Clearance of TT virus after allogeneic bone marrow transplantation

J Pediatr Hematol Oncol. 2001 Jan;23(1):57-8. doi: 10.1097/00043426-200101000-00014.

Abstract

A 10-year-old girl with thalassemia underwent bone marrow transplantation. Before transplantation, she had persistent TT virus (TTV) DNAemia for at least 18 months. Interestingly, the viral DNAemia was cleared soon after transplant and remained undetectable at the latest follow-up at 28 months. The early clearance of TTV that had occurred before engraftment or initiation of any antiviral therapy, together with the absence of TTV DNA from the results of the liver biopsy performed before transplantation, led us to hypothesize that the hematologic compartment could have been the site for viral persistence. Thus, the conditioning regimen may have depleted the hemic cells and the hematologically compartmentalized TTV. The potential of hemic tropism of TTV and its role in hematologic diseases need to be considered.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biopsy
  • Bone Marrow Transplantation*
  • Child
  • DNA Virus Infections / complications
  • DNA Virus Infections / diagnosis*
  • DNA Virus Infections / therapy*
  • DNA Viruses / isolation & purification*
  • DNA, Viral / blood
  • DNA, Viral / isolation & purification*
  • Female
  • Humans
  • Liver / pathology
  • Liver / virology
  • Transplantation, Homologous
  • beta-Thalassemia / complications
  • beta-Thalassemia / therapy*

Substances

  • DNA, Viral