Case Report
Repeated CMV Infection in a Heart Transplantation Patient
| | 2001 | 2001 | 2002 | 2004 | 2004 | 2005 | 2010 | 2010 | 2012 |
| Event | HTx | 3 rejections | Retinitis | Protocol change | Retinitis | Retinitis | Diarrhea | Retinitis pneumonia | None | Immunosupresion | OKT3 CsA Aza Ster. | Steroids boluses | CsA Aza Steroids | CsA Aza → MMF Steroids | CsA MMF Steroids | ↓ CsA ↓ MMF Steroids | Csa → Eve MMF Steroids | Eve Steroids | Eve Steroids | CMV (blood) | R IgG+ D IgG+ | Positive Ag. | Negative Ag. | Negative Ag. | Negative Ag. | Positive Ag. | 525,000 copies | 425,000 copies | Negative | Treatment CMV | None | Ganciclovir oral | Aciclovir iv Aciclovir oral | None | Aciclovir iv VGC | VGC | VGC | VGC Foscarnet iv Foscarnet intraocular | VGC prophylactic |
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HTx: heart transplantation; CsA: cyclosporine; Aza: azathioprine; MMF: mycophenolate mofetil; Ag: antigenemia; Eve: everolimus; VGC: valganciclovir.
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