Predictive factors of human cytomegalovirus reactivation in newly diagnosed glioblastoma patients treated with chemoradiotherapy

Autor: R, Ursu, J, Doridam, E, Chaugne, H, Zannou, C, Belin, S, Cuzzubbo, L, Sirven-Villaros, S, Brichler, C, Levy-Piedbois, A F, Carpentier
Rok vydání: 2020
Předmět:
Zdroj: Journal of neurovirology. 27(1)
ISSN: 1538-2443
Popis: The human cytomegalovirus (HCMV) is a ubiquitous herpes virus which infects 40 to 99% of the population. HCMV reactivation may occur in the context of immunosuppression and can induce significant morbidities. Several cases of HCMV infections or HCMV reactivation have thus been reported in glioblastoma (GBM) patients treated with radio(chemo)therapy. With the aim to identify the main risk factors associated with HCMV reactivation, we reviewed all patients treated for a newly diagnosed GBM in our institution from October 2013 to December 2015. Age, sex, Karnofsky performance status (KPS), absolute lymphocyte count (ALC), serological HCMV status, and steroid doses were recorded at the start and 1 month after the end of radiotherapy (RT). Within the 103 patients analyzed, 34 patients (33%) had an initial negative serology for HCMV, and none of them developed a seroconversion after treatment. Among patients with positive HCMV IgG (n = 69), 16 patients (23%) developed a viremia at one point during treatment. Age ( 60 years), steroid intake, and ALC ( 1500/mm
Databáze: OpenAIRE