Mycobacterial Infection: A Difficult and Late Diagnosis in Stem Cell Transplant Recipients
Identifieur interne : 00A844 ( Main/Exploration ); précédent : 00A843; suivant : 00A845Mycobacterial Infection: A Difficult and Late Diagnosis in Stem Cell Transplant Recipients
Auteurs : C. Cordonnier [France] ; R. Martino [Espagne] ; P. Trabasso [Brésil] ; T. K. Held [Allemagne] ; H. Akan [Turquie] ; M. S. Ward [Australie] ; K. Fabian [Hongrie] ; A. J. Ullmann [Allemagne] ; N. Wulffraat [Pays-Bas] ; P. Ljungman [Suède] ; E. P. Alessandrino ; J. Pretnar [Slovénie] ; J. Gmür [Suisse] ; R. Varela [Espagne] ; A. Vitek [République tchèque] ; S. Sica [Italie] ; M. Rovira [Espagne]Source :
- Clinical Infectious Diseases [ 1058-4838 ] ; 2004-05-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Cellule souche, Homme, Information.
English descriptors
- KwdEn :
Abstract
The Infectious Diseases Working Party of the European Blood and Marrow Transplant Group conducted a survey to obtain information about the frequency, presentation, and treatment of mycobacterial infection (MBI) in stem cell transplant (SCT) recipients. Among 29 centers, MBI was diagnosed in 0.79% of 1513 allogeneic and 0.23% of 3012 autologous SCT recipients during 1994–1998 a median of 160 days after transplantation. The mean interval between first symptoms and diagnosis was 29 days and was still longer for patients with atypical MBI or recipients of corticosteroid therapy. The prevalence of MBI was highest among those who received matched unrelated or mismatched STCs from related donors. Of 31 patients, 20 had tuberculosis, 8 had atypical MBI, and 3 had diagnoses based on histological findings only. Five patients (16%) died, all of whom had received an allogeneic SCT. Because of the increased numbers of unmatched donors and transplantation programs in countries with a high prevalence of tuberculosis, constant vigilance is required to early detect MBI in SCT recipients.
Url:
DOI: 10.1086/383307
Affiliations:
- Allemagne, Australie, Brésil, Espagne, France, Hongrie, Italie, Pays-Bas, République tchèque, Slovénie, Suisse, Suède, Turquie
- Berlin, Bohême centrale, Hongrie centrale, Latium, Rhénanie-Palatinat, Svealand, Utrecht (province), Île-de-France
- Berlin, Budapest, Créteil, Mayence, Prague, Rome, Stockholm, Utrecht
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Le document en format XML
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Cordonnier</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Department of Hematology, Henri Mondor Hospital, Assistance Publique—Hôpitaux de Paris, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">France</country></affiliation></author><author><name sortKey="Martino, R" sort="Martino, R" uniqKey="Martino R" first="R." last="Martino">R. Martino</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital de la Sant Pau, La Coruna</wicri:regionArea><wicri:noRegion>La Coruna</wicri:noRegion></affiliation></author><author><name sortKey="Trabasso, P" sort="Trabasso, P" uniqKey="Trabasso P" first="P." last="Trabasso">P. Trabasso</name><affiliation wicri:level="1"><country xml:lang="fr">Brésil</country><wicri:regionArea>University Hospital, Campinas</wicri:regionArea><wicri:noRegion>Campinas</wicri:noRegion></affiliation></author><author><name sortKey="Held, T K" sort="Held, T K" uniqKey="Held T" first="T. K." last="Held">T. K. Held</name><affiliation wicri:level="3"><country>Allemagne</country><placeName><settlement type="city">Berlin</settlement><region type="land" nuts="2">Berlin</region></placeName><wicri:orgArea>Charité-Virchow Klinikum</wicri:orgArea></affiliation></author><author><name sortKey="Akan, H" sort="Akan, H" uniqKey="Akan H" first="H." last="Akan">H. Akan</name><affiliation wicri:level="1"><country xml:lang="fr">Turquie</country><wicri:regionArea>Ankara University Ibni Sina Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Ward, M S" sort="Ward, M S" uniqKey="Ward M" first="M. S." last="Ward">M. S. Ward</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Royal Perth Hospital, Perth</wicri:regionArea><wicri:noRegion>Perth</wicri:noRegion></affiliation></author><author><name sortKey="Fabian, K" sort="Fabian, K" uniqKey="Fabian K" first="K." last="Fabian">K. Fabian</name><affiliation wicri:level="3"><country xml:lang="fr">Hongrie</country><wicri:regionArea>St. Laszlo Hospital, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Ullmann, A J" sort="Ullmann, A J" uniqKey="Ullmann A" first="A. J." last="Ullmann">A. J. Ullmann</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Johannes