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Published in: Virology Journal 1/2009

Open Access 01-12-2009 | Case Report

Challenging complications of treatment – human herpes virus 6 encephalitis and pneumonitis in a patient undergoing autologous stem cell transplantation for relapsed Hodgkin's disease: a case report

Authors: Martin Bommer, Sandra Pauls, Jochen Greiner

Published in: Virology Journal | Issue 1/2009

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Abstract

Background

Reactivation of human herpesvirus 6 (HHV-6) occurs frequently in patients after allogeneic stem cell transplantation and is associated with bone-marrow suppression, enteritis, pneumonitis, pericarditis and also encephalitis. After autologous stem cell transplantation or intensive polychemotherapy HHV-6 reactivation is rarely reported.

Case report

This case demonstrates a severe symptomatic HHV-6 infection with encephalitis and pneumonitis after autologous stem cell transplantation of a patient with relapsed Hodgkin's disease.

Conclusion

Careful diagnostic work up in patients with severe complications after autologous stem cell transplantation is mandatory to identify uncommon infections.
Appendix
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Literature
1.
go back to reference Ogata M, Kikuchi H, Satou T, Kawano R, Ikewaki J, Kohno K, Kashima K, Ohtsuka E, Kadota J: Human herpesvirus 6 DNA in plasma after allogeneic stem cell transplantation: incidence and clinical significance. J Infect Dis 2006, 193: 68-79. 10.1086/498531CrossRefPubMed Ogata M, Kikuchi H, Satou T, Kawano R, Ikewaki J, Kohno K, Kashima K, Ohtsuka E, Kadota J: Human herpesvirus 6 DNA in plasma after allogeneic stem cell transplantation: incidence and clinical significance. J Infect Dis 2006, 193: 68-79. 10.1086/498531CrossRefPubMed
2.
go back to reference Volin L, Lautenschlager I, Juvonen E, Nihtinen A, Anttila VJ, Ruutu T: Human herpesvirus 6 antigenaemia in allogeneic stem cell transplant recipients: impact on clinical course and association with other beta-herpesviruses. Br J Haematol 2004, 126: 690-696. 10.1111/j.1365-2141.2004.05101.xCrossRefPubMed Volin L, Lautenschlager I, Juvonen E, Nihtinen A, Anttila VJ, Ruutu T: Human herpesvirus 6 antigenaemia in allogeneic stem cell transplant recipients: impact on clinical course and association with other beta-herpesviruses. Br J Haematol 2004, 126: 690-696. 10.1111/j.1365-2141.2004.05101.xCrossRefPubMed
3.
go back to reference Zerr DM, Corey L, Kim HW, Huang ML, Nguy L, Boeckh M: Clinical outcomes of human herpesvirus 6 reactivation after hematopoietic stem cell transplantation. Clin Infect Dis 2005, 40: 932-940. 10.1086/428060CrossRefPubMed Zerr DM, Corey L, Kim HW, Huang ML, Nguy L, Boeckh M: Clinical outcomes of human herpesvirus 6 reactivation after hematopoietic stem cell transplantation. Clin Infect Dis 2005, 40: 932-940. 10.1086/428060CrossRefPubMed
4.
go back to reference Bissinger AL, Einsele H, Hamprecht K, Schumacher U, Kandolf R, Loeffler J, Aepinus C, Bock T, Jahn G, Hebart H: Infectious pulmonary complications after stem cell transplantation or chemotherapy: diagnostic yield of bronchoalveolar lavage. Diagn Microbiol Infect Dis 2005, 52: 275-280. 10.1016/j.diagmicrobio.2005.03.005CrossRefPubMed Bissinger AL, Einsele H, Hamprecht K, Schumacher U, Kandolf R, Loeffler J, Aepinus C, Bock T, Jahn G, Hebart H: Infectious pulmonary complications after stem cell transplantation or chemotherapy: diagnostic yield of bronchoalveolar lavage. Diagn Microbiol Infect Dis 2005, 52: 275-280. 10.1016/j.diagmicrobio.2005.03.005CrossRefPubMed
5.
go back to reference Fujimaki K, Mori T, Kida A, Tanaka M, Kawai N, Matsushima T, Kishi K, Fujisawa S, Sakura T, Yokota A, Kanda Y, Taguchi J, Akiyama H, Kanamori H, Maruta A, Okamoto S, Sakamaki H: Human herpesvirus 6 meningoencephalitis in allogeneic hematopoietic stem cell transplant recipients. Int J Hematol 2006, 84: 432-437. 10.1532/IJH97.06072CrossRefPubMed Fujimaki K, Mori T, Kida A, Tanaka M, Kawai N, Matsushima T, Kishi K, Fujisawa S, Sakura T, Yokota A, Kanda Y, Taguchi J, Akiyama H, Kanamori H, Maruta A, Okamoto S, Sakamaki H: Human herpesvirus 6 meningoencephalitis in allogeneic hematopoietic stem cell transplant recipients. Int J Hematol 2006, 84: 432-437. 10.1532/IJH97.06072CrossRefPubMed
