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Successful re-infusion of hepatitis E contaminated stem cells during autologous stem cell transplantation with ribavirin prophylaxis.

증례보고 2/5 보강
Transfusion 2026 Hepatitis Viruses Studies and Epidem
Retraction 확인
출처
PubMed DOI OpenAlex 마지막 보강 2026-04-29
OpenAlex 토픽 · Hepatitis Viruses Studies and Epidemiology Travel-related health issues Viral Infections and Immunology Research

Sadler H, Knightly N, Waite I, Aplin H, Mangan AD, Austin S, Chan T, Fekollari R, Ushiro-Lumb I, Kent L, Joseph M, Ijaz S, Griffith J, Lubowiecki M

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[BACKGROUND] Hepatitis E virus (HEV) infection is a common and usually asymptomatic infection but can be fatal in the context of prolonged immune suppression, such as during a hematopoietic stem cell

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APA Hannah Sadler, Nicola Knightly, et al. (2026). Successful re-infusion of hepatitis E contaminated stem cells during autologous stem cell transplantation with ribavirin prophylaxis.. Transfusion. https://doi.org/10.1111/trf.70228
MLA Hannah Sadler, et al.. "Successful re-infusion of hepatitis E contaminated stem cells during autologous stem cell transplantation with ribavirin prophylaxis.." Transfusion, 2026.
PMID 41988893 ↗
DOI 10.1111/trf.70228

Abstract

[BACKGROUND] Hepatitis E virus (HEV) infection is a common and usually asymptomatic infection but can be fatal in the context of prolonged immune suppression, such as during a hematopoietic stem cell transplant (HSCT).

[CASE REPORT] We describe the case of a 74-year-old man with primary central nervous system lymphoma (PCNSL) who required an autologous stem cell transplant (ASCT) as part of curative treatment for this condition but was identified to have acute HEV infection at the time of CD34 stem cell harvest. This meant he would be re-exposed to a contaminated product with HEV infection at high viral load precisely at the time of most severe immune suppression.

[RESULTS] This is the first case of the prospective use of a CD34-contaminated hepatitis E stem cell product with a high viral load (2,950,000 IU/mL) in an autologous stem cell transplant setting. We describe the successful prophylaxis with ribavirin. This case provides a practical management strategy for a HSCT, particularly in the allogeneic setting, where time-critical donor CD34 products are required where acute HEV infection is detected. Our patient remains alive at >12 months post-transplant with no evidence of HEV re-activation.

🏷️ 키워드 / MeSH 📖 같은 키워드 OA만

🏷️ 같은 키워드 · 무료전문 — 이 논문 MeSH/keyword 기반