Progressive multifocal leukoencephalopathy with detection of JC virus in a patient with chronic lymphocytic leukemia parallel to onset of fludarabine therapy.

Abstract:

:Along with the establishment of more intense chemotherapeutic regimens including fludarabine for the treatment of indolent lymphoproliferative diseases like chronic lymphocytic leukemia (CLL), an increasing amount of cases with progressive multifocal leukoencephalopathy (PML) due to JC virus have been observed. We report a patient with CLL who developed PML parallel to the onset of fludarabine therapy. Spinal fluid was tested positive for JC virus. Despite virostatic treatment with cidofovir, neurologic symptoms were progressive and the disease ultimately fatal. The present case suggests that immunosuppression caused by chronic lymphoproliferative malignancies alone may be a factor in the development of PML. Chemotherapy with fludarabine may act as an additional trigger. The question remains whether serologic screening for JC virus in patients with chronic lymphoproliferative disease undergoing intense chemotherapy might be valuable once sufficient antiviral treatment has been established.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Kiewe P,Seyfert S,Körper S,Rieger K,Thiel E,Knauf W

doi

10.1080/1042819031000116625

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

1815-8

issue

10

eissn

1042-8194

issn

1029-2403

journal_volume

44

pub_type

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