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Review
. 2016 Jun 20;8(1):e2016031.
doi: 10.4084/MJHID.2016.031. eCollection 2016.

CMV in Hematopoietic Stem Cell Transplantation

Affiliations
Review

CMV in Hematopoietic Stem Cell Transplantation

Rafael de la Cámara. Mediterr J Hematol Infect Dis. .

Abstract

Due to its negative impact on the outcome of stem cell transplant (SCT) and solid organ transplant patients (SOT) CMV has been called "the troll of transplantation". One of the greatest advances in the management of SCT has been the introduction of the preemptive strategy. Since its introduction, the incidence of the viremia, as expected, remains unchanged but there has been a marked decline in the incidence of early CMV disease. However, in spite of the advances in prevention of CMV disease, CMV is still today an important cause of morbidity and mortality. Late CMV disease is still occurring in a significant proportion of patients and the so-called indirect effects of CMV are causing significant morbidity and mortality. Fortunately there have been several advances in the development of new antivirals, adoptive immunotherapy and DNA-CMV vaccines that might transform the management of CMV in the near future.

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