Gutenberg University Hospital, Mainz</wicri:regionArea><placeName><region type="land" nuts="2">Rhénanie-Palatinat</region><settlement type="city">Mayence</settlement></placeName></affiliation></author><author><name sortKey="Wulffraat, N" sort="Wulffraat, N" uniqKey="Wulffraat N" first="N." last="Wulffraat">N. Wulffraat</name><affiliation wicri:level="3"><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Het Wilhelmina Kinderziekenhuis, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Ljungman, P" sort="Ljungman, P" uniqKey="Ljungman P" first="P." last="Ljungman">P. Ljungman</name><affiliation wicri:level="3"><country xml:lang="fr">Suède</country><wicri:regionArea>Huddinge University Hospital, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Alessandrino, E P" sort="Alessandrino, E P" uniqKey="Alessandrino E" first="E. P." last="Alessandrino">E. P. Alessandrino</name><affiliation><wicri:noCountry code="subField">Pavia</wicri:noCountry></affiliation></author><author><name sortKey="Pretnar, J" sort="Pretnar, J" uniqKey="Pretnar J" first="J." last="Pretnar">J. Pretnar</name><affiliation wicri:level="1"><country xml:lang="fr">Slovénie</country><wicri:regionArea>University Clinical Centre, Zaloska</wicri:regionArea><wicri:noRegion>Zaloska</wicri:noRegion></affiliation></author><author><name sortKey="Gmur, J" sort="Gmur, J" uniqKey="Gmur J" first="J." last="Gmür">J. Gmür</name><affiliation wicri:level="1"><country xml:lang="fr">Suisse</country><wicri:regionArea>Hematology Oncology Center, Zurich</wicri:regionArea><wicri:noRegion>Zurich</wicri:noRegion></affiliation></author><author><name sortKey="Varela, R" sort="Varela, R" uniqKey="Varela R" first="R." last="Varela">R. Varela</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Juan Canalejo, La Coruna</wicri:regionArea><wicri:noRegion>La Coruna</wicri:noRegion></affiliation></author><author><name sortKey="Vitek, A" sort="Vitek, A" uniqKey="Vitek A" first="A." last="Vitek">A. Vitek</name><affiliation wicri:level="3"><country xml:lang="fr">République tchèque</country><wicri:regionArea>Institute of Hematology, Praha</wicri:regionArea><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation></author><author><name sortKey="Sica, S" sort="Sica, S" uniqKey="Sica S" first="S." last="Sica">S. Sica</name><affiliation wicri:level="3"><country xml:lang="fr">Italie</country><wicri:regionArea>Universita Cattolica S. Cuore, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author><author><name sortKey="Rovira, M" sort="Rovira, M" uniqKey="Rovira M" first="M." last="Rovira">M. Rovira</name><affiliation wicri:level="1"><country xml:lang="fr">Espagne</country><wicri:regionArea>Hospital Clinic i Provincial, Barcelona, La Coruna</wicri:regionArea><wicri:noRegion>La Coruna</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Clinical Infectious Diseases</title><title level="j" type="abbrev">Clinical Infectious Diseases</title><idno type="ISSN">1058-4838</idno><idno type="eISSN">1537-6591</idno><imprint><publisher>The University of Chicago Press</publisher><date type="published" when="2004-05-01">2004-05-01</date><biblScope unit="volume">38</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1229">1229</biblScope><biblScope unit="page" to="1236">1236</biblScope></imprint><idno type="ISSN">1058-4838</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1058-4838</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Allogeneic system</term><term>Atypical</term><term>Autologous system</term><term>Bone marrow</term><term>Corticosteroid</term><term>Diagnosis</term><term>Europe</term><term>Hematopoietic cell</term><term>Homograft</term><term>Homotransplantation</term><term>Human</term><term>Information</term><term>Mycobacterial infection</term><term>Prevalence</term><term>Recipient</term><term>Stem cell</term><term>Survey</term><term>Symptomatology</term><term>Treatment</term><term>Tuberculosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atypique</term><term>Cellule hématopoïétique</term><term>Cellule souche</term><term>Corticostéroïde</term><term>Diagnostic</term><term>Enquête</term><term>Europe</term><term>Homme</term><term>Homogreffe</term><term>Homotransplantation</term><term>Information</term><term>Moelle osseuse</term><term>Mycobactériose</term><term>Prévalence</term><term>Receveur</term><term>Symptomatologie</term><term>Système allogénique</term><term>Système autologue</term><term>Traitement</term><term>Tuberculose</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Cellule souche</term><term>Homme</term><term>Information</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">The