Cytomegalovirus ventriculoencephalitis in a bone marrow transplant recipient receiving antiviral maintenance: Clinical and molecular evidence of drug resistance Journal Article


Authors: Seo, S. K.; Regan, A.; Cihlar, T.; Lin, D. C.; Boulad, F.; George, D.; Prasad, V. K.; Kiehn, T. E.; Polsky, B.
Article Title: Cytomegalovirus ventriculoencephalitis in a bone marrow transplant recipient receiving antiviral maintenance: Clinical and molecular evidence of drug resistance
Abstract: We describe a case of CMV ventriculoencephalitis in a severely immunocompromised bone marrow transplant recipient who was receiving combination therapy with ganciclovir and foscarnet for treatment of viremia and retinitis. Analysis of sequential viral isolates recovered from the patient's cerebrospinal fluid suggested that disease developed because of the presence of viral resistance and, possibly, low tissue penetration of antiviral agents.
Keywords: child; genetics; case report; pathophysiology; virology; antibiotic resistance; drug combination; brain ventricle; drug derivative; antivirus agent; cidofovir; drug combinations; immune deficiency; immunocompromised host; bone marrow transplantation; foscarnet; ganciclovir; drug resistance, viral; antiviral agents; organophosphorus compounds; phosphonic acid derivative; cerebral ventricles; cytosine; virus encephalitis; retinitis; organophosphorus compound; encephalitis, viral; phosphonic acids; humans; human; female; article; cytomegalovirus retinitis
Journal Title: Clinical Infectious Diseases
Volume: 33
Issue: 9
ISSN: 1058-4838
Publisher: Oxford University Press  
Date Published: 2001-11-01
Start Page: e105
End Page: e108
Language: English
PUBMED: 11577375
PROVIDER: scopus
DOI: 10.1086/323022
DOI/URL:
Notes: Export Date: 21 May 2015 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Farid Boulad
    329 Boulad
  2. Susan Seo
    122 Seo
  3. Bruce Polsky
    69 Polsky
  4. Anne Regan Casson
    23 Casson
  5. Timothy E Kiehn
    101 Kiehn
  6. Diane M George
    25 George
  7. Vinod K Prasad
    31 Prasad