Characteristics of patients who developed EBV-related complications
Pt no. . | Diagnosis . | Preparative regimen . | Age, y . | CMV status . | Time to EBV event, d . | EBV event . | Method of diagnosis . | Treatment . | GVHD prophylaxis regimen . | Time to acute GVHD grade II-IV, d . | Outcome/cause of death . |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | MDS | NMA with ATG | 58 | + | 247 | PTLD | Colon biopsy | Rituximab | CsA/MMF | 50 | Alive |
2 | AML | NMA with ATG | 60 | – | 133 | PTLD | Tonsil biopsy | Rituximab | CsA/MMF | 35 | Alive |
3 | SAA | NMA with ATG | 35 | – | 122 | PTLD | Multiple biopsies* | Rituximab | CsA/MMF | None | Dead/PTLD |
4 | CML | NMA with ATG | 48 | + | 185 | PTLD | Multiple biopsies† | Rituximab | CsA/MMF | 24 | Dead/PTLD |
5 | CLL | NMA with ATG | 50 | – | 54 | PTLD | PCR | Rituximab | CsA/MMF | None | Alive |
6 | SAA | NMA with ATG | 18 | + | 117 | Viremia | PCR | None | CsA/MMF | None | Alive |
7 | AML | NMA | 49 | – | 603 | PTLD | Autopsy | None | CsA/MMF | 30 | Dead/hemophagocytic syndrome |
8 | CML | MA with ATG | 49 | – | 133 | PTLD | LND biopsy | Rituximab vincristine | CsA/M-pred | None | Dead/PTLD |
9 | MDS | MA with ATG | 49 | – | 131 | PTLD | Stomach biopsy | Rituximab | CsA/M-pred | 72 | Alive |
10 | AML | MA with ATG | 7 | – | 407 | PTLD | Autopsy | None | CsA/M-pred | 38 | Dead/alveolar hemorrhage and PTLD |
11 | ALL | MA with ATG | 14 | + | 112 | Viremia | PCR | None | CsA/M-pred | 16 | Dead/MOF and sepsis |
12 | CML | MA with ATG | 17 | – | 52 | Viremia | PCR | None | CsA/M-pred | 36 | Alive |
13 | ALD | MA with ATG | 8 | – | 93 | PTLD | PCR CT scan | Rituximab | CsA/M-pred | None | Alive |
14 | OP | MA with ATG | 4 | – | 61 | Viremia | PCR | None | CsA/MMF | 15 | Dead/GVHD |
15 | MLS | MA with ATG | 7 | – | 92 | PTLD | Liver biopsy | Rituximab methypred | CsA/M-pred | None | Dead/PTLD |
Pt no. . | Diagnosis . | Preparative regimen . | Age, y . | CMV status . | Time to EBV event, d . | EBV event . | Method of diagnosis . | Treatment . | GVHD prophylaxis regimen . | Time to acute GVHD grade II-IV, d . | Outcome/cause of death . |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | MDS | NMA with ATG | 58 | + | 247 | PTLD | Colon biopsy | Rituximab | CsA/MMF | 50 | Alive |
2 | AML | NMA with ATG | 60 | – | 133 | PTLD | Tonsil biopsy | Rituximab | CsA/MMF | 35 | Alive |
3 | SAA | NMA with ATG | 35 | – | 122 | PTLD | Multiple biopsies* | Rituximab | CsA/MMF | None | Dead/PTLD |
4 | CML | NMA with ATG | 48 | + | 185 | PTLD | Multiple biopsies† | Rituximab | CsA/MMF | 24 | Dead/PTLD |
5 | CLL | NMA with ATG | 50 | – | 54 | PTLD | PCR | Rituximab | CsA/MMF | None | Alive |
6 | SAA | NMA with ATG | 18 | + | 117 | Viremia | PCR | None | CsA/MMF | None | Alive |
7 | AML | NMA | 49 | – | 603 | PTLD | Autopsy | None | CsA/MMF | 30 | Dead/hemophagocytic syndrome |
8 | CML | MA with ATG | 49 | – | 133 | PTLD | LND biopsy | Rituximab vincristine | CsA/M-pred | None | Dead/PTLD |
9 | MDS | MA with ATG | 49 | – | 131 | PTLD | Stomach biopsy | Rituximab | CsA/M-pred | 72 | Alive |
10 | AML | MA with ATG | 7 | – | 407 | PTLD | Autopsy | None | CsA/M-pred | 38 | Dead/alveolar hemorrhage and PTLD |
11 | ALL | MA with ATG | 14 | + | 112 | Viremia | PCR | None | CsA/M-pred | 16 | Dead/MOF and sepsis |
12 | CML | MA with ATG | 17 | – | 52 | Viremia | PCR | None | CsA/M-pred | 36 | Alive |
13 | ALD | MA with ATG | 8 | – | 93 | PTLD | PCR CT scan | Rituximab | CsA/M-pred | None | Alive |
14 | OP | MA with ATG | 4 | – | 61 | Viremia | PCR | None | CsA/MMF | 15 | Dead/GVHD |
15 | MLS | MA with ATG | 7 | – | 92 | PTLD | Liver biopsy | Rituximab methypred | CsA/M-pred | None | Dead/PTLD |
Pt indicates patient; CMV indicates cytomegalovirus; GVHD, graft-versus-host disease; MDS, myelodysplastic syndrome; NMA, nonmyeloablative; ATG, antithymocyte globulin; PTLD, posttransplantation lymphoproliferative disorder; CsA, cyclosporine A; AML, acute myeloid leukemia; SAA, severe aplastic anemia; CML, chronic myelogenous leukemia; CLL, chronic lymphocytic leukemia; PCR, polymerase chain reaction; MA, myeloablative; LND, lymph node; M-pred, Methylprednisolone; MOF, multiple organ failure; ALD, adrenoleukodystrophy; CT scan, computerized tomography; OP, osteopetrosis; and MLS, Maroteaux-Lamy syndrome
Liver, marrow, and skin biopsies
Liver, tonsil, and lung biopsies