Epstein-Barr virus-associated leukemic lymphoma after allogeneic stem cell transplantation

J Clin Virol. 2016 Jul:80:82-6. doi: 10.1016/j.jcv.2016.04.020. Epub 2016 May 6.

Abstract

Leukemic Epstein-Barr virus (EBV)-associated post-transplant lymphoproliferative diseases (PTLD) following allogeneic hematopoietic stem cell transplantation are extremely rare. We can successfully treat an EBV-associated leukemic lymphoma patient with rituximab, cidofovir, and donor lymphocyte infusion (DLI). In the present case, EBV-specific T cells that were present in the peripheral blood before rituximab administration treatment rapidly increased after DLI in association with a decrease in the EBV-DNA load.

Keywords: Cidofovir; Donor lymphocyte infusion; Epstein–Barr virus; Post-transplant lymphoproliferative disease; Rituximab.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Cidofovir
  • Cytosine / analogs & derivatives
  • Cytosine / therapeutic use
  • Epstein-Barr Virus Infections / diagnosis*
  • Epstein-Barr Virus Infections / therapy
  • Female
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Herpesvirus 4, Human
  • Humans
  • Leukemia, Lymphoid / therapy
  • Leukemia, Lymphoid / virology*
  • Lymphocyte Transfusion
  • Lymphoproliferative Disorders / therapy*
  • Male
  • Organophosphonates / therapeutic use
  • Rituximab / therapeutic use
  • Transplantation, Homologous / adverse effects
  • Treatment Outcome

Substances

  • Organophosphonates
  • Rituximab
  • Cytosine
  • Cidofovir