Infectious Diseases Working Party of the European Blood and Marrow Transplant Group conducted a survey to obtain information about the frequency, presentation, and treatment of mycobacterial infection (MBI) in stem cell transplant (SCT) recipients. Among 29 centers, MBI was diagnosed in 0.79% of 1513 allogeneic and 0.23% of 3012 autologous SCT recipients during 1994–1998 a median of 160 days after transplantation. The mean interval between first symptoms and diagnosis was 29 days and was still longer for patients with atypical MBI or recipients of corticosteroid therapy. The prevalence of MBI was highest among those who received matched unrelated or mismatched STCs from related donors. Of 31 patients, 20 had tuberculosis, 8 had atypical MBI, and 3 had diagnoses based on histological findings only. Five patients (16%) died, all of whom had received an allogeneic SCT. Because of the increased numbers of unmatched donors and transplantation programs in countries with a high prevalence of tuberculosis, constant vigilance is required to early detect MBI in SCT recipients.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Brésil</li><li>Espagne</li><li>France</li><li>Hongrie</li><li>Italie</li><li>Pays-Bas</li><li>République tchèque</li><li>Slovénie</li><li>Suisse</li><li>Suède</li><li>Turquie</li></country><region><li>Berlin</li><li>Bohême centrale</li><li>Hongrie centrale</li><li>Latium</li><li>Rhénanie-Palatinat</li><li>Svealand</li><li>Utrecht (province)</li><li>Île-de-France</li></region><settlement><li>Berlin</li><li>Budapest</li><li>Créteil</li><li>Mayence</li><li>Prague</li><li>Rome</li><li>Stockholm</li><li>Utrecht</li></settlement></list><tree><noCountry><name sortKey="Alessandrino, E P" sort="Alessandrino, E P" uniqKey="Alessandrino E" first="E. P." last="Alessandrino">E. P. Alessandrino</name></noCountry><country name="France"><region name="Île-de-France"><name sortKey="Cordonnier, C" sort="Cordonnier, C" uniqKey="Cordonnier C" first="C." last="Cordonnier">C. Cordonnier</name></region><name sortKey="Cordonnier, C" sort="Cordonnier, C" uniqKey="Cordonnier C" first="C." last="Cordonnier">C. Cordonnier</name></country><country name="Espagne"><noRegion><name sortKey="Martino, R" sort="Martino, R" uniqKey="Martino R" first="R." last="Martino">R. Martino</name></noRegion><name sortKey="Rovira, M" sort="Rovira, M" uniqKey="Rovira M" first="M." last="Rovira">M. Rovira</name><name sortKey="Varela, R" sort="Varela, R" uniqKey="Varela R" first="R." last="Varela">R. Varela</name></country><country name="Brésil"><noRegion><name sortKey="Trabasso, P" sort="Trabasso, P" uniqKey="Trabasso P" first="P." last="Trabasso">P. Trabasso</name></noRegion></country><country name="Allemagne"><region name="Berlin"><name sortKey="Held, T K" sort="Held, T K" uniqKey="Held T" first="T. K." last="Held">T. K. Held</name></region><name sortKey="Ullmann, A J" sort="Ullmann, A J" uniqKey="Ullmann A" first="A. J." last="Ullmann">A. J. Ullmann</name></country><country name="Turquie"><noRegion><name sortKey="Akan, H" sort="Akan, H" uniqKey="Akan H" first="H." last="Akan">H. Akan</name></noRegion></country><country name="Australie"><noRegion><name sortKey="Ward, M S" sort="Ward, M S" uniqKey="Ward M" first="M. S." last="Ward">M. S. Ward</name></noRegion></country><country name="Hongrie"><region name="Hongrie centrale"><name sortKey="Fabian, K" sort="Fabian, K" uniqKey="Fabian K" first="K." last="Fabian">K. Fabian</name></region></country><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Wulffraat, N" sort="Wulffraat, N" uniqKey="Wulffraat N" first="N." last="Wulffraat">N. Wulffraat</name></region></country><country name="Suède"><region name="Svealand"><name sortKey="Ljungman, P" sort="Ljungman, P" uniqKey="Ljungman P" first="P." last="Ljungman">P. Ljungman</name></region></country><country name="Slovénie"><noRegion><name sortKey="Pretnar, J" sort="Pretnar, J" uniqKey="Pretnar J" first="J." last="Pretnar">J. Pretnar</name></noRegion></country><country name="Suisse"><noRegion><name sortKey="Gmur, J" sort="Gmur, J" uniqKey="Gmur J" first="J." last="Gmür">J. Gmür</name></noRegion></country><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Vitek, A" sort="Vitek, A" uniqKey="Vitek A" first="A." last="Vitek">A. Vitek</name></region></country><country name="Italie"><region name="Latium"><name sortKey="Sica, S" sort="Sica, S" uniqKey="Sica S" first="S." last="Sica">S. Sica</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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