Quantification of Circulating Varicella-Zoster Virus DNA for Follow-up in a Case of Visceral Varicella-Zoster Infection Ameliorated with Intravenous Acyclovir View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-04-01

AUTHORS

Jo Ishizawa, Hiroyuki Fujita, Mai Iguchi, Takayoshi Tachibana, Jun Taguchi, Yoshiaki Ishigatsubo

ABSTRACT

We describe a patient with acute lymphocytic leukemia (ALL) who developed visceral varicella-zoster virus (VZV) infection following cord blood stem cell transplantation (CBSCT) and was successfully treated with intravenous acyclovir (ACV). A 24-year-old woman with ALL developed severe epigastric pain 168 days after CBSCT, followed by blistering eruptions 2 days later. A diagnosis of visceral varicella-zoster disease was made, and early intravenous ACV therapy successfully alleviated the epigastric pain and skin lesions within 2 weeks. Polymerase chain reaction analysis of the serum showed dramatic decreases in the viral DNA copy number and revealed large viral concentrations prior to the skin manifestations. The viral DNA copy number in whole blood remained positive, however, but was reduced. Further treatment with intravenous ACV led to VZV DNA becoming undetectable in whole blood, a result not achieved with oral valacyclovir. More... »

PAGES

242-245

Identifiers

URI

http://scigraph.springernature.com/pub.10.1532/ijh97.06127

DOI

http://dx.doi.org/10.1532/ijh97.06127

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004925626

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17483062


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