Adjuvant and salvage therapy with leflunomide for recalcitrant cytomegalovirus infections in hematopoietic cell transplantation recipients: A case series

作者:El Chaer Firas; Mori Nobuyoshi; Shah Dimpy; Oliver Nora; Wang Emily; Jan Anna; Doan Vi; Tverdek Frank; Tayar Jean; Ariza Heredia Ella; Chemaly Roy F*
来源:Antiviral Research, 2016, 135: 91-96.
DOI:10.1016/j.antivira1.2016.08.027

摘要

Cytomegalovirus (CMV) reactivation is a clinically significant complication in hematopoietic stem cell transplant (HCT) recipients. Alternative therapy for multidrug-resistant CMV is limited and often fails. Leflunomide has been used to treat resistant CMV infections, however, data on efficacy, safety, and guidance for therapeutic drug level monitoring are lacking. In this report, we describe 3 HCT recipients with multi-drug resistant CMV infections who received leflunomide as adjuvant and salvage therapy. The therapeutic effect of leflunomide as an anti-CMV agent based on virologic responses and therapeutic drug monitoring were evaluated.

  • 出版日期2016-11