6.
go back to reference Gorniak RJ, Young GS, Wiese DE, Marty FM, Schwartz RB: MR imaging of human herpesvirus-6-associated encephalitis in 4 patients with anterograde amnesia after allogeneic hematopoietic stem-cell transplantation. AJNR Am J Neuroradiol 2006, 27: 887-891.PubMed Gorniak RJ, Young GS, Wiese DE, Marty FM, Schwartz RB: MR imaging of human herpesvirus-6-associated encephalitis in 4 patients with anterograde amnesia after allogeneic hematopoietic stem-cell transplantation. AJNR Am J Neuroradiol 2006, 27: 887-891.PubMed
7.
go back to reference Kim YJ, Kim DW, Lee DG, Park ST, Park YH, Min CK, Lee S, Choi JH, Lee JW, Min WS, Shin WS, Kim CC: Human herpesvirus-6 as a possible cause of encephalitis and hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation. Leukemia 2002, 16: 958-959. 10.1038/sj.leu.2402403CrossRefPubMed Kim YJ, Kim DW, Lee DG, Park ST, Park YH, Min CK, Lee S, Choi JH, Lee JW, Min WS, Shin WS, Kim CC: Human herpesvirus-6 as a possible cause of encephalitis and hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation. Leukemia 2002, 16: 958-959. 10.1038/sj.leu.2402403CrossRefPubMed
8.
go back to reference Vu T, Carrum G, Hutton G, Heslop HE, Brenner MK, Kamble R: Human herpesvirus-6 encephalitis following allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 2007, 39: 705-709. 10.1038/sj.bmt.1705666CrossRefPubMed Vu T, Carrum G, Hutton G, Heslop HE, Brenner MK, Kamble R: Human herpesvirus-6 encephalitis following allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 2007, 39: 705-709. 10.1038/sj.bmt.1705666CrossRefPubMed
9.
go back to reference Savolainen H, Lautenschlager I, Piiparinen H, Saarinen-Pihkala U, Hovi L, Vettenranta K: Human herpesvirus-6 and -7 in pediatric stem cell transplantation. Pediatr Blood Cancer 2005, 45: 820-825. 10.1002/pbc.20337CrossRefPubMed Savolainen H, Lautenschlager I, Piiparinen H, Saarinen-Pihkala U, Hovi L, Vettenranta K: Human herpesvirus-6 and -7 in pediatric stem cell transplantation. Pediatr Blood Cancer 2005, 45: 820-825. 10.1002/pbc.20337CrossRefPubMed
10.
go back to reference Allen UD, Tellier R, Doyle J, Petric M, Wasfy S, Kumar P, Calderwood S, Freedman M, Saunders F: The utility of plasma polymerase chain reaction for human herpes virus-6 among pediatric bone marrow transplant recipients: results of a pilot study. Bone Marrow Transplant 2001, 28: 473-477. 10.1038/sj.bmt.1703153CrossRefPubMed Allen UD, Tellier R, Doyle J, Petric M, Wasfy S, Kumar P, Calderwood S, Freedman M, Saunders F: The utility of plasma polymerase chain reaction for human herpes virus-6 among pediatric bone marrow transplant recipients: results of a pilot study. Bone Marrow Transplant 2001, 28: 473-477. 10.1038/sj.bmt.1703153CrossRefPubMed
11.
go back to reference Kamble RT, Clark DA, Leong HN, Heslop HE, Brenner MK, Carrum G: Transmission of integrated human herpesvirus-6 in allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 2007, 40: 563-566. 10.1038/sj.bmt.1705780CrossRefPubMed Kamble RT, Clark DA, Leong HN, Heslop HE, Brenner MK, Carrum G: Transmission of integrated human herpesvirus-6 in allogeneic hematopoietic stem cell transplantation. Bone Marrow Transplant 2007, 40: 563-566. 10.1038/sj.bmt.1705780CrossRefPubMed
Metadata
Title
Challenging complications of treatment – human herpes virus 6 encephalitis and pneumonitis in a patient undergoing autologous stem cell transplantation for relapsed Hodgkin's disease: a case report
Authors
Martin Bommer
Sandra Pauls
Jochen Greiner
Publication date
01-12-2009
Publisher
BioMed Central
Published in
Virology Journal / Issue 1/2009
Electronic ISSN: 1743-422X
DOI
https://doi.org/10.1186/1743-422X-6-111

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