Human rhinovirus and coronavirus detection among allogeneic hematopoietic stem cell transplantation recipients
Identifieur interne : 000D22 ( Main/Exploration ); précédent : 000D21; suivant : 000D23Human rhinovirus and coronavirus detection among allogeneic hematopoietic stem cell transplantation recipients
Auteurs : Filippo Milano [États-Unis, Italie] ; Angela P. Campbell [États-Unis] ; Katherine A. Guthrie [États-Unis] ; Jane Kuypers [États-Unis] ; Janet A. Englund [États-Unis] ; Lawrence Corey [États-Unis] ; Michael Boeckh [Italie, États-Unis]Source :
- Blood [ 0006-4971 ] ; 2010.
Abstract
Little is known about clinical and virologic manifestations of rhinovirus (HRV) and coronavirus (HCoV) infections after hematopoietic cell transplantation (HCT). We performed surveillance for 1 year and describe the natural history of these infections during the first 100 days after allogeneic HCT, when symptom surveys and upper respiratory samples were collected weekly. Samples were tested using RT-PCR for HRVs and HCoVs (OC43, 229E, HKU1, and NL63). Among 215 patients, 64 (30%) patients had 67 infections. Day 100 cumulative incidence estimate was 22.3% for HRV and 11.1% for HCoV. Median duration of viral shedding was 3 weeks; prolonged shedding of at least 3 months occurred in 6 of 45 patients with HRV and 3 of 22 with HCoV. Six patients with HRV and 9 with HCoV were asymptomatic. HRV infection was associated with rhinorrhea, congestion, postnasal drip, sputum, and cough; HCoV infection was not associated with respiratory symptoms or hepatic dysfunction. Lower respiratory infection developed in 2 patients with HRV before day 100, and 1 each with HRV and HCoV after day 100. HRV and HCoV infections are common in the first 100 days after HCT, viral shedding lasts more than 3 weeks in half, and lower respiratory infection is rare.
Url:
DOI: 10.1182/blood-2009-09-244152
PubMed: 20042728
PubMed Central: 2837322
Affiliations:
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We performed surveillance for 1 year and describe the natural history of these infections during the first 100 days after allogeneic HCT, when symptom surveys and upper respiratory samples were collected weekly. Samples were tested using RT-PCR for HRVs and HCoVs (OC43, 229E, HKU1, and NL63). Among 215 patients, 64 (30%) patients had 67 infections. Day 100 cumulative incidence estimate was 22.3% for HRV and 11.1% for HCoV. Median duration of viral shedding was 3 weeks; prolonged shedding of at least 3 months occurred in 6 of 45 patients with HRV and 3 of 22 with HCoV. Six patients with HRV and 9 with HCoV were asymptomatic. HRV infection was associated with rhinorrhea, congestion, postnasal drip, sputum, and cough; HCoV infection was not associated with respiratory symptoms or hepatic dysfunction. Lower respiratory infection developed in 2 patients with HRV before day 100, and 1 each with HRV and HCoV after day 100. HRV and HCoV infections are common in the first 100 days after HCT, viral shedding lasts more than 3 weeks in half, and lower respiratory infection is rare.</p></div></front></TEI><affiliations><list><country><li>Italie</li><li>États-Unis</li></country><region><li>Latium</li><li>Washington (État)</li></region><settlement><li>Rome</li><li>Seattle</li></settlement><orgName><li>Université de Washington</li></orgName></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Milano, Filippo" sort="Milano, Filippo" uniqKey="Milano F" first="Filippo" last="Milano">Filippo Milano</name></region><name sortKey="Boeckh, Michael" sort="Boeckh, Michael" uniqKey="Boeckh M" first="Michael" last="Boeckh">Michael Boeckh</name><name sortKey="Campbell, Angela P" sort="Campbell, Angela P" uniqKey="Campbell A" first="Angela P." last="Campbell">Angela P. Campbell</name><name sortKey="Campbell, Angela P" sort="Campbell, Angela P" uniqKey="Campbell A" first="Angela P." last="Campbell">Angela P. Campbell</name><name sortKey="Campbell, Angela P" sort="Campbell, Angela P" uniqKey="Campbell A" first="Angela P." last="Campbell">Angela P. Campbell</name><name sortKey="Corey, Lawrence" sort="Corey, Lawrence" uniqKey="Corey L" first="Lawrence" last="Corey">Lawrence Corey</name><name sortKey="Corey, Lawrence" sort="Corey, Lawrence" uniqKey="Corey L" first="Lawrence" last="Corey">Lawrence Corey</name><name sortKey="Englund, Janet A" sort="Englund, Janet A" uniqKey="Englund J" first="Janet A." last="Englund">Janet A. Englund</name><name sortKey="Englund, Janet A" sort="Englund, Janet A" uniqKey="Englund J" first="Janet A." last="Englund">Janet A. Englund</name><name sortKey="Englund, Janet A" sort="Englund, Janet A" uniqKey="Englund J" first="Janet A." last="Englund">Janet A. Englund</name><name sortKey="Guthrie, Katherine A" sort="Guthrie, Katherine A" uniqKey="Guthrie K" first="Katherine A." last="Guthrie">Katherine A. Guthrie</name><name sortKey="Kuypers, Jane" sort="Kuypers, Jane" uniqKey="Kuypers J" first="Jane" last="Kuypers">Jane Kuypers</name><name sortKey="Kuypers, Jane" sort="Kuypers, Jane" uniqKey="Kuypers J" first="Jane" last="Kuypers">Jane Kuypers</name></country><country name="Italie"><region name="Latium"><name sortKey="Milano, Filippo" sort="Milano, Filippo" uniqKey="Milano F" first="Filippo" last="Milano">Filippo Milano</name></region><name sortKey="Boeckh, Michael" sort="Boeckh, Michael" uniqKey="Boeckh M" first="Michael" last="Boeckh">Michael Boeckh</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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