Unsuccessful CTL transfusion in a case of post-BMT Epstein-Barr virus-associated lymphoproliferative disorder (EBV-LPD)

Bone Marrow Transplant. 1997 Aug;20(4):337-40. doi: 10.1038/sj.bmt.1700883.

Abstract

A patient with AML (FAB M4Eo) developed EBV-LPD 1.5 months after allogeneic BMT from his one locus-mismatched mother, the diagnosis being confirmed on day +82. Attempts to eradicate the monoclonally proliferating LPD using chemotherapy (VP16/dexamethasone) followed by two doses of EBV-specific CTL and one dose of unstimulated donor leukocytes were not successful. We assume delay of infusions (day +100, +107) and insufficient CTL cell doses (total 9.2 x 10(6)) may have been responsible for the poor outcome in this case.

Publication types

  • Case Reports

MeSH terms

  • Bone Marrow Transplantation / adverse effects*
  • Child
  • Herpesviridae Infections / etiology
  • Herpesviridae Infections / therapy*
  • Herpesvirus 4, Human*
  • Humans
  • Lymphoproliferative Disorders / etiology
  • Lymphoproliferative Disorders / therapy*
  • Male
  • T-Lymphocytes, Cytotoxic / transplantation*
  • Transplantation, Homologous
  • Tumor Virus Infections / etiology
  • Tumor Virus Infections / therapy*