Case Report

Colonic EBV-Associated Lymphoproliferative Disorder in a Patient Treated with Rabbit Antithymocyte Globulin for Aplastic Anemia

Table 1

Summary of EBV-LPD after ATG for aplastic anemia in a nontransplant setting.

Age, gender Type of ATGDose of ATGOther drugsMonths to diagnosis from ATGEBV viral loadType of LPDPrevious treatment for AATreatment for LPDOutcomeReference

38, MEquine3.5 mg/kg NRmPSL, CSP1>30,000/150,000 cellsIMrATG RitCR[7]
36, MEquine0.75 mL/kg 8 daysCSP1>NREBV-LPDNRNRDead[8]
55, MEquineNRNone1 60,060/mLEBV-LPDATG*GCV**, FCV** RitNR[9]
42, FRabbit12.5 mg/kg 4 daysCSP1>4 × 106/mLDLBCLeATGRit, CPACR[10]
55, MRabbit3.75 mg/kg 5 daysmPSL, CSP3 140/106 WBCEBV-LPDNoneCessation of CSPCROur case

NR: not reported, IM: infectious monocytosis, rATG: rabbit ATG, eATG: equine ATG, Rit: rituximab, CR: complete remission, EBV-LPD: Epstein-Barr-virus-associated lymphoproliferative disorder, GCV: ganciclovir, FCV: foscarnet, DLBCL: diffuse large B-cell lymphoma, CPA: cyclophosphamide, and CSP: cyclosporine.
*This patient received autologous peripheral blood stem cell transplantation for Burkitt lymphoma before development of aplastic anemia.
**For concurrence of cytomegalovirus reactivation.