and analyzed the published data on symptomatic infection from cytomegalovirus, herpes simplex virus, varicella zoster virus, parvovirus B19, or adenovirus in pediatric acute leukemia. Reports on 68 children were identified, of whom 16 patients have died from the infection. Further studies have to (1) evaluate the true incidence of these infections in pediatric acute leukemia, (2) their impact on outcome, and (3) whether a subpopulation of patients could benefit from screening and prophylactic strategies.

Keywords: acute leukemia; adenovirus; child; cytomegalovirus; herpes simplex virus; parvovirus B19; systemic viral disease; varicella zoster virus.

Publication types

  • Review

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / adverse effects*
  • Humans
  • Leukemia, Myeloid, Acute / drug therapy*
  • Leukemia, Myeloid, Acute / pathology
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / pathology
  • Prognosis
  • Virus Diseases / chemically induced
  • Virus Diseases / epidemiology*
  • Virus Diseases / virology
  • Viruses / drug effects*