Table 1.

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

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