Dual infection with polyomavirus BK and acyclovir-resistant herpes simplex virus successfully treated with cidofovir in a bone marrow transplant recipient

Autor: Dominik Selleslag, B. Gordts, Ghislain Opdenakker, Graciela Andrei, Pierre Fiten, Robert Snoeck, Patrick Goubau, E. De Clercq, H van Landuyt
Rok vydání: 2007
Předmět:
Zdroj: Transplant Infectious Disease. 9:126-131
ISSN: 1399-3062
1398-2273
Popis: A hematopoietic stem cell transplant recipient developed a mucosal herpes simplex virus-1 (HSV-1) infection while under acyclovir (ACV) treatment (HSV was later shown to be resistant to ACV). Concomitantly, the patient presented a hemorrhagic cystitis (HC) due to polyomavirus BK, for which intravenous cidofovir (CDV) was prescribed. The patient benefited from the broad-spectrum anti-DNA virus activity of CDV, and not only the HC resolved without signs of nephrotoxicity but also the HSV-1 lesions disappeared. This is the first report describing the effect of CDV on 2 simultaneous and unrelated DNA viral infections in an immunosuppressed transplant recipient. In addition, we describe here that this HSV-1 isolate possesses a unique phenotype and genotype.
Databáze: OpenAIRE